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Why your local independent pharmacy is going out of business

Posted on July 11, 2019 by Pharmaciststeve

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Amazing what getting paid $725/hr will get some people to say ?

Posted on July 10, 2019 by Pharmaciststeve

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FBI: it can’t arrest its way out of the city’s gang problem

Posted on July 10, 2019 by Pharmaciststeve

FBI says 25 gangs operate in Louisville, and it needs community’s help to stop them

https://www.wdrb.com/news/fbi-says-gangs-operate-in-louisville-and-it-needs-community/article_e40dd104-a34f-11e9-8679-c3c9e201f267.html

Crime Tape

LOUISVILLE, Ky. (WDRB) — There’s been an increase of violence this summer in Louisville, so much so that the FBI has begun investigating cases in the area.

The bureau said it needs the community’s help to stop the violence, and it can’t arrest its way out of the city’s gang problem. FBI Supervisory Special Agent Christopher Farrell said investigators needs people to speak up and help them pull dangerous people off the streets.

“We’re still seeing about the same number of gangs, about 25 gangs, in Louisville,” Farrell said.

The FBI isn’t naming names, saying it doesn’t want to give the gangs notoriety. But it said it’s closely watching gang activity in Louisville.

Each day, there seems to be more shootings. One on Tuesday night in the 2100 block of Greenwood Avenue sent a man to the hospital. LMPD said there are no suspects, and no arrests have been made.

That area of the California neighborhood is particularly active for law enforcement because of gang activity.

“The root of the gang problem is mostly involving narcotics and narcotics trafficking as well as territorial issues between gangs that get in arguments either in the streets or on social media,” Farrell said. 

FBI Supervisory Special Agent Christopher Farrell
FBI Supervisory Special Agent Christopher Farrell

So far this year, through July 8, LMPD said there have been 173 shootings, 52 of which have ended in a fatality.

Last year, there were more shootings, but fewer of them were fatal. 

The violence has four FBI employees working closely with other agencies on violence and gang issues every single day.

“We work collaboratively with LMPD, with DEA, with ATF with the U.S. Attorney’s Office to go after gangs in Louisville and after gang members utilizing local, state and federal charges to go after gang members,” Farrell said. “I think it’s made a big difference in the community. I think you’ve seen a lot of good work done by law enforcement on all levels.”

But the FBI stresses that it needs the community’s help. It’s asking people with tips to remember this number: 1-800-CALL-FBI.

1-800-CALL-FBI

“We are arresting a lot of individuals as a task force with gang members that are carrying firearms or involved in illegal drug activity,” Farrell said.

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“ECO STRAW” kills chronic pain pt

Posted on July 10, 2019 by Pharmaciststeve

Jockey killed by ‘eco-friendly’ metal straw that impaled brain through her eye

A JOCKEY died after an eco-friendly metal drinking straw went through her eye and impaled her brain.

https://www.dailystar.co.uk/news/latest-news/790646/metal-straw-death-elena-struthers-gardner-mason-jar-impaled-brain-poole-dorset

Elena and Mandy Struthers-GardnerTRAGIC: Elena Struthers-Gardner (R) was discovered by her wife Mandy (Pic: FACEBOOK)
Elena Struthers-Gardner, 60, suffered fatal brain injuries in the accident at her home in Broadstone, Poole, on November 22. For injuries due to accident, contact car accident attorneys in Conway, ARThe retired jockey was carrying a mason jar glass with a screw top lid with a 10 inch stainless steel straw. She fell and the straw entered her left eye socket and impaled her brain, the inquest heard.

Her wife Mandy discovered Elena with the straw sticking out of her head and called 999.

Eco-friendly drinking straws are becoming increasingly popular in the UK amid a new push against single use plastics. The injury lawyers located in Framingham can help with injury cases and more.

“Clearly great care should be taken taken when using these metal straws”

Assistant coroner Brendan Allen

Assistant coroner Brendan Allen told the inquest in Bournemouth that “great care” must be taken when using the straws.

Elena was rushed to Southampton General Hospital after suffering the horror injuries.

She was placed on life support which was switched off the following day as doctors could not save her.

