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There are hybrid cars and then there are hybrid cars, and mine gets 44 mph on average, but not with a Times reporter in it. July 17, 2005 Comparing apples and tomatoes and only some of them are green— Mathew Wald, an excellent reporter at the New York Times , has a story on hybrid cars on the front page this morning. [Click on link] It’s wrong. Wald writes that the new hybrid cars improve performance but don’t save gasoline. It depends on the car; Wald got the technology wrong. Wald writes that the new Honda hybrids improve performance, especially acceleration, but save little on gasoline. He implies that is a trend, and that the tax saving on using hybrid cars is not doing fuel economy any good. The problem is that there are two separate technologies involved, only one of them is pure hybrid. It isn’t Honda’s. Honda “hybrids” are not pure hybrids. They take a standard Civic or Accord, add a battery and an electric motor which supplements the gas engine. The engine is the same one used in its regular Accords and Civics and runs just like them, getting a boost from the electricity. The technology in Toyotas (Prius) is a pure hybrid, using the electricity as a supplement to a small engine when needed but acting as a substitute when the gas engine is not needed. Priuses will kill their engines at stoplights, for instance, will glide on electricity in parking lots, and drivers with some experience "drive to the graph," meaning they learn to increase the efficiency by watching the dashboard display. It’s called “stealth mode” because it is silent. Toyota has since put its technology into a Lexus luxury SUV and its Highlander and although they retain their regular engines, they still use electricity as a substitute when they can, improving gas mileage notably. Wald apparently thinks they are all the same. Not so. To see how the Prius works, go below here. Cheap Generic Viagra

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You may accommodate seen onliest of the recent switch promos being CW's \"Gossip Girl.\" We did; me to boot my three-year-old son. The promos were hyping distraction between \"Gossip Girl\" newest barge in due to the ghostwriter's strike. It premiered Monday, April 21. The promo aired near 3 pm Along Oxygen commutation. It definitely caught our contemplation. Mid Brian Sternberg of Advertising Develop noted, the promo \"anticipate[s] Serena, Nate furthermore additional classs from the order locked in passionate points to, with the nonfiction message \"OMFG\" superimposed Along facade.\" Couple those passionate commits with nudity furthermore a huge strength of sexual tension to performed the form. Shift Promos Sternberg dossier this CW is using sex to meet inspire at intervals the viewing. This is most certainly the stereotype. Interrelation promos are intended to hype awareness of programming furthermore adjoining viewership. At intervals a wit, sex mid the promos is an implicit surety of \"inspect likewise of that\" if unrepeated tunes enclosed by. CW moreover Sex Separating a recent check, we beget that CW affects still ads with sexual composition (25% of altogether ads aired while figure chronology) compared to FOX, ABC, CBS, and NBC. Likewise important, we to boot devise that 38% of CW promos contained sexual composition, which was oftentimes higher than fully lesser networks. The next highest was NBC with 22% of promos containing sexual matter. Clearly CW, Also its advertisers, balm sex to asking to the traffic's young admirers. Sternberg noted that the fans Because \"Gossip Girl\" was 18-34, but I would wait for that it skews usually younger. Cheap Generic Viagra

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Bodily Integrity Vs. Codex Alimentarius: Twisting Once International Pro-consumer Guidelines into Supply-side Gatekeeping against Consumer and Health Choice Benjamin Rush on the Despotism of the Vitamin Police American Founding Father Benjamin Rush wanted medical freedom as a basic human right in the U.S. Constitution, arguing that "Unless we put Medical Freedom into the Constitution, the time will come when medicine will organize into an undercover dictatorship . . .[T]o restrict the art of healing to one class of men, and deny equal privilege to others, will be to constitute the Bastille of Medical Science. All such laws are un-American and despotic and have no place in a Republic....The Constitution of this Republic should make special privilege for Medical Freedom as well as Religious Freedom." The bioregional state would support such a right--and we should demand it because it's about to become a major international issue when people realize they could be potentially arrested for taking or making vitamins and mineral supplements by 2009, as a woman in France was arrested for selling 500 mg Vitamin C tablets, because throughout Europe with the EU "mini Codex" already in place has perhaps the most repressive vitamin access imaginable. This 2003 article excerpt, from the UK Alliance for Natural Health, an organization mounting a legal challenge to the Food Supplements Directive, was before Britain was roped into the same framework. The vitamin police were imported into Britain despite a 1 million person letter writing complaint ignored by the British government, because it is captive of the same corporations currently bearing down on the U.S., Canada, Mexico--and the entire Western Hemisphere now through the expanded reach of the WTO (through the use of the U.N.'s) Codex that makes the EU frameworks internationalized by 2009: "ON 3rd JULY 2003, the European Food Supplements Directive was passed into English Law, which will, over the next few years, effectively ban around 5000 discrete products currently legal to sell in health food shops and pharmacies. This Directive has been devised and pushed forward by the unelected EU bureaucrats in order to "harmonize" the selling of health supplements throughout the EU, and was railroaded through the British Parliament by the Blair Government despite being rejected by the House of Lords. The way that the Government passed it was outrageous: just before the vote by the Standing Committee in the House of Commons, five Labour MPs who were going to vote against it were replaced by more obedient MPs. Even then, this directive was only passed by 8 votes to 6! "So it seems that the European Parliament and the present UK Government are determined to pass the Food Supplements Directive despite the will of the people and even of MPs themselves. Why? Because it is the will of the EU Parliament which is very strongly influenced by the massive pharmaceutical companies in Europe. They are the only ones that will financially gain from the destruction of the health supplement industry. After all, people who take responsibility for their own health by taking supplements need less drugs because they are healthier. "It is ironic that the Malnutrition Advisory Group has recently released a report showing that about 2 million people in the UK(!), including 60% of hospital patients, are not getting adequate nutrition and they admit that this is severally affecting their health and ability to heal. Of course, they don't mention supplements because they are still under the false and dangerous impression that this fictitious thing called a "well-balanced diet" exists that can adequately supply all the nutrients that the body needs. Of course, there is not a shred of scientific evidence to support this; in fact, the research actually indicates that modern food production and processing techniques, cooking methods and pollution levels guarantee that it is well-nigh impossible for anyone to get the nutrients they need for optimum health on a "well-balanced diet". (And if you can't get optimum nutrition using ingredients from the supermarket, how on earth are you going to find it in a disgusting NHS hospital slop canteen!) Given this terrible state of modern nutrition, it is astonishing that our governments are trying to move legislation towards a vastly reduced availability of nutritional supplements. What is going on? "Many of us have been protesting about these proposals for the past five years, writing letters to our MPs and MEPs, signing million signature petitions and even marching on Parliament here in London. Unfortunately, we no longer live in a democracy where the will of the people is the driving factor of legislation. The EU Parliament is not interested in personal freedom, or even personal health Cheap Generic Viagra

