Legalize “highway robbery” ?



The PBM industry started in 1969-1970 and worked for many years under contracts with insurance companies.  At some point, all the major PBM’s became licensed insurance companies and were then protected from the Sherman Anti Trust act by the McCarran Ferguson Act, which exempted insurance companies from Sherman Anti trust.

Over the decades, many different states have tried to start having oversight over these PBM companies and each time. The PBM industry would bring out a “army” of lobbyists and attorneys to convince legislators that regulating the industry would cause med prices to rise and community pharmacies – in particular – would make “excessive profits”. In the end, the various legislatures believed them and the industry continued to function without any any oversight and whose financial arrangements were kept hidden.

In the last 5 yrs or so… these types of PBM overcharges are coming to light.  The PBM industry controls the price of upwards of 90% of all Rxs filled.  This one study is JUST IN ONE STATE (FL) and JUST WITH MEDICAID.

Just imagine, we fill some FOUR BILLION prescriptions every year and the PBM industry controls the pricing of upwards of 90% of those Rxs. All those excess profit that they have generated shows up in your insurance premiums and copays.

Pres Biden says that he wants to lower Rx med prices….  If he doesn’t start with the PBM industry, his efforts will be a ABSOLUTE FAILURE. Given that the insurance industry has one of the LARGEST BUCKETS OF MONEY FOR LOBBYING CONGRESS and now the top 4-5 PBM companies are owned by some major insurance company. I am not expecting much to change.

Procedure after procedure to just end up bed/chair/house confined because of CDC opiate dosing guidelines ?


Hi Steve,

I’ve been putting this ofc for quite some time, but now is appropriate, I think… Here goes…

I was a nurse in a cardiac unit for six years. On September 6, 1987 I was hurt at work, the day before Labor Day and three days before my twenty ninth birthday. We were short staffed with it being a holiday weekend, so I tried to lift a patient up in bed by myself. She was a tiny thing and was lucid. When I pulled, she grabbed the siderails…I felt horrendous pain in my lower back that shot down my left leg.

After my first laminectomy in March of 1988, I recovered and was allowed to return to work in September of that year. The hospital, in their infinite wisdom, assigned me to a dialysis floor KNOWING that I’d had surgery six months previously. I lasted five weeks before herniating another disc. More surgery, which failed…and another, and another.

Then the fusions started. After three of them where all bone, my own and donor, disintegrated, I tried a spinal cord stimulator. When it was turned on that evening, causing such muscle spasms that the leads were displaced. After a month, the doctors tried to reposition them, but to no avail. In search of relief, I explored various alternatives, including consulting with healthcare professionals about tizanidin rezeptfrei, a muscle relaxant, to address the ongoing issues with muscle spasms.

Then, in 1994, I was referred to another orthopedic surgeon who told me that he could get a fusion to work, but he would have to implant titanium. I said okay…why??? Because he dangled the “I can get you back to work” carrot under my nose.
Well, I still couldn’t work, but I suppose I was okay until 2009, when yet ANOTHER surgeon had me undergo a CT Myelogram (which was the most painful procedure I ever had!) anyway, it showed severe stenosis, failed hardware and degenerative disc disease. I had that surgery in 2010. Still no relief, except for pain meds.

In 2013, it was discovered that I had Flat Back Syndrome. The most painful SURGERY ever! Then scoliosis, more surgery. Then more surgery because of broken rods and loosened screws. Then a final, so far, surgery in 2019 because of DDD.

I’m now fused, with hardware, from T-2 down to my sacrum and out to both ileac crests. I am now 63 years old, so I have spent over half my life in constant pain. It wasn’t so bad when I was being prescribed proper medication, but we all know that’s over.

I have tried everything, and I mean EVERYTHING for the pain. You name it, I have done it. I’m at the point now that I have no quality of life. I can’t do much for myself anymore, not even clean my own bottom. I have deep, dark depressions that come over me in waves. My best friend, my sister by choice, passed away four months ago from…you guessed it!!!! Complications from untreated chronic pain! Oh, how I envy her…I wish it had been me….

I’m sorry this is so long, but it’s a complicated problem that I have, along with many others. I used to be a happy, active woman… Now, all I do is read and play word games on my tablet.

Thank you for all that you do for the chronic pain community, Steve…we appreciate it.

United States of Amazon – I watched this .. could hardly keep my mouth from DROPPING OPEN

www.foxnation.com

Last night I was watching Tucker Carlson Tonight, because of it being a holiday show… he was showing “clips” from some of his Tucker Carlson Today stories which is on their streaming subscription service.

