Federal attorney Kathryn Wyer : Utah’s PMP database has no expectation of privacy

Firefighter union, gay rights group join suit against DEA

http://www.washingtontimes.com/news/2016/oct/13/firefighters-gay-rights-group-to-push-back-on-dea-/

SALT LAKE CITY (AP) – A Utah firefighters union and a gay-rights group can face off against the Drug Enforcement Administration in a court fight over warrantless searches of a prescription drug database similar to those kept by most U.S. states, a federal judge decided Thursday.

The databases containing all controlled-substance prescriptions for every patient are designed to help doctors and police curb abuse, but unfettered police access to them has raised concerns.

The group Equality Utah argues warrantless searches violate the privacy of transgender people whose hormone medications are recorded in the database. The firefighters union, meanwhile, says two members were wrongly accused of prescription drug fraud after a wide-ranging, warrantless search.

 

U.S. Magistrate Judge Dustin Pead decided Thursday the two groups can add their privacy and social justice arguments to a lawsuit between the DEA and the state of Utah.

DEA lawyers say the agency should be exempt from a new state law that requires police to get a warrant before accessing the database.

Utah is among the minority of states that require police to get a warrant before a search, a change sparked in part by the firefighters’ case. They were charged after police investigating ambulance drug thefts ran hundreds of names through the system on a hunch that it might be an inside job.

 

The two men weren’t connected to the thefts, their relatively high number of prescriptions raised suspicion and prosecutors filed fraud charges. The case was later dropped, but still put their careers and personal lives at risk, they said.

Their case shows why police shouldn’t be able to access the nearly 70 million records in Utah’s nearly 20-year-old database, said the ACLU’s Nathan Freed Wessler, who is representing the firefighters and Equality Utah. They contain records of prescriptions for medication like the anti-anxiety drug Xanax and the sleep aid Ambien as well as prescription painkillers, he said.

“That’s a mind-boggling quantity of highly sensitive medical information,” he said.

But the DEA says the database is an important tool in the early stages of their investigation, like one they’re conducting into a Utah medical provider suspected of supplying pills to an organized crime group.

Federal attorney Kathryn Wyer fought unsuccessfully to keep the Utah groups from intervening in their lawsuit against the state, arguing agents are only asking to use the database for a specific investigation that has nothing to do with them. The prescription-drug industry is already highly regulated and the database has no expectation of privacy, she said.

“People expect their prescription information is going to end up in this database,” Wyer said. “There’s a statue that says so.”

Ex-DEA Agent: ‘I See No Downsides to Marijuana Legalization’

Ex-DEA Agent: ‘I See No Downsides to Marijuana Legalization’

https://www.leafly.com/news/politics/ex-dea-agent-see-no-downsides-marijuana-legalization

Arizona’s cannabis-legalization measure, Proposition 205, has faced outspoken opposition from a number of forces. The most visible is Arizonans for Responsible Drug Policy, an anti-legalization group led by a pair of tough-on-crime prosecutors, Yavapai County Attorney Sheila Polk and Maricopa County Attorney Bill Montgomery.

 

Law enforcement tends to be among the most hesitant sectors when it comes to supporting legalization. So it came as some surprise as some surprise when two retired Drug Enforcement Administration (DEA) special agents came out in favor of Prop. 205. Michael Capasso, the former chief of the DEA Financial Crimes Unit, and Finn Selander, the agency’s former marijuana coordinator, announced their support on Wednesday in front of Arizona State University’s Memorial Union.

“As long as other states are still illegal, there will be a demand for black market marijuana.”

Michael Capasso, former chief, DEA Financial Crimes Unit

How did these longtime members of law enforcement come to change their views on cannabis? Leafly reached out to Capasso to hear out his thoughts on cannabis, the drug war, and how he came to support—and advocate for—legalization.

Leafly: Was there a specific turning point when you began to see the upsides of legalization?

Michael Capasso: My position is on marijuana—not on cocaine or heroin or methamphetamines. But yes, I agree that it should be legalized and regulated. For actual people who consume marijuana, there’s little to no collateral damage when I look at things that negatively impact society: Is he going to rob somebody? Is there going to be a secondary crime related to this drug? No, we have not seen that.