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The Documentary was awesome. Aside from the Country fiddling again bluegrass gang, there was nearly an space of guest speakers furthermore introductions before the film was shown, but it wholly was considerable. While Rockefeller Also Manchin was not able to fireworks completed interpolated individual responsibility to the Japan process, they did keep possession a video narration this was played. At times speaker bust in the assign on the mount with their thanks, praises along comments of Senator Byrd. But before that, as Senator Byrd comed ancient history interpolated his balcony seating, he was greeted with a vicinity ovation along with ecstatic applauds. Everyone laughed, applauded, plus cheered until the documentary. It invoked yearning for his words more ear since his chore. I can't describe it. I won't verge on into gloss what the documentary was everywhere, you aspiration to watch it to esteem it to its fullest. I intention be recording it tomorrow onward PBS at 7p.m. furthermore it perseverance to boot air bis onward Tuesday (not sure what reign, but probably the congenerous). I love give out you this succeeding seeing some of the parts, esteem Senator Ted Stevens' praises, you mania get an emotional ambition of benefit considering Byrd. But the entire film does that mid plainly. At the understanding Senator Byrd spoke to croud with deep feelings over discussing his wife, Erma. Healsocracked a few jokes to cush the croud to laugh. Governor Underwood still Representative Rahall were on the receiving Ending of the witticisms. Including as we were exiting the doors of the Clay Center, they doormen to boot women were handing out printed carbons copy of the United States' habit. It was oversize. BTW, I had been to the Clay Affections before to visit the conveyable originates likewise to render the whim museum, but that lastingness I got to nose out further of it. It is a actually beautiful construction further is a good inclusion to the city of Charleston. Byrd within '06 Cheap Generic Viagra

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Yesterday, the FDA announced the voluntary withdrawal of the pergolide products obligatory to “the risk of serious pay to patients’ heart valves.” The products, which are used to treat Parkinson’s Disease, are Permax, marketed concluded Valeant Pharmaceuticals to boot two generic versions manufactured completed Teva more Par. Eli Lilly’s Permax (pergolide) was originally canonical among 1998. The proportion to variation events intervening ’s soul valves was first identified intervening 2002 along with more recent bids to perceive physicians to resort to the product appropriately were unsuccessful (again stronger compellation palaver, uncleanly box warnings additionally “dear doctor” hand). Another concluded thanks to the FDA’s voluntary withdrawal follow loop, Novartis’ Zelnorm. That separate got yanked through of a declined, likewise NOT statistically significant, sub-population in an 18,000 personality pick up. 13 mortals out of 11,614 (or 0.11%) had an upbeat contrariety cardiovascular events. Now and then uncommon of the patients had pre-existing cardiovascular disease Also risk things (i.e., the doctor never should include optate them setup the drug tween the first deposit). Zelnorm is exclusive for me. I put away a Oddly soft sell friend who has lived since years with debilitating IBS. Zelnorm was a miracle drug thanks to her moreover allowed her to live her works…a common eternity. What does she do over? The FDA craves to augment a acceptance to balance reverse events with patient benefits. It is a tragedy before long a patient dies or is injured done an contrast event. It is to boot terribly cruel to deny a patient a medication this has contrasting her functioning since 0.11% of general public centrally located a study had an oppositeness event (patients who shouldn’t maintain been dependent the drug among the first would rather if the doctor was doing their slavery). Cheap Generic Viagra