The inquest heard that Elena was prone to falling over at random intervals due to a riding accidents when she was 21. 

Elena Struthers-GardnerHEARTBREAK: Elena Struthers-Gardner was uneasy on her feet due to a riding accident (Pic: FACEBOOK)
In a statement read by the corner, Mandy said: “I went to the kitchen door and could see Lena lying on her front at the doorway between the den and the kitchen.“She was making unusual gurgling sounds. Her glass cup was lying on the floor still intact and the straw was still in the jar.“I noticed the straw was sticking into her head. I called 999 and requested an ambulance.

“While I was on the phone, Lena appeared to have stopped breathing.”

Metal strawECO-FRIENDLY: Metal straws are becoming popular amid a backlash to plastics (Pic: GETTY)
 

 

Metal straws DANGEROUS: Elena Struthers-Gardner’s death sparked a warning over the metal straws (Pic: GETTY)
Elena had become alcohol dependent due to the pain from her injury after reductions in her fentanyl medication.She had been drinking half-a-litre of vodka mixed with orange juice a day from the mason jar with the metal straw – which had been a birthday gift.Severe pain from her riding accident came from multiple fractures to her lumbar spine which caused scoliosis.

Her wife said she was prone to falling “like a sack of potatoes” at random – and no alcohol was found in her system at time of death.

Mandy Struthers-GardnerINQUEST: Mandy Struthers-Gardner leaves the coroners court in Bournemouth (Pic: BNPS)
Elena’s brother Robin said the straws can “very easily be lethal” – adding: “Even if they don’t end a life they can be very dangerous.”He said: “I just feel that in the hands of mobility challenged people like Elena, or children, or even able-bodied people losing their footing, these things are so long and very strong.”Assistant corner Allen recorded a conclusion of accidental death – but said there is “insufficient evidence” as to how she fell.

He recommended that metal straws never be fixed in place with a lid, saying: “Clearly great care should be taken taken when using these metal straws.”

 

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Tobacco, now opiates, are they getting ready to take aim at the alcohol industry

Posted on July 10, 2019 by Pharmaciststeve

Oklahoma – like thousands of other municipal plaintiffs — is relying upon an unprecedented use of public nuisance law, J&J says, under which any company that sells a product that can cause injury or death is theoretically liable for money damages regardless of who actually sold or used the product.

J&J calls Oklahoma’s opioid case a ‘legal miscarriage and practical fiasco’ in motion for judgment

https://legalnewsline.com/stories/512714148-j-j-calls-oklahoma-s-opioid-case-a-legal-miscarriage-and-practical-fiasco-in-motion-for-judgment

NORMAN, Okla. (Legal Newsline) – Immediately after Oklahoma closed its case against Johnson & Johnson, the company last week filed a motion seeking judgment in its favor, telling the judge who is overseeing a trial that has lasted five weeks that the State failed to prove J&J caused the state’s opioid crisis.

In a passionately written 124-page brief, J&J told Cleveland County Judge Thad Balkman that the State, his employer, had put him in an “untenable position,” asking the judge to order the company to pay as much as $17 billion to fund a 30-year package of social programs to abate an epidemic of opioid abuse in the state. To rule for the state, J&J said, Judge Balkman “must usurp the legislature and make government policy” on public health and educational questions “for decades to come.”

Such motions for a directed verdict are common at the close of a trial and it seems unlikely Judge Balkman will rule in J&J’s favor, given he denied the company’s pretrial motions to dismiss the case or allow it to proceed before a jury. The filing provides a roadmap of legal arguments for appeal should J&J lose, however, including claims the company is being punished for being on the wrong side of a long-running scientific and academic debate over the appropriate use of opioid painkillers and for associating with physicians and industry groups Oklahoma disagrees with. 

The same themes will likely resurface as opioid manufacturers and distributors fight a wave of similar litigation in state courts around the country and the federal court in Ohio overseeing multidistrict litigation by nearly 2000 cities, counties and Indian tribes.