Take a look at alcohol use. We all know someone out there with a Dr. Jekyll and Mr. Hyde mentality—someone who is very docile at work, mild-mannered when not under the influence, but after a few drinks, the anger comes out, the violence, which often leads to domestic violence situations and everything else. Not to mention the effects of prolonged use of alcohol. And this is a substance that is federally regulated!

RELATED STORY
Cannabis is Exactly 114 Times Less Toxic than Alcohol

What more important issues do you think the DEA should focus on instead?

We need to take a very hard look at the pharmaceutical companies out there, and their contribution to the heroin epidemic. You’ll see these communities that have never been under the influence of hard drugs, but then they suffer an injury and the doctor prescribes Oxycontin or other opiates and suddenly they’re addicted. We need to cut down on the use and prescriptions of opiates. Does every owie you have require Oxycontin? How does it end up on the streets? It’s diverted at the prescription level.

Not to mention synthetic marijuana, like Spice and K2, which is causing overdoses on the streets. The DEA needs to take a harder look at nontraditional avenues. Their tactics need to change to be more effective.

RELATED STORY
Synthetic Cannabinoids: Growing Side Effects Make Now a Great Time to Stay Away

Do you think it’s likely cannabis legalization in Arizona would help undercut Mexican drug cartels?

Honestly, I don’t think so. The population of Arizona isn’t that large, and as long as other states are still illegal, there will be a demand for black market marijuana. We still continue to see a significant amount of Mexican-produced marijuana. We need to regulate it for consenting adults to decrease the impact of Mexican cartels. Marijuana continues to have one of the largest profit margins for Mexico. Cocaine is not grown in Mexico. The heroin is of poor quality. Most heroin confiscated is Colombian, and methamphetamines—despite what you might have seen in Breaking Bad—making methamphetamine is a significant process and simply not profitable enough.

Marijuana still has a high profit margin. If you can get $500 for a pound of marijuana here, take it to the Northeast and it could be worth $1,500. Plus, the logistics of transporting marijuana allow for a certain amount of acceptable loss. You can give an undocumented immigrant a backpack full of marijuana to walk across the border. They won’t do that with cocaine or heroin.

So legalization at the federal level—do you think would that be a way to impact cartels?

Legalization, it’s a domino effect. As each state gets behind regulation, more states will follow suit. It’s really just a matter of time.

As for the cartels, marijuana consumers these days are connoisseurs. The THC levels in Mexican-grown marijuana pale in comparison to the sophisticated marijuana grown hydroponically in Colorado, and consumers can definitely tell the difference. The types of marijuana sold and cultivated legally in Colorado are more potent and higher quality. It’s just like any other commodity—you flood the market with higher quality product, it cramps [competitors’] style.

In order to stop the cartels, law enforcement needs to expand their target domestically. These cartels are not a one-man band. There are thousands of people involved along the chain in the process. I guarantee you that El Chapo hasn’t seen a kilo of cocaine in a very long time.

I see no downsides to marijuana legalization. I’m not advocating that my young daughter smoke marijuana, but for consenting adults, as long as it’s not damaging anyone else, I see a lot more benefits.

The silent/invisible majority ?

ideaupasscryingeyevote

 

 

 

For months I have been putting this graphic out there and recent opinion polls suggests that MAYBE 3 House seats are at risk of “turning over”… which would suggest that history will repeat itself that typically 99% of incumbents will get re-elected.

This would also suggest that either the 100+ million of those in the chronic pain community are not being included in these polls , they are not telling the truth to those doing the polling, they are claiming that they are “not likely going to vote” or some other unknown reason(s).

The facts exist that the war on drugs/pts/prescribers started ramping up in 2010 -2011… after Obama came to office in Jan 2009..  A  coincidence ???

The last 12-18 months there has been many regulation changes directed at the chronic pain community.  CHANGES WE CAN BELIEVE IN ?

We can make a educated guess that if Hillary becomes our next President.. that the head of DOJ .. AG Loretta Lynch will stay on the job… as well as our Surgeon General Vivek Murthy and the head of the DEA Chuck Rosenberg. It is likely that the direction of the war on pts/prescribers will stay on track… or will accelerate.

Clinton has come out in support of  WV Senator Manchin’s proposal to implement a opiate prescription tax… to help pay for treating those dealing with opiate abuse – addictive personality disorder.  This is a cost which it is highly unlikely that the insurance companies will pick up covering this tax.. with maybe the exception of those on Medicaid.  This tax is not going to “hit” the 1% of “the rich” that Clinton claims is going to pay for all the new “federal freebies” that are going to be offered.