One clip was concerning Amy Nelson and her Husband, who was and executive for Amazon Web Service – Amazon’s Cloud service. It is estimated that AWS has about AT LEAST 50% of all cloud/web storage capacity IN THE WORLD.

This 60 minute story is all about just how DEEP/CORRUPT the DC SWAMP IS and how a very large corporation can falsely accuse an employee of breaking a law and getting our DOJ to use our Civil Asset Forfeiture Law…

This man was never charged with a crime, but the DOJ confiscated all the money out of the family’s checking account and because the wife also had a business, the couple only had one banking account and the DOJ ended up confiscating HER MONEY….

To pay the law firms to defend this LEGAL BS… the family ended up selling their house, their car and staying with various relatives over abt a two year period.  After about two years of all of this LEGAL BS… the DOJ returned their money to them, as long a they signed an agreement NOT TO SUE THE DOJ.

Fox nation is a subscription service and you can easily get a 30 day free trial, unless you are a VETERAN … you can get  ONE YEAR FREE.

 

 

If Roz Brewer and Karen Lynch were on Under Cover Boss -A PARODY

WHO: 250 confirmed cases of monkeypox out of 8 billion world population: “moderate” public health risk

WHO labels monkeypox a ‘moderate’ public health risk

https://www.who.int/emergencies/disease-outbreak-news/item/2022-DON388

The World Health Organization (WHO) has labeled monkeypox a “moderate” public health risk, after more than 250 confirmed cases were reported across the globe.

In a statement on Sunday, the health agency said monkeypox is a “moderate” public health risk because it has been reported in varying geographical locations for the first time. The illness had typically been found in central and western African regions.

“Currently, the overall public health risk at global level is assessed as moderate considering this is the first time that monkeypox cases and clusters are reported concurrently in widely disparate WHO geographical areas, and without known epidemiological links to non-endemic countries in West or Central Africa,” the health agency wrote.

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A total of 257 laboratory confirmed cases of monkeypox have been reported throughout the world since May 26, according to the WHO. Roughly 120 suspected cases were reported to the health agency. There have been zero reported deaths.

Ten cases have been confirmed in the U.S., with Centers for Disease Control and Prevention Director Rochelle Walensky saying last week that some of the infections were connected to individuals who traveled to areas that are experiencing monkeypox outbreaks.

The WHO on Sunday said it expects more cases of the disease to pop up “as surveillance expands in non-endemic countries, as well as in countries known to be endemic who have not recently been reporting cases.”

“The sudden appearance and wide geographic scope of many sporadic cases indicates that widespread human-to-human transmission is already underway, and the virus may have been circulating unrecognized for several weeks or longer,” the health agency added.

Monkeypox is spread through prolonged skin-to-skin contact. Symptoms include lesions, which spread the disease, fever, muscle aches, swollen lymph nodes and fatigue.

Five things to watch for in next year’s ‘climate’ Farm BillNew US ambassador to Ukraine Bridget Brink arrives in Kyiv

The WHO on Sunday said cases of monkeypox have primarily been reported among men who have sex with men.

While the top monkeypox expert at the WHO, Rosamund Lewis, has said she does not think the disease will turn into a pandemic, she recognized that much remains unknown about the illness, including how it is spreading across the globe and if stopping smallpox vaccinations several years ago is driving the transmission of monkeypox.

 

How to Enforce Health Laws

How to Enforce Health Laws

https://www.daily-remedy.com/how-to-enforce-health-laws/

Entrepreneurs will tell you success is in the execution. Anyone can come up with an idea, but the execution of it separates the pretenders from the real empire builders.

The same goes for many healthcare laws, which have undergone radical revisions in recent weeks. The laws may have changed, but enforcing those changes will be particularly difficult.

Healthcare laws rely heavily on tips and expert witnesses – meaning healthcare self-regulates. When RaDonda Vaught was indicted because of a fatal medical error, the prosecutors brought a slew of expert witnesses to testify the medical error rose to the level of being a crime.

There is no legal argument for healthcare behavior to be considered a crime or worthy of legal liability – civil or otherwise. There is no standard legal theory or method of adjudication. It comes down to medical experts and witnesses. It comes down to self-regulation.

When a physician makes a mistake, it is reported by someone to the medical licensing board or state attorney general’s office. That office then initiates an investigation, gathering experts and witnesses to testify against that physician. Sanctions against that physician essentially depend on the interpretation of others. If other medical professionals believe that person committed a crime, then he or she did.