Oklahoma – like thousands of other municipal plaintiffs — is relying upon an unprecedented use of public nuisance law, J&J says, under which any company that sells a product that can cause injury or death is theoretically liable for money damages regardless of who actually sold or used the product. In repeated barbs at Republican Attorney General Mike Hunter, J&J said Oklahoma’s highest legal officer filed an amicus brief with the Ninth Circuit Court of Appeals opposing such an expansive use of public nuisance law against the energy industry, Oklahoma’s largest employer.

“The State’s hastily revised theories and flagrantly unreliable evidence have saddled this court with a case that is both a legal miscarriage and a practical fiasco,” J&J said. “The State has used this trial – and a slew of illogical, legally defective theories far outside the bounds of Oklahoma precedent – not to `abate’ anything but to find a scapegoat.”

Hunter issued a response on the AG office’s website.

“After over a month of testimony, we have shown why we believe that Johnson & Johnson is the Kingpin behind the opioid crisis that has caused the deaths of thousands of Oklahomans and created a generation of people addicted to opioids in our state,” Hunter said. 

“The evidence is clear that they must be held accountable for the public nuisance they caused and ordered to abate it. They have created this problem and now they want to not only blame the state, but run from the problem. Perhaps most offensive, and what state Mental Health Commissioner Terri White put into perspective so well, is that Johnson & Johnson’s corporate representative, while on the stand, said the company bears zero responsibility for the death and destruction it has caused.”

While J&J makes a number of constitutional arguments based upon the First Amendment and the Due Process Clause, it also accuses Oklahoma of failing to establish the basic elements of a tort lawsuit. The State promised before trial began it would present statistical evidence to show how misleading marketing by J&J’s Janssen Pharmaceuticals unit led doctors to prescribe too many of the company’s products, J&J says, but never offered anything but expert opinions and a frequently repeated blue chart showing opioid deaths rising and falling in tandem with sales of prescription painkillers. 

The state’s main expert witness was Dr. Andrew Kolodny, a onetime advocate for the use of opioids to treat chronic pain who went to work as a consultant for Oklahoma and other plaintiffs after he was threatened with bankruptcy over opioid litigation. Kolodny accused J&J of being the “kingpin” behind Oklahoma’s opioid crisis because it once owned a pair of companies, Noramco and Tasmanian Alkaloids, that supplied wholesale opiates to Purdue Pharma and other manufacturers. 

That was a late-breaking development in the case after Purdue settled with the state, agreeing to pay $270 million to settle claims, including almost $60 million to the state’s outside lawyers, including lead trial attorney Brad Beckworth. AG Hunter hired Whitten Burrage, Nix Patterson and Glenn Coffee & Associates, all heavy contributors to his political campaigns, to represent the State on a contingency fee basis. They obtained another $17 million from the state’s $85 million settlement with Teva in June.

The State’s claims that it is liable for sales by its wholesale units fail under state and federal law, J&J says. Oklahoma law doesn’t allow tort claims against suppliers unless they are actively involved in the process of manufacturing products made from them, and Noramco and Tasmanian Alkaloids operated under strict federal regulation governing how much they could produce and who they could sell it to. 

Even if they were somehow liable for selling raw materials, J&J said, the State failed to prove the company is a but-for cause of the opioid crisis since Purdue and other customers easily could obtain the same materials from other suppliers.

Core to J&J’s defense is the fact it never accounted for more than a tiny fraction of legal opioid sales in Oklahoma and its two main products, the fentanyl-containing Durgesic patch and Nucynta, a pill introduced in 2009, were relatively hard to abuse and unpopular with addicts. Oklahoma never presented any evidence of Janssen’s market share, the company said, while state records show it never exceeded 2% of prescriptions reimbursed by state health plans. 

“After more than 20 days of State evidence and testimony before this Court, it is now plain for everyone to see this case was never about Janssen’s opioid products,” the company said. 

The State also failed to establish an essential element needed to hold J&J liable for the entire $17 billion it is seeking to abate its opioid crisis, J&J said. Under Oklahoma law, so-called joint-and-several liability is available only if injuries are indivisible, such as when multiple companies leak pollution into the same waterway. 

In this case, the State could easily identify Janssen’s contribution to the opioid crisis by identifying patients who overdosed on its products and doctors who succumbed to its marketing, but failed to do so. The State didn’t present a single person who became addicted to Janssen products as a witness and it didn’t name a single doctor who relied on misleading information to prescribe the company’s products.