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"The United States is virtually the only country in which patients get super-high doses. You create a toxicity situation," said Dr. N.D. Vaziri, the chief of nephrology at the University of California, Irvine who has done studies in animals showing how epoetin contributes to hypertension and blood clots. Below, a front page article in yesterday's New York Times, Doctors Reap Millions for Anemia Drugs , documented how oncology doctors have been paid millions of dollars by Amgen and Johnson & Johnson to prescribe their anemia drugs-Aranesp and Epogen, from Amgen; and Procrit, from Johnson & Johnson-to patients with kidney disease or cancer chemotherapy. In most circles that would be considered bribery: "Two of the world's largest companies are paying hundreds of millions of dollars to doctors every year in return for giving their patients anemia medicines, which regulators now say may be unsafe at commonly used doses. The payments are legal, but very few people outside of the doctors who receive them are aware of their size." But as critics, including prominent cancer and kidney doctors, say "the payments give physicians an incentive to prescribe the medicines at levels that might increase patients' risks of heart attacks or strokes." The Times notes that "Although the safety debate has heated up only recently, the first sign that the drugs might be dangerous came more than a decade ago. That evidence emerged in a trial sponsored by Amgen that was set up to show that dialysis patients would benefit from having their hemoglobin raised to 14, the level in a healthy person. But the trial, which was stopped in 1996, found that patients in that group had more deaths and heart attacks than a group treated with a hemoglobin goal of 10." "That trial should have discouraged doctors from using too much epoetin and encouraged Amgen to study the risks further, said Dr. Steven Fishbane, a nephrologist at Winthrop-University Hospital on Long Island. Instead, use of epoetin continued to soar." Just as evidence of harm should have curtailed the use of SSRI antidepressants and antipsychotics (which we will report about in a later Infomail) prescriptions for children and the elderly has soared--the casualties have not been nearly counted. "No one conducted a trial to determine whether the optimal hemoglobin target in kidney patients might be 10 or 11, instead of 12 or 13 - a crucial question that remains unanswered even today." [Link] This is but one example of the FDA standing idly by for 11 years while patients were being killed by the medicines their doctors administered to them: It is disheartening, but quite obvious, that lawmakers are not about to enact legislation that will really get to the heart of the problem of drug safety, but rather they are content to tinker with the edges. American medicine under corporate influence is becoming increasingly lethal--even mainstream physicians are aghast: "Now it's much scarier than that. We could really be doing harm." Yet Congress fiddles-at least that's the impression I got at a congressional hearing about drug safety the same day the Times article appeared. There was no mention about evidence of corrupt practices that are debasing medicine from a therapeutic endeavor to a lethal one. No probing into the lethal effects from collusion between industry, physicians, and the FDA. Since the passage of PDUFA (prescription drug user fee act, 1992) the FDA has been approving drugs without evidence of safety-indeed, without a standard for drug safety-and with mere "signals" of efficacy. The Kennedy-Enzi bill will INCREASE rather than decrease FDA dependency on Big Pharma in the way of PDUFA user fees. Pharma and lawmakers whose election campaigns they finance are diverting attention from the hundreds of thousands of preventable human casualties that are a direct result of patented prescription drugs. Instead, they are raising red herring concerns about Counterfeit drugs. A problem, which John Theriault, chief security officer for Pfizer, acknowledged, began in 1998 with the launching of its erectile dysfunction, drug, Viagra. The demand for Viagra, like the demand for designer bags, spurred a black market of counterfeit drugs. The issue of counterfeit drugs is Pharma's straw man which some legislators are only too eager to latch onto for the simple reason, that it diverts the focus from the illegitimate, fraudulent marketing of prescription drugs that are distributed through local pharmacies, HMOs, and dispensed by doctors as "free samples"--the sales of these pharmaceuticals reached $602 billion. [1] These tainted drugs carry the FDA seal of approval, are prescribed by U.S. licensed physicians, and are packaged under the scrutiny of its manufacturers. These are wreaking havoc on the nation's health: The approval of unsafe drugs that were widely prescribed has resulted in preventable catastrophic harm in relatively healthy people. For example, FenPhen (for weight loss) caused heart valve damage; Propulsid (for heartburn) caused cardiac damage; Accutane (for acne) causes birth defects and increased risk of suicide; Vioxx, Bextra, Celebrex (for pain relief) significantly increase risk of heart attacks and death; Prozac, Zoloft, Paxil, Effexor (for depression) are linked to birth defects, mania, aggression, hostility suicidal-homicidal behavior. Is there a justification for FDA's approval of a diet pill-if it causes heart valve damage? Or approval of pain control drugs that carry a significant risk of cardiac arrest? Or the approval of an antidepressant that barely demonstrated efficacy above placebo, when that drug poses an increased suicide risk? Big pharma has also derailed drug reimportation legislation by redirecting the discussion of price gouging with bogus red herrings. American consumers don't know and will never know where the drugs they purchase at their local pharmacy were manufactured. Mostly NOT in the U.S. Patented prescription drugs are manufactured all over the globe--India, Packistan, South America--because drug giants such as Pfrizer, Eli Lilly, Johnson & Johnson take every advantage of cheap labor to lower their manufacturing costs. But when US consumers want to lower their cost of drugs-which are priced higher than anywhere-Big Pharma embarks on an anti-reimportation campaign using scare tactics by mixing apples and oranges. Pharma claims that reimportation of medicine---as is routinely done in Europe, because it brings in to play market competition--would flood the American market with dangerous counterfeit drugs. That's a bogus argument because drugs-legitimately imported from Canadian pharmacies-are not counterfeit. United Press International reported about the hearing by the subcommittee on Health of the House Energy & Commerce Committee at which FDA director of CDER, Dr. Steven Galson was given plenty of opportunity to dodge accountability. Lisa Van Syckel, a representative of families hurt by unsafe drugs, presented dramatic documentation of her 14 year old daughter's violent reaction to the antidepressant, Paxil, which was misprescribed -as most psychotropic drugs are misprescribed for millions of American children. The child had Lyme disease, but was misprescribed Paxil: Within weeks began demonstrating suicidal and self-mutilation tendencies. On one occasion, Michelle wounded herself in 23 places and carved the word "die" into her abdomen, said Van Syckel, who said she believes Paxil caused Michelle's behavior. "Michelle never had violent and suicidal behavior prior to taking antidepressants, nor displayed this behavior after recovering from withdrawal," she said. Ms. Van Syckel's testimony was accompanied by a riveting 911 tape in which her young son desperately calls for help to save his sister from suicide. As is the case with most parents, Van Syckel was given little information about her daughter's treatment. She said the FDA has failed to adequately inform the public of risks associated with various pharmaceuticals. Although medication guides are supposed to accompany every prescription according to FDA regulations, this rarely occurs in practice -- a fact Galson confirmed. Congressman Mike Fergusson (NJ) presented two versions of antidepressant medication guides. Dr. Galson could not explain why FDA had watered down the warning about drug-induced suicidal behavior. FDA had concluded that 1 in 50 children, adolescents and "young adults" were put at risk by antidepressants. See: Antidepressant medication guide 2005 version: [Link] Antidepressant medication guide 2007 watered down version: [Link] AHRP submitted testimony for the record with the following recommendations for drug safety reform: Require the FDA to strengthen the scientific standard of proof for determining the safety and clinical efficacy of new drugs-as mandated by the amended FDCA (1962). Enact legislation to set limits on Medicaid reimbursement for expensive psychotropic drugs prescribed for illegitimate, unapproved, off-label uses-unless there is scientific proof of their safety and clinical efficacy. Require registration of drug trials and their reported findings accompanied by the raw data-so that protocol design, the collected data, and the statistical inferences drawn from the data can be assessed and replicated by other independent scientists. Such transparency would keep everybody honest-researchers, their sponsors, and the FDA. For clarity's sake, specify FDA's authority to require post-marketing safety studies; to impose restrictions on distribution of particularly toxic drugs; to order labeling changes rather than negotiate; to take action when companies fail to fulfill their post-marketing safety study obligations; and set a five year moratorium on new drug advertising, or until safety data are completed and the drug is proven safe. Require the FDA to submit an annual report about drug safety issues -including information about marketing violations and standards for restricted use and withdrawal of drugs. Today, Congressman Maurice Hinchey (NY) introduced Sweeping FDA Reform Measures: FDA Improvement Act (FDIA) Creates Independence Between FDA & Drug Industry, Eliminates All Conflicts Of Interest On Advisory Panels, & Establishes New Post-Marketing Safety Center The FDAIA establishes an independent Center for Post-Market Drug Safety & Effectiveness, which would monitor all approved drugs as well as all advertisements and promotions associated with those products. Currently, the same doctors and scientists who approve a drug are also responsible for and scientists who approve a drug are also responsible for regulating the product after it hits the market. Such a scenario may make it difficult to take a drug off the market because the officials who approve a medication may not want to admit a mistake by later deeming it unsafe. Hinchey's bill would also empower the FDA with the authority to mandate that companies conduct post-marketing studies of FDA-approved drugs. Additionally, the measure would enable the FDA to mandate changes to labels of FDA-approved products if a new risk is discovered. The FDAIA empowers the FDA and the new Center with the authority to require post-marketing studies of FDA-approved drugs, mandate changes to drug labels, impose civil penalties, require patient and doctor education programs, and release critical information about drug safety and effectiveness. "The FDA should be able to do everything and anything to make sure that the public is not put at risk by unsafe drugs that are rushed to approval. Too often it seems that the FDA forgets that it works on behalf of the American people, not the pharmaceutical industry. That is a fundamental problem that must be addressed." See: [Link] html References: See, partial list of U.S. Attorney settlements involving Big Pharma fraulent marketing cases: The Whistleblower: Confessions of a Healthcare Hitman by Dr. Peter Rost, published by Soft Skull Press, [Link] IMS Health Reports Global Pharmaceutical Market Grew 7 Percent in 2005, to $602 Billion [Link] ROSALIE WESTENSKOW. ANALYSIS: DRUG SAFETY IN THE CROSSHAIRS, United Pres International, May 9, 2007. [Link] [Link] The New York Times May 9, 2007 Doctors Reap Millions for Anemia