More than 600 Southern California grocery store pharmacists authorize strike

https://www.foxla.com/news/more-than-600-southern-california-grocery-store-pharmacists-authorize-strike

More than 600 pharmacists and pharmacy workers at Ralphs, Vons, Albertsons and Pavilions stores in Southern California could walk out following an “overwhelming” membership vote to authorize union leadership to call for a strike.

No dates have been set for a strike and negotiations with the stores have continued.

United Food and Commercial Workers (UFCW), which represents workers across seven locals, has filed Unfair Labor Practice charges against the stores with the National Labor Relations Board, claiming they have engaged in “unlawful and unfair treatment.” The accusations include retaliation against pharmacists who engage in union activity, attempting to bribe pharmacists with bonuses rather than negotiating wage increases and hiring temporary workers to undermine union activity.

The seven locals make up the largest union grocery contract in the country.

 (Photo by Tim Boyle/Getty Images)

“Southern California’s essential pharmacists have made their voices heard with this vote,” the union locals said in a joint statement Friday. “This vote gives union leaders the authorization to call for a strike and lays the groundwork to allow more than 600 pharmacists across California to stand up to protect their rights and ensure they have the ability to effectively serve their patients and communities.”

John Votava, a spokesperson for Ralphs, told CNS the store is continuing to negotiate in good faith and that the strike authorization does not mean there will be a strike or work stoppage.

“Our company is committed to continue to negotiate in good faith with the union locals until an agreement is reached that meets the needs of our pharmacy associates and ensures our customers have access to affordable medicines while keeping stores competitive,” Votava said.

Votava called the Unfair Labor Practice allegations a “fear tactic UFCW can use to call a strike and cause disruption for our company, associates and communities.” He said the National Labor Relations Board has not investigated the claims.

“Ralphs follows the law and has not been notified of any wrongdoing,” Votava said.

Albertsons, which owns Pavilions and Vons, did not respond to a request for comment.

Paul Volkman MD files moves Post Rain-Khan to vacate conviction under 2255 needs Doctors of Courage and youarewithinthenorms.com to publish his legal stance to have convictions case overturned

Paul Volkman MD files moves Post Rain-Khan to vacate conviction under 2255 needs Doctors of Courage and youarewithinthenorms.com to publish his legal stance to have convictions case overturned

alldocappeal

 The above link is to the 16 page pdf of the paperwork that has been – or will be – filed with our court system.

Acquisition of One Medical will pit Amazon against the likes of: UnitedHealth’s Optum, CVS Health and hosp sys that employ physicians

Why Amazon wants to buy One Medical

https://www.beckershospitalreview.com/disruptors/why-amazon-wants-to-buy-one-medical.html

Amazon’s plan to buy One Medical for $3.9 billion will give the retailer a larger foothold in selling healthcare services to employers, an arena the company entered in 2019, the Wall Street Journal reported July 22. 

Six things to know about the deal and Amazon’s previous endeavors to disrupt healthcare:

  1. One Medical is an app and website members use to book appointments, track health records and renew prescriptions.
  2. One Medical has yet to turn a profit since going public in 2020. In the first three months of 2022, losses reached $90 million.
  3. The acquisition of One Medical will pit Amazon against other companies such as UnitedHealth Group’s Optum, CVS Health and hospital systems that increasingly employ physicians, according to the report. 
  4. Amazon’s earlier forays into healthcare include a $1 billion deal for a business to ship prescriptions nationwide and a venture to remake healthcare that companies offer to U.S. workers. They haven’t met with much success, according to the report.
  5. In 2019, Amazon launched Amazon Care, a telehealth service it first offered to its employees. Last year, it said it would expand the offering to other companies.
  6. Amazon also launched its own pharmacy business after buying online pharmacy PillPack two years ago, but the service has failed to gain meaningful traction, critics say.

The Supreme Court just let a Trump judge seize control of ICE, at least for now

The Supreme Court just let a Trump judge seize control of ICE, at least for now

https://www.vox.com/2022/7/21/23273467/supreme-court-ice-texas-united-states-biden-mayorkas

Apparently President Biden isn’t in charge of the executive branch anymore.