Oklahoma also downplayed its own responsibility for opioid addiction and death, including delaying until 2015 the implementation of a mandatory prescription monitoring program to prevent patients from “doctor shopping” multiple prescribers to get excessive supplies of drugs. 

The company ended with an explicit appeal to Judge Balkman to walk away from the task the State has given him. 

“Authorizing and funding decades of government spending programs to address daunting social problems is the work of legislatures – not courts,” the company said. The State’s $17 billion abatement plan “resembles no judicial remedy ever issued by an American court. It is, from beginning to end, an appropriations bill, submitted to the Court rather than the floor of the Oklahoma legislature.”

 

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Oregon: rewriting “tapering guidelines”… but.. still target goal is the tapering of opiates to ZERO ?

Posted on July 10, 2019 by Pharmaciststeve

Oregon Opioid Taper Back in The News

www.nationalpainreport.com/oregon-opioid-tapering-back-in-the-news-8840412.html

Posted on July 10, 2019 by Ed Coghlan

While momentum for the forced tapering proposal for Oregon Medicaid patients promoted by the Oregon Health Evidence Review Commission has stalled for now, thanks to pressure from local pain patients and national pain experts, the state’s Opioid Taper Guidelines Task Force is continuing its work.

The Task Force meets on Friday July 19th and is considering a proposal to dramatically expand the criteria for inclusion in a forced taper.

The language now includes mental health comorbidities that can “develop or worsen” with opioid therapy.

The important word, according to those who have read the guideline, is “develop”. This, according to advocates, leaves interpretation not about what is happening but what might happen without any protection for the chronic pain community.

OHA says it is convening experts on the Oregon Opioid Taper Guidelines Task Force. OHA says, “The resulting guidelines from this task force will supplement the Opioid Prescribing Guidelines for Chronic Pain to help patients and prescribers’ approach opioid tapering with best practices in mind.”

The Oregon Opioid Taper Guidelines Task Force currently meets publicly monthly through at least September 2019.

One of its members has raised the eyebrows of advocates who believe the Task Force may be predisposed to an anti-opioid stance—despite declaration from practically all in the pain management community that opioids have a role in the treatment of chronic pain.

Paul Coelho, MD is the Medical Director of the Pain Clinic at Salem Health and is also a board member of Physicians for Responsible Opioid Prescribing (PROP). Its executive director, Dr. Andrew Kolodny has been a hired gun…to the tune of $700+ hourly… in testifying in trials against pharmaceutical companies who produce opioid medication.

As Oregon continues to push for more rigid opioid prescribing guidelines, it’s important to remember what the FDA said on the matter earlier this year.

Recently, the FDA has received reports of serious harm, including serious withdrawal symptoms, uncontrolled pain and suicide, in patients who are physically dependent on opioid pain medicines when these medicines are suddenly discontinued or when the dose is reduced too quickly, often without adequate patient communication, follow-up or support.

If you wish to contact the state of Oregon about the issue prior to its meeting on July 19th, contact Lisa Bui, 971-673-3397, 711 TTY, or ootg.info@dhsoha.state.or.us at least 48 hours before the meeting.

For more on the Oregon Opioid Taper Guideline Task Force, click here.

 

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DEA: all laws, morals or ethics are just SUGGESTIONS – don’t worry WE ENFORCE THE LAWS (on everyone else)

Posted on July 9, 2019 by Pharmaciststeve

Watchdog: DEA supervisor had ‘improper personal relationship’ with confidential source

https://thehill.com/blogs/blog-briefing-room/news/452181-watchdog-dea-supervisor-had-improper-personal-relationship-with

A Drug Enforcement Administration (DEA) group supervisor had an “improper personal relationship” with a confidential source and approved payments to the source without justification, according to a report from the Justice Department’s Office of Inspector General.

The Department of Justice (DOJ) watchdog started the investigation following a tip from the DEA’s Office of Professional Responsibility saying the unnamed supervisor both made the unjustified payments and “caused false statements to be made” to justify them.