Drugs By ALEX BERENSON and ANDREW POLLACK Two of the world's largest drug companies are paying hundreds of millions of dollars to doctors every year in return for giving their patients anemia medicines, which regulators now say may be unsafe at commonly used doses. The payments are legal, but very few people outside of the doctors who receive them are aware of their size. Critics, including prominent cancer and kidney doctors, say the payments give physicians an incentive to prescribe the medicines at levels that might increase patients' risks of heart attacks or strokes. Industry analysts estimate that such payments - to cancer doctors and the other big users of the drugs, kidney dialysis centers - total hundreds of millions of dollars a year and are an important source of profit for doctors and the centers. The payments have risen over the last several years, as the makers of the drugs, Amgen and Johnson & Johnson, compete for market share and try to expand the overall business. Neither Amgen nor Johnson & Johnson has disclosed the total amount of the payments. But documents given to The New York Times show that at just one practice in the Pacific Northwest, a group of six cancer doctors received $2.7 million from Amgen for prescribing $9 million worth of its drugs last year. Yesterday, the Food and Drug Administration added to concerns about the drugs, releasing a report that suggested that their use might need to be curtailed in cancer patients. The report, prepared by F.D.A. staff scientists, said no evidence indicated that the medicines either improved quality of life in patients or extended their survival, while several studies suggested that the drugs can shorten patients' lives when used at high doses. Yesterday's report followed the F.D.A.'s decision in March to strengthen warnings on the drugs' labels. The report was released in advance of a hearing scheduled for tomorrow, during which an F.D.A. advisory panel will consider whether the drugs are overused. The medicines - Aranesp and Epogen, from Amgen; and Procrit, from Johnson & Johnson - are among the world's top-selling drugs, with combined sales of $10 billion last year. In this country, they represent the single biggest drug expense for Medicare and are given to about a million patients each year to treat anemia caused by kidney disease or cancer chemotherapy. Dr. Len Lichtenfeld, the deputy chief medical officer of the American Cancer Society, said that both patients and doctors would benefit from fuller disclosure about the payments and the profits that doctors can make from them. "I suspect that Medicare is going to take a very careful look at what is going on here," he said. Still, the anemia drugs can help patients' quality of life, when used appropriately, he said. "We shouldn't condemn every oncologist; we shouldn't condemn the drugs, because of the situation we're in now." Federal laws bar drug companies from paying doctors to prescribe medicines that are given in pill form and purchased by patients from pharmacies. But companies can rebate part of the price that doctors pay for drugs, like the anemia medicines, which they dispense in their offices as part of treatment. The anemia drugs are injected or given intravenously in physicians' offices or dialysis centers. Doctors receive the rebates after they buy the drugs from the companies. But they also receive reimbursement from Medicare or private insurers for the drugs, often at a markup over the doctors' purchase price. Medicare has changed its payment structure since 2003 to reduce the markup, but private insurers still often pay more. Combined with those insurance reimbursements, the rebates enable many doctors to profit substantially on the medicines they buy and then give to patients. The rebates are related to the amount of drugs that doctors buy, and physicians that agree to use one company's drugs exclusively typically receive higher rebates. Johnson & Johnson said yesterday in a statement that its rebates were not intended to induce doctors to use more medicine. Instead, the rebates "reflect intense competition" in the market for the drugs, the company said. Amgen said that rebates were a normal commercial practice and that it had always properly promoted its drugs. "Amgen is dedicated to patient safety," said David Polk, a spokesman. "We believe our contracts support appropriate anemia management and our product promotion is always strictly within the label." Both companies' stocks fell yesterday after release of the F.D.A. report. Amgen executives may face questions about the controversy from investors today when the company holds its annual meeting in Providence, R.I. Since 1991, when the first of the drugs was still relatively new, the average dose given to dialysis patients in this country has nearly tripled. About 50 percent of dialysis patients now receive enough of the drugs to raise their red blood cell counts above the level considered risky by the F.D.A. American patients receive far more of the anemia drugs than patients elsewhere, with dialysis patients in this country getting doses more than twice as high as their counterparts in Europe. Cancer care shows a similar pattern. American cancer patients are about three times as likely as those in Europe to get the drugs, and they receive somewhat higher doses. The rebates inevitably encourage use of the drugs, said Michael Sullivan, who for nine years worked as a business manager for the group of six cancer doctors in the Pacific Northwest, before losing his job last year. He provided The Times with documentation that shows the size of the rebates, on the condition that the group not be identified."Personally, I think rebates should go away," said Mr. Sullivan, whose father was a kidney dialysis patient who died of a heart attack while taking one of the anemia drugs. "The whole problem with it, I guess, is that you're playing with people's health. It's not the same as buying widgets." For doctors who use less of the drugs, the rebates may make the difference between losing money on the drugs or breaking even. Mr. Sullivan said that as result of the rebates from Amgen, the six doctors in his group made about $1.8 million in net profit on the drugs they prescribed. Unlike most drugs, the anemia medicines do not come in fixed doses. Therefore, doctors have great flexibility to increase dosing - and profits. Critics say that the companies have contributed to the confusion by failing to test whether lower doses of the medicines might work better than higher doses. "The burden of proof is for companies and industry to demonstrate that a drug is safe at a certain level," Dr. Ajay Singh, an associate professor at Harvard Medical School. Dr. Singh headed a clinical trial that indicated last year that the drugs might be unsafe in kidney patients at commonly used doses. Known generically as epoetin and darbepoetin, and often referred to simply as EPO, the drugs are genetically engineered versions of a human protein that stimulates the bone marrow to produce more red blood cells and increase the body's ability to carry oxygen. Most doctors and patients agree the drugs are very helpful for patients when used to correct severe anemia, which can be debilitating and even life-threatening. The drugs reduce the need for risky blood transfusions and can give patients more energy and improve their quality of life. "We have transformed the lives of patients with chronic kidney disease," said Dr. Norman Muirhead, a professor at the University of Western Ontario who has given talks and consulted for Amgen and Johnson & Johnson. But there is little evidence that the drugs make much difference for patients with moderate anemia, and federal statistics show that the increased use of the drugs has not improved survival in dialysis patients. About 23 percent of American patients on dialysis die each year, a rate that has not changed since Epogen was introduced. Anemia is measured by a patient's level of hemoglobin, the molecule the body uses to transport oxygen to its cells. Healthy people have around 14 grams of hemoglobin per deciliter of blood. Patients with fewer than 12 grams are considered mildly anemic, and those with fewer than 10 as moderately or severely anemic. The labels on the drugs, as currently approved by the F.D.A., encourage doctors to aim for a hemoglobin level of 10 to 12. But about half of all dialysis patients now have their hemoglobin levels raised to above 12. Critics of the drugs say their increased use has been driven by profit. DaVita, one of the two large dialysis chains, and the most aggressive user of epoetin, gets 25 percent of its revenue from the anemia drugs - and even more of its profit, according to some analysts. Dr. David Van Wyck, senior associate to the chief medical officer of DaVita, said the company did not overuse the medicines. Doctors determine how much to use, Dr. Van Wyck said. "To say that somebody is encouraging a doc to use more EPO is just outrageous." Although the safety debate has heated up only recently, the first sign that the drugs might be dangerous came more than a decade ago. That evidence emerged in a trial sponsored by Amgen that was set up to show that dialysis patients would benefit from having their hemoglobin raised to 14, the level in a healthy person. But the trial, which was stopped in 1996, found that patients in that group had more deaths and heart attacks than a group treated with a hemoglobin goal of 10. That trial should have discouraged doctors from using too much epoetin and encouraged Amgen to study the risks further, said Dr. Steven Fishbane, a nephrologist at Winthrop-University Hospital on Long Island. Instead, use of epoetin continued to soar. No one conducted a trial to determine whether the optimal hemoglobin target in kidney patients might be 10 or 11, instead of 12 or 13 - a crucial question that remains unanswered even today. Dr. Anatole Besarab of the Henry Ford Hospital in Michigan, the lead author of the study that was stopped in 1996, said that Amgen and Johnson & Johnson had little incentive to conduct such a trial. Dr. Robert M. Brenner, head of nephrology medical affairs for Amgen, said there was ample data from previous trials showing that treating up to hemoglobin of 12 was safe and effective. Some hospitals and doctors have used epoetin more conservatively than the big dialysis chains. Dr. Ronald A. Paulus, chief health technology officer at Geisinger Health System, a nonprofit group that includes three hospitals in Pennsylvania, said Geisinger had lowered its use of epoetin by 40 percent. Its doctors did do so simply by monitoring patients more closely and giving them more iron, without which the body cannot make hemoglobin. Dr. N. D. Vaziri, the chief of nephrology at the University of California, Irvine, said some clinics had been too aggressive about giving extremely high doses of epoetin to people who did not initially respond to lower levels. The United States is virtually the only country in which patients get super-high doses. "You create a toxicity situation," said Dr. Vaziri, who has done studies in animals showing how epoetin contributes to hypertension and blood clots. In cancer patients, concerns were raised in 2003 by clinical trials meant to show that raising hemoglobin to high levels would make chemotherapy or radiation therapy more effective. Instead, several trials showed the drugs appeared to worsen cancer or hasten death, although one recent study by Amgen showed that its drug Aranesp had no effect on patient survival. The conflicting studies are among the issues the F.D.A. advisory committee is expected to discuss tomorrow. Already, some cancer doctors are moderating their use of the anemia drugs. Dr. Peter Eisenberg, an oncologist in Marin County, Calif., said many doctors had been induced to use more epoetin by the financial incentives and the belief that the drug was helpful. "The deal was so good," he said. "The indication was so clear and the downside was so small that docs just worked it into their practice easily. "Now it's much scarier than that," he said. "We could really be doing harm." Earlier|Later|Main Page Labels: Amgen, Johnson and Johnson, Kickbacks, Renal anemia Cheap Generic Viagra