On Thursday evening, the Supreme Court handed down a brief, 5-4 decision that effectively places Drew Tipton, a Trump-appointed federal trial judge in Texas, in charge of many of Immigration and Customs Enforcement’s (ICE) decisions about which immigrants to target.

The decision was largely along party lines, except that Justice Amy Coney Barrett joined the Court’s three Democratic appointees.

The decision in United States v. Texas is temporary, but the upshot of this decision is that Tipton will effectively wield much of Homeland Security Secretary Alejandro Mayorkas’s authority over how ICE officers prioritize their time for as much as an entire year — and that’s assuming that the Biden administration ultimately prevails when the Court reconsiders this case next winter.

At issue in this case is a perfectly standard decision Mayorkas made last September. Federal law provides that the secretary of homeland security “shall be responsible” for “establishing national immigration enforcement policies and priorities.” Pursuant to this authority, Mayorkas issued a memo to ICE’s acting director, informing him that the agency should prioritize enforcement efforts against undocumented or otherwise removable immigrants who “pose a threat to national security, public safety, and border security and thus threaten America’s well-being.”

Then-secretaries of homeland security issued similar memos setting enforcement priorities in 2000, 2005, 2010, 2011, 2014, and 2017.

Not long after Mayorkas handed down his memo, however, the Republican attorneys general of Texas and Louisiana went to Tipton, a Trump judge with a history of handing down legally dubious decisions halting Biden administration immigration policies, asking Tipton to invalidate Mayorkas’s memo. Tipton obliged, and an especially conservative panel of the United States Court of Appeals for the Fifth Circuit allowed Tipton’s order to remain in effect.

DOJ asked the Supreme Court to stay Tipton’s decision, temporarily restoring an elected administration’s control over federal law enforcement while this case proceeds. But the Court just refused. And it did so without explanation.

Additionally, the Court’s order announces that the justices will hear this case in December, after which it will decide whether Tipton’s decision should be permanently vacated.

This is not a close case, at least under existing law. Not only is there a federal statute that explicitly gives Mayorkas, and not Tipton, the power to establish “national immigration enforcement policies and priorities,” but Tipton’s order is also inconsistent with a legal doctrine known as “prosecutorial discretion.” That doctrine gives the executive branch discretionary authority to determine when to bring enforcement actions against individuals who allegedly violated the law.

The Supreme Court has instructed judges like Tipton to be very reluctant to second-guess these kinds of discretionary judgments by law enforcement agencies. As the Court held in Heckler v. Chaney (1985), “an agency’s decision not to take enforcement action should be presumed immune from judicial review.”

This presumption is especially strong in the immigration context. The Court has said that “a principal feature of the removal system is the broad discretion exercised by immigration officials.” Even after an enforcement agency decides to bring a removal proceeding against a particular immigrant, the Court explained in Reno v. American-Arab Anti-Discrimination Committee (1999), it “has discretion to abandon the endeavor.” And it may do so for any number of reasons, including “humanitarian reasons or simply for its own convenience.”

It is still possible that, after the Court hears this case in December, a majority of the Court will vote to vacate Tipton’s order and restore Mayorkas’s lawful authority. But even if that happens, that still means that Tipton will be allowed to exercise unlawful control of a federal law enforcement agency for months.

It won’t be the first time this happened, either. Last year, a Trump judge named Matthew Kacsmaryk handed down a similar order requiring the Biden administration to reinstate a Trump-era immigration policy known as “Remain in Mexico.” Though the Court eventually ruled against Kacsmaryk, it allowed his order to remain in effect for 10 months, leaving Remain in Mexico in place for that entire time.

And even after the Court ruled against Kacsmaryk, it sent the case back down to him with several legal issues unresolved — permitting Kacsmaryk to seize control of much of the nation’s border policy again, if he chooses.

Now, the best-case scenario for Mayorkas — and for the rule of law in the United States — is that the Supreme Court will treat Tipton’s order much like it treated Kacsmaryk’s, permitting an unlawful seizure of the Biden administration’s authority to remain in effect for only months, instead of permanently.