We have seen how few of the 100+ million chronic pain pts have signed various petitions… we have also seen even when there are > 100,000 signatures – like the one calling for the firing of the Head of the DEA… NOTHING HAPPENED.

Premiums for Obamacare are increasing an average of 25% for 2017, many counties in the country have only ONE INSURER offering a policy… and we now find out there are retail food labeling requirements coming out Obamacare expanded existing calorie-labeling requirements

What other “surprises” are buried in Obamacare that will come to the surface …after Obama has left office ?

Who believes that those currently advocating for the chronic pain community will continue to advocate.. when the chronic pain community seems to be in a catatonic state ?

Passive pts tend to get poor outcomes… are you concerned about your quality of life outcomes ?

 

DEA Officially Backtracks On Move To Ban Kratom, An Herb Many Use As Medicine

SRAcrystalballDEA Officially Backtracks On Move To Ban Kratom, An Herb Many Use As Medicine

http://www.huffingtonpost.com/entry/dea-kratom-ban_us_57fd534fe4b0e9c7022999ea

The TIMING of this… is so suspect…  Their final determination is in LIMBO until after the election… and the NEW CONGRESS starts the new 115th Congressional session Jan 3, 2017.  Depending on a lot of variables of who gets reelected, which party is in the majority.. there could be a lot of  reappointing of Committee chairs and co-chairs and a lot of shuffling of offices as seniority of individual members change.  What the DEA is doing… is so far down on Congress’ “to do list”.. that it is very close to a NON-ISSUE…  I will  be greatly surprised if the DEA does not go back to where they were in their August proclamation of the scheduling of Kratom as a C-I.  The Obama administration and the new President elect transition teams will be preoccupied with the transition between administrations.  The DEA…which is part of our “shadow government”… those non-elected bureaucrats/regulators.. are in a position to DO AS THEY PLEASE…

The U.S. Drug Enforcement Administration appeared to concede Wednesday that it had been too hasty in attempting to ram through a controversial ban on the herbal supplement kratom.

In a notice set to be published in the Federal Register, the DEA said it has formally withdrawn an August announcement that initially outlined plans to place mitragynine and 7-hydroxymitragynine, two active compounds in kratom, in Schedule I. Schedule I drugs include heroin and LSD and are considered to have no known medical benefit and a high potential for abuse.

Citing widespread backlash from kratom users, advocates and other stakeholders, the DEA says it will open an official comment period, set to end on Dec. 1. It is also asking the U.S. Food and Drug Administration for a formal scientific and medical evaluation of the herb, which will be used to make an updated scheduling recommendation.

Kratom is an herb made from the leaves of Mitragyna speciosa, a Southeast Asian tree related to coffee. The alkaloids mitragynine and 7-hydroxymitragynine appear to activate opioid receptors in the brain and reduce pain. And although most opioids have sedative qualities, low to moderate doses of kratom actually serve as a mild stimulant.

All of this has made kratom a popular traditional medicine for millennia in Asia and more recently in the West, where many users tout it not just as an analgesic, but also as a treatment for anxiety, depression and opioid addiction.

But the DEA has raised concerns about kratom’s addictive potential, as well as isolated reports of harm associated with use. The agency’s change in course will keep kratom legal for the immediate future, but it’s unclear how long the delay will last.

The DEA will take submitted comments and the FDA’s findings into consideration as it decides how to proceed. If it determines after Dec. 1 that there is “substantial evidence of potential for abuse to support” scheduling kratom, the agency can take additional action through the permanent or temporary scheduling process. To ban kratom on a permanent basis, the DEA would need to submit an additional notice of proposed rulemaking, which would allow for further input from the public and lawmakers.

But if the DEA maintains, as it did in August, that emergency scheduling of kratom is “necessary to avoid an imminent hazard to the public safety,” it could file a new notice of intent, which would likely go into effect a month later. The agency could also opt to pursue both emergency and permanent scheduling simultaneously, or to leave kratom unregulated.

Tammy Alender
A jar of kratom powder alongside a mug of kratom tea.