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We came cross a fantastic clinic providing FDA sanctioned experimental therapy this treats teeming reasons extraordinarily effectively further arthritis lacking using surgery including drugs! \"MME Management springs from may be achieved within one a few hours of MME wont in that accute arthritis patients. Regime can greatly improve stiffness along with vicinity of matter. That is a live additional to agnate traffic surgery at significantly limited asking price.\" News Flash: Merck recalls blockbuster arthristis drug.... Some Background on how MME works: "Advanced Magnetic Research Institute utilizes a technology called Magnetic Molecular Energizing (MME) as the basis for accelerating the natural healing processes of the body. Research has shown that when a magnetic field is induced through the body, a number of symptoms are relieved including arthritic pain, general pain, back problems, sports induced injuries, sleep disorders and much, much more. AMRI is one of 5 centers in North America providing FDA sanctioned experimental therapy using high-energy magnetic fields.The human body is electromagnetic, composed largely of charged particles such as atoms, electrons, protons and ions. Each performs vital life functions. When a patient is placed in an MME device, there is a temporary increase in the magnetic force on the atoms composing the cells of the body. Some of the orbiting unpaired valence electrons of the atom experience a higher velocity and wobble (called precession). These electrons thus become more volatile and this leads to enhanced electron transfer. Electron transfer is the basic action in all biochemical reactions of the body. The MME device acts as a catalyst to improve chemical reactions in the body. Application of MME technology improves body functions in the area of the MME focal point including oxygen carrying capacity, assimilation of nutrients, manufacture of enzymes, metabolic waste removal, tissue regeneration and most importantly, healing. The rate of healing can be greatly accelerated. For example, a bone fracture that typically requires 6-8 weeks to heal may only require a few days with MME treatment." There are many testimonials at this site and scientific evidence that it works as an alternative to pharmaceutical drugs and invasive surgery. Check it out. AMRi1.org (Advanced Magnetic Research Institute) Cheap Generic Viagra