In this way, healthcare is only bound by the laws it chooses to adhere to. If a law is medically unjust, healthcare can effectively nullify it by standing in solidarity against it. The only problem is in healthcare, we lack such unity.

We have no shortage of healthcare providers clamoring to be expert witnesses or to showcase their charisma on media outlets. It is endemic to the field. But the same physician or nurse seeking personal glory is the one who will testify against a colleague in the court of law.

No other profession behaves like this. Law enforcement has immense union protections for its members to where officers cited for multiple misconduct violations can continue to work in that department. Federal agencies place immense stigma against those who whistle-blow or testify against former associates, even in cases of legitimate federal misconduct – and good luck getting any lawyer to testify against another one of its own kind.

Yet healthcare has no shortage of expert witnesses and purported legal experts. No shortage of professionals willing to bend medical data or interpret medical information a certain way to justify a given legal stance.

As a result, we see opioid litigation essentially boiling down to testimonies from competing expert witnesses. It is professional cannibalism. No one wins when litigation outcomes distill down to different interpretations of clinical knowledge.

It is time we protect the integrity of healthcare by demonstrating a sense of solidarity.

Healthcare has always been and will always continue to be, a self-regulating entity. No law can change the standard of care in medicine so long as those practicing medicine adhere to good patient care. We in healthcare define what it means.

So instead of fighting non-clinically trained politicians or law-makers for the healthcare laws they enact, healthcare should unify in a stance of noncompliance. Agree not to comply with laws intended to subjugate healthcare to the political whims of lawmakers.

It requires physicians and nurses to put the common good of healthcare over individual self-interests. We would hope this is why most entered healthcare in the first place.

But hope is not a strategy. We have yet to see individuals in healthcare sacrifice for the common good when it comes to healthcare regulations and uphold a sense of solidarity.

Let us call it for what it is. It is time to end snitch culture in healthcare.

 

State AG Perspective: Exposing the Truth – as attorneys understand the pharmaceutical industry

State AG Perspective: Exposing the Truth

https://www.industrydocuments.ucsf.edu/blog/

Guest post by California Attorney General Rob Bonta, Colorado Attorney General Phil Weiser, Connecticut Attorney General William Tong, Idaho Attorney General Lawrence Wasden, Iowa Attorney General Tom Miller, Maryland Attorney General Brian Frosh, Massachusetts Attorney General Maura Healey, Minnesota Attorney General Keith Ellison, New Hampshire Attorney General John Formella, New York Attorney General Letitia James, North Carolina Attorney General Josh Stein, Oregon Attorney General Ellen Rosenblum, Pennsylvania Attorney General Josh Shapiro, and Virginia Attorney General Jason Miyares

Today’s disclosure of more than a million documents from Mallinckrodt Pharmaceuticals, one of the country’s most prolific opioid sellers, is an important step to expose the truth and prevent a manmade crisis like the opioid epidemic from ever happening again.

Drug companies profited by pushing dangerous prescription opioids, and Americans have become the biggest users of opioids in the world. Communities across our nation suffered the consequences as a result: addiction, overdose, and death.

Families most impacted by the crisis have led the way in advocating for justice. Parents whose own children died because of the opioid crisis have dedicated years of their lives to protect others. They demanded that lawbreakers be held accountable, failed systems be reformed, and urgent investments be made for harm reduction, treatment, recovery, and prevention.

State Attorneys General heard the calls for action and acted. Working together, across party lines and across the nation, our teams conducted a searching investigation of illegal conduct throughout the opioid industry. We filed lawsuits and won verdicts from judges and juries, forcing companies to pay tens of billions of dollars that will be dedicated to address the crisis.

An essential part of justice is exposing the truth. Our teams pursued that truth for years. Our efforts resulted in the public disclosure of millions of documents and of the critical facts revealed by witnesses ranging from drug sales reps to company presidents.

We rejected the companies’ attempts to keep the evidence sealed, or to hand it back to the perpetrators. Instead, we posted it online.

For the first time in a generation, since the landmark tobacco cases, an industry’s secrets are being turned over to the public. Under orders entered by courts throughout the nation, millions of opioid industry documents will be posted in a free public archive, in perpetuity.

The families who suffered in this crisis will be able to see for themselves the evidence that we uncovered – the company emails, board minutes, and business plans that changed so many lives.

Journalists, filmmakers, artists, and scholars will tell the story of this epidemic using the real words and actions of the people who drove the opioid business.