Still, the DEA’s decision to reverse course on banning a drug, even temporarily, is unprecedented. Kratom and drug policy reform advocates who have spent the past month aggressively lobbying against the ban effort were quick to hail the news as a victory.

“This is a truly remarkable moment to see the Drug Enforcement Administration, a law enforcement agency with a long track record of ignoring both science and public opinion, being forced to consider the scientific evidence and public opinion before taking additional steps with respect to kratom,” said Grant Smith, deputy director of national affairs at the Drug Policy Alliance, in a statement. “People who oppose a federal kratom ban only have about six weeks to tell the federal government that kratom does not belong in our broken drug scheduling system.”

Susan Ash, founder of the American Kratom Association, a nonprofit that works with consumers, credited the effort by kratom users, congressional lawmakers and scientists who have challenged the DEA’s unilateral move to expand the drug war.

“We believe kratom should not be scheduled in any way, shape or form,” she said in a statement to The Huffington Post. “It’s been consumed safely for decades in the U.S. and world-wide for millennium, so there is no impetus to make it a controlled substance. We look forward to working cooperatively with the DEA as they conduct their review.”

Earlier this month, two groups of senators wrote acting DEA administrator Chuck Rosenberg asking him to delay the kratom ban. Sen. Cory Booker (D-N.J.) said in a letter that a group of 11 scientists from “well-respected research institutions in the U.S.” had contacted him to express concern about the agency’s crackdown. They pointed out that a number of initial studies on kratom have shown the herb to have therapeutic potential, with relatively few risk factors. Some research has even suggested that kratom could aid in the development of safer, non-opioid painkillers, which are currently contributing to a national epidemic of addiction and overdose.

The Senate letter built on a similar push by a group of 50 House lawmakers, led by Rep. Mark Pocan (D-Wis.), as well as a White House petition that now has more than 140,000 signatures. In a statement to HuffPost on Wednesday, Pocan called the DEA’s move toward transparency a good step forward. The next step, he suggested, should be to make the ban’s delay permanent.

“I hope the DEA will take a hard look at the federally funded research into the potential health benefits of kratom, especially with regards to curbing opioid abuse and addiction,” said Pocan. “Concerned citizens across the country have made it clear, they want the DEA to listen to the science when it comes to the potentially life-saving properties of kratom. I hope a more thorough process will reverse their decision, and allow for continued research in this area.”

Dr’s shouldn’t be kind or compassionate it’s just business and it doesn’t matter what the patent feels

loosescrewThis is a post from another closed FACE BOOK page for chronic pain pts. It describes a chronic pain pt’s interaction with her prescriber.  This is just another example of why all chronic pain pts should do a audio/video recording with all interactions with healthcare providers.  While filing a complaint with the Medical Licensing board would probably do little more than get the pt’s discharged… HOWEVER, sharing such a verbal abuse by a prescriber with the legal dept of the pt’s insurance company… just might get the prescriber REMOVED from the insurance company’s physician network. That would make  the prescriber as a “out of network” prescriber and most likely cause the prescriber to loose a lot of pts in her practice.  No one could be assured that a person capable of such  verbal abuse…. that it could take turn into PHYSICAL ABUSE.  I suspect that an insurance company … who was made aware of such a prescriber in their network and did nothing… could have some liability to continue to allow such a prescriber to remain in their network.