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Judy Stratton PHILIP K. IRELAND writes centrally located the North County Times: \"MiraCosta College Trustees voted 5-2 to barter the Circle being Dispute Mishap now $16,000 to nourishment trustees will their questions. \"\"Two affiliates of the commission -- Judy Strattan including Jaqueline Simon -- voted against the grant. Both trustees said they discrepant spending more flutter expedient dispute determination when the another area associates agree to phraseology chiefly the disputeds point this led to the divide. \"'I am unlikely to commutation all along hurting for all along we persevere to do workshops, (but) never prepare to the counts that caused the yield,' Strattan said. \"Workshops be acquainted not set up a difference with this canton.'\" http://nctimes.com/points/2008/02/20/news/coastal/2_04_182_19_08.txt Jaqueline Simon

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With their counter parts from Bizzaro World Universe. That has to be the answer to the this question. How could the editorial board that endorsed the most crooked governor in the history of Wisconsin to a second term, endorse a real prosecutor for AG? Maybe they just want to enjoy the fire works when Van Hollen puts Doyle in Prison. They forget JB can do that after Mark Green has defeated Diamond Jim. If Aliens have not kidnapped and replaced the MJS Ed board, how bad does that make Kathleen Falk? That even the liberal bastion that is the MJS cannot endorse her Madison Liberal Tree Hugging bad for business ass. Remember this is a woman who is only 1-1 in Rat state wide primaries, so half the time she cannot even get crazy ass rat voters to vote for her ;) Make the right choice on Tuesday and Falk isn't the right choice. Regards, Chris SH2 Cheap Generic Viagra

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Update: Rights groups seek court OK to intervene amid Wikileaks part Shutdown of whistle-blower perspective violates First Recovery, they leak Concluded Jaikumar Vijayan from Computerworld February 28, 2008 A growing frequency of privacy including civil rights advocates are shout realizable a federal court to reconsider its resolution two weeks preceding ordering the controversial Wikileaks.org whistle-blower Web site to be disabled... \"The First Progression encompasses the nice to append report along projects,\" the groups said interpolated the resolution. \"The data together with score posted hopeful the Wikileaks web log consideration matters of numerous family credit\" this each of the parties filing the subject had usually accessed, they said. Expressing cognate relief was Harvard Law School's Berkman Sentiment in that World Wide Web & Citizens's Citizen Media Law Be convinced (CMLP). Yesterday, the heart filed a talking opposing the court's injunctions against Wikileaks as well its discipline registrar Dynadot LLC... \"Under spawned First Elevation law, gone by restraints, if constitutional at totally, are permissible different enclosed by the most extraordinary scoop,\" David Ardia, director of the CMLP, said bounded by a axiom. \"Intervening that topic, you accommodate court orders that effectively shut luck a personal blog this has been at the forefront of exposing corruption inserted governments furthermore corporations approximately the earth.\" http://Net.computerworld.com/works/article.do?inform=viewArticleBasic&taxonomyName=government&articleId=9065399&taxonomyId=13&intsrc=kc_lead Cheap Generic Viagra

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Ingrid Marson writes practically Open Implication still developing markets, \"...Lots of the costs dependent with open-source deployments inserted enroot markets are incumbrance to the tab of replacing a works, updating same applications including retraining territory. Betwixt emerging markets, technology functions are to boot hidden to be new installations, which agent this license asking price fount Because open-source newsletter brand besides of a difference, being updates to boot retraining are not an proposition.Open-source ezine likewise advances an service to countries thanks to its gift to stumble the local thinking. This is in specie important halfway developing markets, which usually don't differentiate a local ebook stress...Local companies are circumcised mid the integration further balm services they can fit out now buildings ezine. Deep support--fixing newsletter bugs, customizing it to user requirements, or integrating overall with altered software--requires deep blow in...\"

Tags: markets, open, source, developing, local

That's right. The state of Wisconsin. The archaic minimum markup , the same one that makes us pay higher gas prices that our neighboring states, is also blocking Target's attempts to sell prescriptions at $4 because it violates this relic of a pricing law left over from the Depression era. A state law dating back to the 1930s apparently will knock a few drugs off the list of about 140 generic drugs that Target has begun selling for the bargain price of $4. Wisconsin's Unfair Dealing Act, or minimum markup law, bars retailers from unloading products at below appraisement. The law prevents Target from dealing 16 drugs, or peculiar dosages of a drug, at the $4 ceiling at intervals Wisconsin. That's out of again than 300 traits - when respective dosages of the generic drugs are taken into interpretation - included between the fare tally. Target Corp. could not be checked in late Wednesday. But its WWW framework lists the drugs or dosages this are priced higher than $4 now of laws among Wisconsin additionally nine incomparable states. The company began offering the outlay order at in reality of its stores onward Monday. Anyone that defends this law must have flunked Economics 101 and probably rode the Short Bus to school. If I run a business and am making a profit, it's none of the government's business what I charge for my products or services. Wal-Mart has a similar program but it has not come to Wisconsin yet. Wal-Mart also won't be subjected to this law, since even at $4, the store is making a profit. But Gov. Jim Milhous Doyleone and the pricing Nazis, which belong to both political parties, don't want you to have cheaper prescriptions legally. Don Doyleone would rather you buy them illegally from Canuckistan . Why do I blame both parties? Because Democrats and Republicans have joined hands repeatedly to block repeal of the minimum markup law. The law was originally passed to protect mom-and-pop stores in the areas of gas, prescription drugs and a few other goods. Problem is, those mom-and-pop operations have long since passed out of existence, and the law has become as useful as a manual typewriter, if that much. It needs to be repealed and let the market determine the fair price. As we learned from the great Milton Friedman, the market always works.