The report also found the supervisor misused their government vehicle to take the source on dates and shared nonpublic information relating to personnel matters within the DEA, and that their then-supervising DEA assistant special agent in charge (ASAC) authorized the payments.

The probe also found the source went on two personal trips with the supervisor and the supervisor allowed the source to accompany them on visits to the supervisor’s family and friends, none of whom were made aware that they were a DEA source.

“The OIG concluded that the GS violated DEA policy and federal law when the GS approved payments to the CS without proper justification and when the GS approved a form relating to the CS knowing that it included false statements,” the report states.

“Further, the OIG concluded that the ASAC failed to properly supervise the GS,” the OIG summary adds.

While the OIG found the conduct was a violation of DEA policy and federal law, criminal prosecution was declined.

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Appeals court rules Trump violated First Amendment by blocking Twitter users.. will this apply to Kolodny ?

Posted on July 9, 2019 by Pharmaciststeve

Appeals court rules Trump violated First Amendment by blocking Twitter users

https://www.foxnews.com/politics/appeals-court-rules-trump-violated-first-amendment-by-blocking-twitter-users

AOC to face lawsuit over blocking Twitter users, following appeals court ruling on Trump

 

A federal appeals court ruled Tuesday that President Trump is not allowed to block people on Twitter over statements he does not like, affirming a lower court’s decision that declared the president’s account a “public forum.”

In a Tuesday decision, the 2nd Circuit Court of Appeals noted that because Trump uses Twitter to communicate with the public about his administration, and his account is open to the public for people to comment on his posts, it warrants constitutional free speech protection under the First Amendment.

“We do conclude,” the opinion said, “that the First Amendment does not permit a public official who utilizes a social media account for all manner of official purposes to exclude persons from an otherwise‐open online dialogue because they expressed views with which the official disagrees.”

According to court documents, Trump admitted that he blocked the plaintiffs in the case in 2017 after they posted tweets that “criticized him or his policies.” Once they were blocked, they were no longer able to view Trump’s tweets while logged in, and no longer had access to reply to tweets or view comment threads on Trump’s Twitter page.

The First Amendment prohibits government discrimination against a person’s free speech based on their viewpoint. Trump claimed that his Twitter account is private, so the First Amendment should not apply.

The court said that Trump’s account was indeed private before he became president, but that changed once he took office and used it for official business, as it now displays “all the trappings of an official, state‐run account.” The court said that once Trump leaves office, his account will be considered private again.

The Justice Department, meanwhile, stands by Trump’s position and indicated an appeal may be forthcoming.

“We are disappointed with the court’s decision and are exploring possible next steps,” DOJ spokesperson Kelly Laco said in a statement. “As we argued, President Trump’s decision to block users from his personal twitter account does not violate the First Amendment.”

The 2nd Circuit opinion concluded by pointing out that in the current political climate, more debate is good, even if it can be “unpleasant” at times.

“The irony in all of this is that we write at a time in the history of this nation when the conduct of our government and its officials is subject to wide‐open, robust debate,” the court said.

“This debate encompasses an extraordinarily broad range of ideas and viewpoints and generates a level of passion and intensity the likes of which have rarely been seen. This debate, as uncomfortable and as unpleasant as it frequently may be, is nonetheless a good thing. In resolving this appeal, we remind the litigants and the public that if the First Amendment means anything, it means that the best response to disfavored speech on matters of public concern is more speech, not less.”

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Is the DEA lobbying Congress for bills that will cut FDA out of the drug scheduling process ?

Posted on July 9, 2019 by Pharmaciststeve

FILE PHOTO: Plastic bags of Fentanyl are displayed on a table at the U.S. Customs and Border Protection area at the International Mail FacilTrump administration drug officials clash over how to combat fentanyl copycats

https://wkzo.com/news/articles/2019/jul/09/trump-administration-drug-officials-clash-over-how-to-combat-fentanyl-copycats/916053/

WASHINGTON (Reuters) – Trump administration officials are divided over part of a proposal to crack down on illicit versions of fentanyl, the deadly synthetic painkiller that U.S. President Donald Trump targeted in declaring a national opioid abuse emergency.