Yesterday was THE WORST day I have had in such a long time, I took my boss whose is a family friend with me to my last pain management appointment to be my advocate. Well she upped my meds instead of taking away , it was only three but I figured it was progress.
So he wanted to come with me again and she had told him she wanted to know if it helped me a bit more at work. So yesterday , I went in and I told the office girl I’m waiting for my boss , she said ok . So then after doing vitals and medical history and all that I went into the 2nd room where my dr would come for the last half of the visit. I told her that my boss and advocate was with me . OMG she went ape on me , and asked me why I needed a advocate ? I said because he has seen me dealing with this since the day it happened and watches me suffer . She yelled at me “what suffering “? Then yelled that I couldn’t bring him and at that time he had knocked and opened the door to come in . She screamed at him to go and get out and I do not want you here . So he was horrified . She then told me that this was my last appointment and yelled at me over and over “what do you want ?! ” more pills ?? What do you want ?! So I said “please stop your scaring me “.
So I had to raise my voice at her and I said ” I just want to know why your doing this with my meds and what your plan is for my care “.
I explained to her that I was going to be a whole lot busier at work because of holidays and could we please add one more to make it three a day?? She yelled “no “! Then went on a rant about if I wanted another dr go find one and how no other dr would not give my meds and that she was done so she threatened again to drop me. I told her that I have a right to an advocate and that I needed kindness from her . I wish like hell I had recorded that visit .
She said verbatim ” Dr’s shouldn’t be kind or compassionate it’s just business and it doesn’t matter what the patent feels”. My jaw hit the ground.
So I had to clam her down and explain that I did not want another dr and that I needed to keep coming to her so to please quit telling me that this was my last visit.
I was so upset and traumatized by her , I was shaking and almost had a panic attack which I haven’t had in like 15 yrs or more. She just verbally attacked me. She also said that my pain medication levels were way too high compared to the morphine limit for the cdc. After her yelling at me she just said she’d lose her license if she gave me more and that she couldn’t. I have had one other time where she yelled at me and I literally had to about get on my knees to beg to get her to write my script.
I had no desire to piss her off and told her that . She also told me if I worked over 40 hrs she’d drop me because she is not in the business of helping my pain if I’m just going to over do it and cause myself more pain . That visit gave me nightmares . Even the pharmacists I go to were concerned about me because when I walked in the store I was pale and shaky and they thought I had been attacked.

I’m stuck with Dr because I cannot afford to be cash pay and my insurance told me because of HMO that I would have to drop my pcp and her before I could find another dr. Also I can not complain to anyone higher up because she is private practice. So for now I’m stuck.
I just am glad for what lil I get and even if I went elsewhere who is to say I could get a dr who will write for me? I had already been black balled from my ex pain management dr due to him insisting I have a surgery that would’ve caused me unrelenting pain and was unethical to do in the first place. So my dr made up something and dropped me. Yes , yesterday was horrific and I felt utterly violated but she didn’t taper anymore.

FDA: who are they protecting… Pharma’s profits…. or … patient safety ?

A view shows the U.S. Food and Drug Administration headquarters in Silver Spring
FDA clears Xarelto blood thinner despite faulty trial device

http://www.foxnews.com/health/2016/10/11/fda-clears-xarelto-blood-thinner-despite-faulty-trial-device.html

Studies suggest that those people on these NOAC meds.. that develop uncontrolled bleeding.. that abt 12% will BLEED OUT… as in DIE !!  Because only one has an REVERSAL MEDICATION.. and that can take up to TWELVE HOURS for it to stop the hemorrhaging… and if that hemorrhaging is in the brain… A STROKE … significant chance the pt will experience BRAIN DAMAGE

The U.S. Food and Drug Administration on Tuesday said it has determined the widely-used blood thinner Xarelto to be safe and effective for patients with the heart condition atrial fibrillation after serious doubts arose over the major study used to gain approval of the drug.

Xarelto, known chemically as rivaroxaban, won U.S. approval in 2011 after it was shown to be a safe and effective alternative to decades old warfarin for preventing strokes in a study of more that 14,000 patients with the irregular heartbeat condition. Without treatment, atrial fibrillation leaves patients five times more vulnerable to strokes.

In the study dubbed Rocket-AF, warfarin therapy was monitored using the Alere Inc INRatio device that has since been recalled over its potential to generate inaccurate results, casting a shadow over the value of the large, pivotal clinical trial.

“The FDA has completed a variety of analyses to assess the impact that this faulty monitoring device had on the Rocket-AF study results,” the agency said in a statement posted on its website. “The Agency has determined that effects on strokes or bleeding, including bleeding in the head, were minimal.”

Xarelto, a multibillion-dollar product, is sold by Bayer AG overseas and by Johnson & Johnson in the United States. It is the market leader in a popular new class of medicines designed to replace problematic warfarin, which requires a special diet and regular monitoring to make sure dosing remains within a limited therapeutic range to keep it from becoming either too low, which increases stroke risk, or too high, which greatly raises the risk of serious bleeding.Warfarin, a widely used and inexpensive generic medicine, is also sold by Bristol-Myers Squibb under the brand name Coumadin. Bristol-Myers and Pfizer also sell the Xarelto rival Eliquis.