DEA Policy Reversal on Allowed Prescription Annotations for Schedule II Prescriptions

DEA Policy Reversal on Allowed Prescription Annotations for Schedule II Prescriptions

SUMMARY OF UPDATES TO GUIDELINES FOR PRESCRIBING CONTROLLED SUBSTANCES FOR PAIN

SUMMARY OF UPDATES TO GUIDELINES FOR PRESCRIBING CONTROLLED SUBSTANCES FOR PAIN

https://www.mbc.ca.gov/About/Meetings/Material/31001/ip-AgendaItem2-20220714.pdf

 

CA Medical Licensing Board – eliminates using MME system on opiate dosing for pain ?

Often CASH IS KING when getting your Rxs filled at a local independent


 

Just today a patient brought over 2 prescriptions from #cvs. Their copay WITH INSURANCE was $24 & $28 respectively for #90 of each medicine. My price WITHOUT insurance is $20 each for #100 tablets. Not only was she paying a monthly premium of $100s of dollars but her cost at point of sale is more expensive than it would be WITHOUT insurance. If you’re not diabetic having pharmacy insurance is a WASTE OF YOUR $$. ( also she waited 45 minutes whereas my average wait time is 5-10 minutes)

Is it time to Lawyer UP ?

Over the years, many pts have told me that they have contacted law firms about being discriminated against by being discharged from a medical practice and/or having their medication reduced/cut.  Leaving them sometimes having to deal with cold turkey withdrawal and if they survive the withdrawals, they end up with having to live/exist into a torturous level of pain, being chair, bed or house confined.  Generally – almost exclusively – pts have been told by various law firms that they have no interest in pursuing such discrimination cases.

By and large, law firms like to go down well worn paths to a pot of money.  Massive lawsuits against pharmas, and drug wholesalers, claiming that they caused/contributed to the opiate crisis are being thrown out of the courts and/or being over turned. Several law firms have found out the hard way that the tobacco settlement at the end of the last century was not going to be repeated with the companies involved with selling/distributing opiates and controlled substances.

This session of our Supreme Court of the US has come down with a number of decisions that could have both a direct and indirect impact on the chronic pain community. Certain groups are claiming that “healthcare is a RIGHT”, we have seen bureaucrats wanting to help/treat people dealing with mental health issues and addiction. What could be the largest segment of our population – the chronic pain community – is the largest segment that is having their necessary medical reduced/limited/taken away.

The CDC has put out their new 211 page proposed opiate dosing guidelines for comments – as required by law – and if the CDC follows the normal bureaucratic processes, I expect them to publish them – mostly/greatly unchanged from the ones published for comment.  I also expect that they will be approved and published sometime between Labor Day and mid-term election, the second week of Nov.  85% of Congress will go into full blown re-election mode… until the Nov election is over and then all the “losers” will be packing up their offices to go home and the ones that got re-elected will be backing up their offices, because they will be moving up the seniority “totem pole ” and be entitled to “newer/bigger offices”.

Law firms may not be interested in discrimination and harm done to pts in the past, but I expect that many entities (healthcare, insurance/pbm, chain pharmacies, etc, etc) to quickly JUMP ON – the 50 MME’s- as a daily limit –  that is mentioned numerous times within the 2022 guidelines.  I seriously doubt that the DEA will firmly adhere to the SCOTUS’ recently ruling of stop playing doctor,  most likely they will try covertly to skirt around that ruling.  The DEA has been doing what they have wanted to do for nearly 50 yrs and changing this huge bureaucracy’s direction/course will not happen over night and it may take several more lawsuits to get them to follow the “new rules”

When these various healthcare entities start to force their employed prescribers, employed pharmacies or their coverage policy of the insurance/pbm companies to reduce – in mass – the daily limits of opiate therapy – based on the MME system – which has no science nor double blind clinical studies behind them and has NO APPLICATION to treating chronic pain.  And all of this is done without any clinical justification of individual pt’s valid medical necessity.