In an inter-agency dispute that highlights the challenges of curbing opioid abuse, the U.S. Drug Enforcement Administration (DEA) is publicly backing tighter rules for fentanyl analogues, which are slightly altered copycat versions of the powerful drug fueling an explosion in overdoses.

But an office of the U.S. Department of Health and Human Services (HHS) is raising concerns outside of public hearings, sources told Reuters, about the DEA-backed legislation, offered by Senator Ron Johnson and Representative Jim Sensenbrenner, both Republicans.

Normally, the DEA and the U.S. Food and Drug Administration review chemical compounds individually to assign each one a controlled substance classification, with the FDA determining if such “scheduling” decisions are scientifically valid.

In this case, the bill would cut the FDA out of the time-consuming review process by letting the DEA permanently classify illicit fentanyl analogues as Schedule I drugs, like heroin, which are deemed to be addictive with no medical use.

The DEA says these legal changes would help prosecutors keep pace with criminals who constantly churn out chemically tweaked fentanyl analogues to evade strict Schedule I regulations.

But an expert from HHS’s National Institute on Drug Abuse (NIDA) quietly warned Senate staff at a private June 20 briefing that permanently placing all fentanyl analogues into Schedule I poses problems, according to an attendee who spoke to Reuters anonymously because the briefing was private.

The draft bill would not only put all fentanyl analogues into Schedule I before anything is known about their potential medical benefits, but would also make it harder for researchers to win approval to study the analogues to potentially develop new approaches to tackling the surge in overdoses, the NIDA expert said.

An HHS spokesperson told Reuters that the department has no position on the DEA-backed bill, but confirmed that HHS does have some concerns.

“These compounds can be used to develop and test new medications for preventing opioid addiction and overdose,” the spokesperson said, noting that putting fentanyl analogues into Schedule I without accommodating scientists with a streamlined approval process “could slow valuable research aimed at addressing the opioid crisis.”

Of 70,200 U.S. drug overdose deaths in 2017, according to the CDC, about 41% involved synthetic opioids, such as fentanyl and illicit analogues of it. Most of them are made in China.

Fentanyl, some versions of which are approved to treat cancer pain, is 100 times more potent than morphine.

APPROACHING DEADLINE

While the debate over fentanyl analogues dates back to the Obama administration, the rising death toll has made the issue more urgent.

Adding to that urgency is a February 2020 deadline, when a temporary 2018 DEA emergency order that placed all fentanyl analogues into Schedule I will expire.

During a July 1 press briefing, DEA Assistant Administrator John Martin downplayed the bill’s impact on research, but acknowledged HHS’s concerns.

“They have some concerns,” he said, adding that DEA is “trying to eliminate the perception out there in the research community that it’s going to be a hindrance.”

Because Schedule I drugs have high risk of abuse, the DEA imposes strict regulations for research applicants. It requires the drugs to be stored in a safe bolted to the floor and each compound must have a separate DEA registration.

“Trying to do research on Schedule I compounds is really difficult for scientists. There are all kinds of regulatory hurdles,” said Sandra Comer, public policy officer for the College on Problems of Drug Dependence, a scientific group.

Exactly how many fentanyl analogues would be impacted by the bill is unknown.

While Martin said it could involve “hundreds to maybe a thousand” fentanyl analogues, another DEA official who attended the June 20 briefing told Reuters it would affect “millions” to “an infinite” number.

Some groups are urging lawmakers to oppose the bill, saying it would chill research and give the DEA too much power.

“This administration has tried to take a criminal justice approach to the overdose crisis,” Drug Policy Alliance national affairs director Michael Collins said, “when it is very clear it is a public health crisis.”

(Reporting by Sarah N. Lynch; Editing by Kevin Drawbaugh and Bill Berkrot)

If you notice that in the picture two of the bags of Fentanyl that has been seized and they are labeled as “FENTANYL HCL” and that Fentanyl analog is an ILLEGAL Fentanyl analog. The only Fentanyl analog approved for human use in the country is Fentanyl citrate.

According to Wikipedia, there are some 1400  known Fentanyl analogs… they are either legal – FDA approved – Fentanyl analogs OR THEY ARE NOT.