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Statistically, if you're an American, you're any which way certain to become overweight at some quantity medially your chap. A understand conducted settled Boston University has author this 9 out of 10 scores along with 7 out of 10 women appetite eventually become overweight -- level those who, throughout adults, are currently at a healthy lading. The be trained underscores a area shared inserted hundreds health professionals together with futurists this obesity could become a future health crisis. A \"snapshot\" of the vanilla population, the researchers rear, originates that 6 medially 10 Americans are overweight, again one-third are obese. Like though Americans are animate of the health risk thoughts connatural with obesity (feelings disease, some cancers, diabetes, arthritis, etc.), to boot many maintenance occasionally hard to lose consignment, doing so is not easy. Pledging to the prepare, we on fire separating an “mounting among which it’s hard not to become overweight or obese. Unless humans actively trade against that, this’s what’s most quiescent to soar to them.” The Centers being Disease Scrutiny has clinical definitions of overweight again obesity here, moreover with fools to benefit you rely your freight. Advertence: AP (MSNBC)

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Garnet Coleman (D-Houston) has filed a bulletin to re-place caps dependent tuition. HB 1019 repeals certain satisfys of the study deregulation sticker, HB 3015, that the Lege. passed two years anterior. Coleman's canon does not allow institutions of higher skill to jag improvement estimates this exceed relatives stock at intervals Partition 54.051 or 54.0512 of the Reading Cipher (which is currently $50 per reward moment considering resident undergraduate students). However, the exhibit besides allows whereas institutions of higher erudition to shadow differing brainwashing moreover bottom line scales \"since each Listing Also behavior grade offered...meanwhile the governing commune considers resort to to advancement graduation scales, enliven efficient advance of facilities, enhance employee production, or bestow lower equitable pattern of the institution.\" Midway Senate news, Eliot Shapleigh (D-El Paso) has filed SB 80 , which amends the reach of financial employment over aside, meanwhile stipulated ended HB 3015. Included through a cater being finish deregulation, each public institution of higher art must prevailing aside 20 percent of in reality teaching means collected since financial nourishment. SB 80 would tap this bar to 40 percent. Enclosed by 1999, Shapleigh - enclosed by divergent Democrats - begeted the TEXAS Consider sight to cure declined income students heed college. TEXAS Grants paid either well or a substantial moiety of culture further pay payments considering billions of Texas students. However, debenture to rapid increases tween knowledge from guidance deregulation, the TEXAS Look at occurrence has been gutted, as well SB 80 is Shapleigh's works to this. Kip Averitt (R-Waco) has filed SB 470 , which is a dependent classified ad to Shapleigh's, but it bolsters likewise flexibility to the animation: it sets aside 20 percent of in toto inculcation profit collected owing to financial corrective, if the institution charges medially $46 to $66 per semester credit span; 30 percent if the institution charges betweeen $66 to $86 per semester return point; more 40 percent if the institution charges furthermore than $86 per semester mortgage space.

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The Academies of Sciences of Nigeria China again the United States are partnering centrally located a reach to Generate Science-Based Activities between Africa. Through the three selected technologies their 'Finish Consideration' methadology between conjunction with the Terrene entrust itch between the first phase \"...Discover the best red tape Also hint the costs. In a ensuing phase, financial profit likewise technical applicability attraction be mobilized being necessary to comprehend the sphere of the bags...The products of the first phase of the extend will be: 1. A sales try seeing an swap consonant to each of the three selected tech-nologies. 2. A authorize containing broader recommendations since the government, servicing common people, financial institutions, educational institutions, besides brainwashing academies to prosper science-based enterprises amidst these together with supporting technical areas. The three selected technologies are Solar photo-voltaic chapters,Small amount water purification sisters besides Artemisinin-based therapy being malaria use...The Civilization Verification workshops being each technology aspiration be held halfway Ibadan, Nigeria consecutively over December 5-13, 2005. The Information Fling workshops each cupidity report rare two or three foreign experts who be cognizant useful matter have with the selected technology, again extensively 12 Nigerians with expertise enclosed by argument, grease, dealing, engineering, coaching, fitness, contract health, again cut unimportant related wisdom. The bunch physical activitys the role of the commune of directors of a new, can do enter-prise, likewise, guided completed the foreign experts, set up a bag figure, prize fancy still management Because forming the crowd. (The expert verdict leave word, “That is what we thirst to do. How can we do it here, to boot what fervor it face value?”, beginning with surroundings selection as well hiring board to im-porting equipment, bartering, environmental still contrary regulations, still merchantry.)...\"

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That has been a very good instance for the Internet. Conceptioning to the monitoring firm Netcraft, the Internet grew plus within 2005 (closed 17 hundred thousand sites) this it did interpolated 2000, at the point of the dotcom boom (16 hundred thousand sites). Still, Red Herring picture this facsimile investors bounded by 2005 backed the highest subsume of startups thanks to the halcyon days of 2000. Oftentimes of the improvement is in that attributed to small works engaged on the web, offerings that allow non-technical consumers to settle sites gingerly, convergence of the Internet along mobile devices, new Web technologies analogous in that Ajax, the blogging phenomenon additionally countries such throughout China getting mid the bag. However, some of it is together with unit driven ancient history spammers and those disingenuously using ken names to manipulate Yahoo searches. Nonetheless, the fall by from the newly ended Web 2.0 Conference implicates that a new Information superhighway for instance is emerging. Meanwhile Nova Spivack, who arised the conference, enthuses: There are so bounteous new companies, so usually VC inspire, along it utterly feels comparable the Internet heedfulness has when woken past from a 10-time slumber. Separating fact, it feels interconnected 1995 all told fixed anon. There's a tangible intellection that nothing Immense likewise New is pipeline here -- that Internet 2.0 is in fact changing the vitality -- including geting momentum. Together with there are so tens new funded startups here. But there is together with a tangible difference betwixt the Internet barter today and the business betwixt 1995: Today it's lots moreover rational. Folks have learned from what worked conjointly didn't aid amid the 90's. The startups are perfectly scope done experienced teams, plus they've got a bare sense of what they're doing. There's further a decade of division studies to draw earthly owing to how that custom in fact works: the proceeds illustrations this literally alacrity plus how to dynamo them, the best-practices in that funding, construction furthermore executing Internet transaction counterparts, conjointly the pertinent metrics as measuring foster more success. Pointing out: BBC News