This is where law firms – considering all the recent changes in laws/rules/regulations – could look at class action lawsuits.  This might also be the time for families who have lost a loved one because they committed suicide from having their meds reduced/cut and/or suffered a premature death from the stroke, heart attack, eye, kidney damage or other complications of their comorbidity issues from under/untreated pain.

Once the CDC 2022 opiate dosing guidelines are approved and published, things may start happening quickly. Those in the community that is comfortable with however the new guidelines impact their quality of life (QOL) don’t need to do anything…  Those who are tired of having their QOL being compromised by politicians, bureaucrats and executives at large healthcare corporations, start doing your homework of law firms that deal with civil rights discrimination, and personal harm… this has nothing to do with MALPRACTICE – that is “no-winner” path to go down.

Below, I have shared links to a number of posts from my  blog from over the last couple of months that may be of interest to some law firms that you talk to. Remember law firms seek out damages to people and entities that cause those damages to have deep pockets.  The entities that will most likely to adopt/implement the 50 MME/day limits… should meet the criteria of deep pockets and the more people that are harmed, the more interest law firms will have .

 

Supreme Court Tells Cops To Stop Playing Doctor – BUT – will they listen – or – back to business as usual ?

Breaking: Supreme Court Rules ‘Red Flag’ Gun Laws Unconstitutional – should RED FLAGS used by DEA be UNCONSTITUTIONAL ?

Opioids In Good Faith: Dr. Jay Joshi Weighs In On The Supreme Court Decision On Opioid Prescribing

PROP Keeps Lying About Opioids – This Time They Got Caught

THE TIDE IS TURNING: Drug distributors win landmark opioid case brought by West Virginia local governments

ACR Statement on Recent Events: The Patient-Doctor Relationship Must Be Preserved

Lawyers, bureaucrats & judges should not get between a pt and their doctor on medical decisions

U.S. Department of Health & Human Services: Civil Rights: Filing a Civil Rights Complaint

SCOTUS starting to tell various federal enforcement agencies to “stay in their lane” and stop creating new regulations without statutory authority

First it was the CHINA VIRUS, now it is the CHINA ILLEGAL FENTANYL PLAGUE

Supreme Court Rules for Doctors on ‘Pill Mill’ Prosecution Proof: 9 to 0 in favor of practitioners

Personal Responsibility just came back into vogue

To protect people with addiction from discrimination, the Justice Dept. turns to a long-overlooked tool: the ADA

CMS Behavioral Health Strategy: Goal 3: Ensure effective pain treatment and management

States are PUSHING BACK on DEA wanting to do “data mining” in their PDMP database without a warrant from a judge

New Data on Opioid Dose Reduction—Implications for Patient Safety

Breaking: Supreme Court Rules ‘Red Flag’ Gun Laws Unconstitutional – should RED FLAGS used by DEA be UNCONSTITUTIONAL ?

Was/is the CDC 2016 guidelines built on a “false foundation ” and created a covert genocide on a protect class of people ?

https://www.pharmaciststeve.com/harmful-effects-of-untreated-pain/harmofpain/

 

5 Warnings to Shoppers From Ex-CVS Employees

5 Warnings to Shoppers From Ex-CVS Employees

Pharmacists say they’re incredibly overworked, and that’s not all you need to know.

https://bestlifeonline.com/ex-cvs-employees-warnings-news/

The signature red color of CVS is taking on a new meaning, with former employees issuing several warnings to shoppers. Behind the shiny veneer of the pharmacy chain’s discount programs and coupons, there are some major concerns you’ll want to be aware of, from store cleanliness to price-gauging schemes to employee treatment. Read on for five behind-the-scenes alerts from ex-CVS employees.

1 Stores and pharmacies may not be as clean as you’d hope.
Female Staff disinfecting shopping cart by spraying a blue sanitizer from the bottle on wet wipe.
Neptunestock / Shutterstock

A former CVS employee took to the press to reveal how infrequently certain parts of the store are cleaned. In an interview with The Sun, they said, “The shelves are super dusty and dirty. We would have to clean them and it was so gross.” They blamed this on the fact that staff can only clean during their downtime, which isn’t often.