Has the DEA lobbied/convinced these two members of Congress – Senator Ron Johnson and Representative Jim Sensenbrenner – to introduce bills that would give the DEA ABSOLUTE POWER in determining the control schedule of a particular med without the input of the FDA which FDA determines if such “scheduling” decisions are scientifically valid.

Are we seeing a POWER GRAB BY DEA ?

 

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Walmart Layoffs Impact Senior Staff

Posted on July 9, 2019 by Pharmaciststeve

People running pills fallingWalmart Layoffs Impact Senior Staff

https://www.drugtopics.com/walmart/walmart-layoffs-impact-senior-staff

Walmart has laid off about 3% of its pharmacy staff in a nationwide action. Nearly half of the laid off personnel were senior staff. 

“The Walmart actions have been extremely evasive as well as punitive and I sympathize with the horrible experiences that these pharmacists and technicians have because of Walmart mismanagement. It’s not the fault of the pharmacists and the techs for not knowing how to operate pharmacies successfully,” Daniel A. Hussar, PhD, FAPhA, professor emeritus at Philadelphia College of Pharmacy and author of PharmacistActivist.com, tells Drug Topics.

Although there is no specific information, the layoffs appear to have hit older individuals harder. “That is age discrimination,” Steven R. Ariens, RPh, a retired independent pharmacist and author of the “Pharmacist Steve” blog, tellsDrug Topics. 

He estimates the cuts affect between 500 and 1,000 pharmacists and techs, based on Walmart’s statement that it is cutting around 3% of its pharmacy staff.

A Walmart spokesperson declined to disclose the exact number of staff laid off. “As we continue to position our business, we are making some adjustments in health and wellness that will impact approximately 3% of our pharmacy associates. We’re working with these associates to find other open positions within the company,” Walmart says in a statement provided to Drug Topics.

Trending: Five Tips for Evaluating Clinical Studies

“We are on a transformational journey on how we operate our pharmacies and serve our customers, investing in key growth areas to develop our business and associates. We are aligning our staffing with the demands of the business to consistently serve our customers now and in the future,” the retailer says.

News of the layoffs and personal stories have appeared on many social media sites. One former Walmart pharmacist, who is 70 years old, wrote on TheLayoff.com: “My only salvation is I….was planning on retiring soon anyway. I really feel sorry for all the new grads with debt who will have to work in bad conditions for low pay.” 

Another individual who was laid off, identified as “South Arkansas,” wrote that he or she has been a pharmacist for 20 years and feels lost. “Called to the back by the DM [district manager] last week 3.5 hours into my shift. He gave me the talking points, went back to the pharmacy, handed me my license, and I was on my way home in 10 minutes! I thought our store was doing well!”

Hussar believes that insurers and PBMs’ low reimbursement rates have impacted Walmart’s pharmacy profitability. “An important contributing factor is that, not that long ago, Walmart announced it was not going to continue to participate in CVS Caremark’s prescription benefit plan. But, within several days, Walmart caved in and reached an agreement,” Hussar says. “Walmart, the largest retailer in the world, caving in on prescription benefit plans has missed the opportunity to use their size and strength that would enable them to improve their pharmacy services to their patients, rather than cutting back [on staff],” Hussar says.

Walmart has been focused on increasing grocery sales, particularly via its pickup and delivery services, a service that does not drive traffic into its stores. The mega-retailer expects to lose more than $1 billion in its U.S. e-commerce operations in 2019, according to Recode.

Health care’s share of Walmart’s U.S. sales has been stuck at about 11% for four straight years, Bloomberg reports.“We can do more to help our customers when it comes to their health,” CEO Doug McMillon said last October, according to Bloomberg. However, McMillon declined to reveal a specific plan for expanding healthcare services.

Isn’t this interesting that the probably the 4th largest pharmacy/prescription provided in our country was unable to get the CVS/Caremark PBM to compromise on what they paid Walmart to fill/bill prescriptions thru Caremark.  So here we have the largest chain pharmacy in the country being able to control the profits of one of their competitors..  Normally, that would be illegal… but the entire insurance industry has been exempted to the Sherman Antitrust Act since 1945 when the Mc Carran Ferguson Act was signed into law. Ain’t America great ?

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