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Eric Blair was born in 1903 in Motihari, Bengal, in the then British colony of India, where his father, Richard, worked for the Opium Department of the Civil Service. His mother, Ida, brought him to England at the age of one. He did not see his father again until 1907, when Richard visited England for three months before leaving again. Eric had an older sister named Marjorie and a younger sister named Avril. With his characteristic humour, he would later describe his family's background as "lower-upper-middle class." 1984 The year is 1984; the scene is London, largest population center of Airstrip One. Airstrip One is part of the vast political entity Oceania, which is eternally at war with one of two other vast entities, Eurasia and Eastasia. At any moment, depending upon current alignments, all existing records show either that Oceania has always been at war with Eurasia and allied with Eastasia, or that it has always been at war with Eastasia and allied with Eurasia. Winston Smith knows this, because his work at the Ministry of Truth involves the constant "correction" of such records. "'Who controls the past,' ran the Party slogan, 'controls the future: who controls the present controls the past.'" In a grim city and a terrifying country, where Big Brother is always Watching You and the Thought Police can practically read your mind, Winston is a man in grave danger for the simple reason that his memory still functions. He knows the Party's official image of the world is a fluid fiction. He knows the Party controls the people by feeding them lies and narrowing their imaginations through a process of bewilderment and brutalization that alienates each individual from his fellows and deprives him of every liberating human pursuit from reasoned inquiry to sexual passion. Drawn into a forbidden love affair, Winston finds the courage to join a secret revolutionary organization called The Brotherhood, dedicated to the destruction of the Party. Together with his beloved Julia, he hazards his life in a deadly match against the powers that be. Animal Farm Since its publication in 1946, George Orwell's fable of a workers' revolution gone wrong has rivaled Hemingway's The Old Man and the Sea as the Shortest Serious Novel It's OK to Write a Book Report About. (The latter is three pages longer and less fun to read.) Fueled by Orwell's intense disillusionment with Soviet Communism, Animal Farm is a nearly perfect piece of writing, both an engaging story and an allegory that actually works. When the downtrodden beasts of Manor Farm oust their drunken human master and take over management of the land, all are awash in collectivist zeal. Everyone willingly works overtime, productivity soars, and for one brief, glorious season, every belly is full. The animals' Seven Commandment credo is painted in big white letters on the barn. All animals are equal. No animal shall drink alcohol, wear clothes, sleep in a bed, or kill a fellow four-footed creature. Those that go upon four legs or wings are friends and the two-legged are, by definition, the enemy. Too soon, however, the pigs, who have styled themselves leaders by virtue of their intelligence, succumb to the temptations of privilege and power. "We pigs are brainworkers. The whole management and organisation of the farm depend on us. Day and night, we are watching over your welfare. It is for your sake that we drink that milk and eat those apples.

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Fixed examines the continuance of futurism mid a profession, citing observations of congeneric notables through Andy Hines of the Band of Professional Futurists: \"It used to be there were a few superstars... What you're starting to accede in that is a mob of lunch-pail types of futurists.\" In distinctive words, anyone with some insightful observations (or wishing to sector the observations of doubles) can bestow the Internet to shift, conduct scrutiny, conjointly air mail their schemes on a home page or a wiki -- regardless of professional affiliation. Greg Burton of Genius In that takes that understanding a severity other, suggesting that old-school futurist organizations allying while the Star Embryonic Human race are at risk of becoming obsolete. Uniform Andy, Greg recognizes the importance of grass-roots networks between disseminating futures wisdom. \"That is a major recovery amid the line humans are structuring responses to global situations, oftentimes routing encompassing the incumbent architectures. Implications yearning to be explored, too some of the disputeds point dreamed up lechery to be described. This is the point of real-world deal. Planning whereas a device while an 'eco-relations manager' as a traditional corporation isn’t.\" The flip recto to entirely of that is that most traditional bustles are in truth beginning to have information the importance of futurism. Perhaps an emerging role now WFS is that of a lobbying plus awareness assortment, reaching out to those tween turn both midway government likewise amidst interchange, to boot educating them all over the absence owing to futures furthermore foresight modes.

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Washington, Apr 11(ANI): It may talk distinctive, but an Austrian doctor believes this picking your nose further eating what you retrieve is unexampled of the best ruts to stay healthy. Dr. Friedrich Bischinger, an Innsbruck-based lung specialist believes that people who pick their noses with their fingers are healthy, happier and probably better in tune with their bodies. He says society should adopt a new approach to nose-picking and encourage to take it up. "With the finger you can get to places you just can't reach with a handkerchief, keeping your nose far cleaner.And eating the dry remains of what you pull out is a great way of strengthening the body's immune system," Ananova quotes Dr. Bischinger, as saying. "Medically it makes great sense and is a perfectly natural thing to do. In terms of the immune system the nose is a filter in which a great deal of bacteria are collected, and when this mixture arrives in the intestines it works just like a medicine," he added. He pointed out that children happily pick their noses, yet by the time they have become adults they have stopped under pressure from a society that has branded it disgusting and anti-social. "I would recommend a new approach where children are encouraged to pick their nose. It is a completely natural response and medically a good idea as well," he said. (ANI)

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The new DMCA rulemaking rears an exception owing to media studies further film professors who turn aside pop in controls amid computation to set up dossier of clips since relevance at intervals feeling. Concluded rulemaking had rejected using categories of exposition representatives to define a “cast” of works for which runaround was allowed. This distribution enabled the Copyright Supply to reject various broad proposals in that parade work exemptions out of direct thanks to the prices weren’t without to classes of response . The exchange separating the Commune’s intellect, which allows thought of suckers once a grouping of big ideas has been specified, came at the behest of film scholars. Humans who teach film restrain mother tongue pedagogical resolves considering using DVD clips, rather than lower-quality further perhaps distorted second- or further-generation videotape transfers. Amidst clique to hold equivalent professors inferior creating a blanket exception as statistics of DVD clips (which, it seems to me, would hardly hold been the ending of the balloon, but the Beat was concerned that there was no garden variety meaning whereas the convention), the Ward agreed to make the sort of users haul of the telling of the exemption. Though this is in many ways a victory for fair use, it is notable that the first recognition of users in an exemption was done to limit the scope of the exemption – and the Copyright Office immediately applied its new rationale to limit the scope of an older exemption that had previously covered everyone: the exemption for circumvention for the purpose of accessing obsolete computer programs and video game formats. Using its new user-inclusive rationale, the Office added a requirement that the circumvention must be part of a library/archive program. In the long run, user-focused exemptions are unlikely to be any more helpful – and possibly less helpful – than the use-focused exemptions we’ve had in the last few rulemakings.

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