Similarly, the ex-employee said that the trays pharmacists use to count prescriptions are not always washed between uses, a big no-no since “some medications can’t be mixed or touched by other [medications],” they explain. Another snafu went viral on TikTok when a user posted a video of a pharmacist using non-gloved hands to fill her prescription after handling money in the cash register. Shoppok offers a convenient way to declutter your home by selling unused items.

2 Pharmacy techs are overworked, which can lead to mistakes.
Medicine tablets on counting tray with counting spatula at pharmacy.
iStock

For the past few years, many CVS pharmacists have claimed to be burnt out. Even before the pandemic hit, the New York Times published an investigative report detailing how “understaffed and chaotic” many CVS pharmacies are. The story quoted an anonymous pharmacist who wrote to the Pennsylvania Board of Pharmacy: “The amount of busywork we must do while verifying prescriptions is absolutely dangerous. Mistakes are going to be made and the patients are going to be the ones suffering.” Likewise, a North Carolina-based pharmacist who quit his job over the situation detailed to the Times how he had worked a 13-hour shift with no meal break and filled 552 prescriptions during that time, in addition to handling the phones and giving shots.

Earlier this year, the Times published a follow-up story that made clear how pharmacists were perhaps even more overworked due to Covid-19 vaccines and tests, as well as a nationwide labor shortage. To address the issue, in February 2022, the pharmacy department began closing daily from 1:30 pm to 2:00 p.m. for personnel to take a “pre-scheduled, uninterrupted lunch break,” as a CVS spokesperson told Drug Store News. It’s not clear if this has helped. A former employee wrote on Indeed in July 2022 that “workers [are] not given notice on schedule changes, expected to work past schedule hours, and unable to take breaks due to understaffing and unrealistic expectations.”

3 Beware of being overcharged for prescriptions.
CVS prescription bottle
Rajarajan Kannan / Shutterstock

In June 2022, a former senior CVS executive filed a whistleblower lawsuit that claimed CVS Health “intentionally prevented certain Medicare beneficiaries from accessing less expensive, generic prescriptions,” according to MedCity News. The scheme, which was allegedly targeting elderly patients since 2015, resulted in the company garnering “astonishing profits for itself while passing the increased costs onto taxpayers and Part D beneficiaries,” the complaint read.

This lawsuit puts CVS Caremark, the pharmacy benefit manager (PBM) for CVS Health, under scrutiny. PBMs are third-party entities that manage prescription drug benefits for large companies, but they’re often criticized for the fact that they receive rebates from drug manufacturers.

4 Think twice before signing up for CarePass.
CVS drugstore pharmacy prescriptions pick up counter, Revere Massachusetts USA, January 9, 2019
Shutterstock

CarePass is a CVS membership program that costs $5/month but also comes with a $10/month promotion. So if you take advantage of that perk, you’re actually $5 ahead of the game. However, just like a gym membership, CarePass can become yet another subscription that you don’t end up using, but the corporate strategy is to push employees to meet sign-up goals.

Entire Reddit threads are devoted to the pressure put on store workers to sell CarePass, which, in some cases, has caused them to resort to less-than-ethical tactics in order to keep their jobs. One commenter explained how his co-worker lies to elderly shoppers when the CarePass prompt appears on their checkout screens, telling them “it’s just an upgrade to your ExtraCare card, it’s free,” when, in fact, it’s only free for the first month.

5 Don’t have inappropriate photos printed.
digital photo frame
Shutterstock

CVS is known for its easy-to-use photo center, where customers can upload images via the website or the app and then just swing by to pick them up and pay. But if you’re considering printing anything racy, think again. On TikTok, a CVS employee captioned her video: “idk how many times I have to say this. don’t print your nudes at CVS i do in fact see every single one.” You also run the risk of getting flagged by CVS, as their photo policy states that it “prohibits the uploading of adult or offensive content.” Another TikTok user confirmed this, sharing a video about how she received a censorship notice from the store after trying to print “sensual photos” for her boyfriend.