Policymakers throughout the country will be informed by what went wrong.

Executives, directors, and employees in every industry will know that, if they break the law and endanger the public, the whole world may see what they did.

Today is a step toward justice. We are grateful to the advocates who demanded action in the face of a devastating crisis, to our staff who work every day to serve the public, and to the archivists at the University of California San Francisco and Johns Hopkins who will preserve this evidence for the public good.

FAILURE: the government’s ability to deal with opiate abuse and OD’s for the last CENTURY PLUS

This showed up in my inbox today.  This letter was dated before the CDC 2016 guidelines were published. We really don’t know when those guidelines were actually created… since there was NO PUBLIC COMMENT PERIOD.  According to the date on this letter,  at least the 6 members of the House of Representatives that signed this letter was aware the guidelines were in the early stage of being composed or already finished. I wonder if some of the questions that were asked were ever answered ? Notice that the six signatures at the bottom of the letter is three from each political party.  Of course, the head of the CDC Thomas Frieden knew his years at the agency were most likely numbered.  Pres Obama was “tapped out” and could not run for reelection and we would have a new president in Jan 2017 and he would be looking for a new job.  The CDC amended their name in 1992 with the permission of Congress https://www.cdc.gov/mmwr/preview/mmwrhtml/00017924.htm and since the 2016 guidelines per published… the OD’s from opiates – mostly illegal fentanyl from China/Mexico – has jumped several fold.  While the CDC tracks the number of OD’s involving opiates… there seems to be little/no data kept on chronic pain pts that have died prematurely from complication of their existing comorbidity health issues from having their opiates reduced/eliminated because of the CDC 2016 guidelines, or chronic pain pts suicides that were reported as a opiate OD’s because their toxicology showed a opiate… I guess just like the DEA has been a 50 yr failure in the war on drugs, the CDC seems to be following down the same path as a failure in the PREVENTION of opiate abuse, hell… they were not even able to PREVENT the increase in opiate abuse & OD’s.



Best Documentary Film

Image

Winner ! Best documentary film March 2022 .
A film by Toronto filmmakers Tina Petrova and Eugene Weis – Pain Warriors. Now streaming on Amazon

Did Fauci and Collins Collect Big Pharma Royalties?

Did Fauci and Collins Collect Big Pharma Royalties?

https://patriotpost.us/articles/88360-did-fauci-and-collins-collect-big-pharma-royalties-2022-05-16

Records show that NIH researchers received over $350 million in royalty payments from 2010 to 2020

A newly acquired Freedom of Information Act request report reveals that from 2010 to 2020, individuals at the National Institutes of Health received an awful lot of money in royalty payments from third-party payers, likely pharmaceutical companies. How much money? The FIOA report, obtained by the nonprofit government watchdog group Open the Books, found that “between fiscal years 2010 and 2020, more than $350 million in royalties were paid by third-parties to the agency and NIH scientists — who are credited as co-inventors.”

The report further observes, “Because those payments enrich the agency and its scientists, each and every royalty payment could be a potential conflict of interest and needs disclosure.”

Exactly who at NIH received royalties and who paid those royalties remains a mystery, given that the documents received from NIH were heavily redacted. The information that was available notes the total number of NIH scientists and the total aggregate royalty payments NIH received.

The report noted that the agency’s top officials did indeed receive royalty payments, but the total amount and the source of those royalty payments remains hidden. What is known is that former NIH Director Francis Collins as well as Dr. Anthony Fauci, the director of the NIH’s National Institute of Allergy and Infectious Diseases (NIAID), received royalty payments.

The revelation brings up an obvious conflict of interest question. Without knowing exactly what drug company was paying the royalties, it’s difficult to answer that question, but at the very least there is certainly the appearance of impropriety. Making matters worse is the fact that both Fauci and Collins went out of their way during the pandemic to promote certain narratives, like support of vaccine and masking mandates, while at the same time stifling legitimate inquires, such as the lab leak theory.

If it is learned that any of the pharmaceutical companies that produced COVID vaccines — companies like Pfizer, Moderna, or Johnson & Johnson — were making royalty payments to Fauci or Collins or both, that would present a significant breach of trust.

But it could go even deeper. Should any company with roots in China be discovered to have been making payments to NIH leadership, that might also go a long way to explaining the reason why Collins in particular was so adamant in his downplaying of the lab-leak theory.

More light needs to be shined on this, and NIH needs to disclose who was paid and by whom. The officials need to be held to account and not be allowed to hide behind a mountain of bureaucratic obfuscation.