 

 

#Kroger faces backlash after police, officer’s wife say employees refused to serve them

ertert546fgfdg5646.jpgKroger faces backlash after police, officer’s wife say employees refused to serve them

http://www.foxnews.com/leisure/2016/10/11/kroger-faces-backlash-after-police-supporters-say-employees-refused-to-serve/

Would these employees’ actions be considered “creating a hostile work environment” ?  I would bet that Kroger’s employees’ policy and procedure manual has at least a paragraph about how it is against Kroger’s policy for an employee to create a “hostile work environment” and is probably cause for being FIRED …  If Kroger does follow their own policies and procedures.. it would create a HR NIGHTMARE ….

A Houston-area woman says a teenage cashier at a Kroger supermarket in Spring, Texas, stepped away from the cash register and refused to check out her groceries last week because she was offended by the message on the customer’s T-shirt. It read: “Police Lives Matter / All Lives Matter.”

The incident occurred just a week after a similar situation in Alexandria, La., when a police officer in uniform said a cashier declined to check out her groceries.

In Texas, the woman, who says her husband is a police officer and gave only her first name — Meredith — told KTRK Eyewitness News:

“She was stating that the shirt I had on was basically a slap in the face to her and she was doing everything she could not to cry. She made me feel ashamed to have the shirt on, and I don’t appreciate that.”

The incident has led the Blue Bow foundation, which works to support police officers and their families, to sever ties with the grocery chain.

“She’s trying to go about her daily life and when she got turned away just to simply buy groceries, I knew we had to do something immediately,” said Blue Bow’s executive director Kimberly Colley, who, like Meredith, is the wife of a police officer.

“Our husbands risk their lives every single time they put on those uniforms. They’re walking targets and this is the least we can do to show there is support out there….

“We don’t want to do business with them if that’s how our citizens are going to be treated.”

Meredith said another cashier stepped in to ring up her groceries and that she doesn’t want the first cashier to lose her job, but she would like to hear back from Kroger’s about the multiple complaints she’s made.

In Alexandria, Police Department Pfc. Sabrina Farace said a checkout clerk at a Kroger’s refused to check out her items last month because she was wearing a police shirt, Blue Lives Matter reported.

Farace, who was shopping with her daughter, alleged that a female cashier refused to check out her items and said it was because “she had problems with the police.”

“I have been a customer there for more than 15 years but this is unacceptable to be treated that way no matter what your profession may be nor should it be acceptable to be asked what you do based on their opinions of that profession,” Farace recounted to Blue Lives Matter.

As news of the incident broke, several people have posted on Blue Lives Matter’s official Facebook page, calling on the chain to fire the employees.

 

Join the Webinar: Wednesday, Oct. 12 The Seven Steps to Healing — 4:00 PM EST

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Linda Cheek

Join the Webinar   http://doctorsofcourage.org/

Join me as I present  information on topics important for all people, but especially for people impacted by chronic pain in their lives, and all doctors.
Webinars will be held monthly on various topics. The schedule for the next 4 weeks is:

Wednesday, Oct. 5       The REAL Cause of Drug Abuse —  4:00 PM EST
Wednesday, Oct. 12           The Seven Steps to Healing — 4:00 PM EST

You can join the group by clicking on the button below. Please share this will everyone you know.

Instructions on how to join the webinar:
1. Use Google Chrome or Firefox as your browser to join by computer so you can see the presentation.
2. Once you are on the webinar, go to the upper left corner and click the telephone symbol. Choose either computer or phone for your audio connection so we can talk together.
3. To type in chat, use the little symbol that looks like a cartoon comment box, and type where the cursor shows up.
4. Please join the webinar 10-15 minutes early the first time, so we can get you connected and not interfere with the presentation. Once the presentation starts, I can’t stop to teach people what to do.

 

 

Join Webinar Here

The Bureaucracy’s answer to acetyl Fentanyl/Heroin mixture being sold on the street and killing people ?

whiteflagState allows stronger Narcan doses

http://www.gloucestertimes.com/news/local_news/state-allows-stronger-narcan-doses/article_6eec2134-c420-5914-a82a-629fef687e6f.html

Bureaucratic admission that they have “lost control” of the Acetyl Fentanyl/Heroin being sold on the street and causing people to OD ?

BOSTON — Police officers, firefighters and other first-responders in Massachusetts will be allowed to carry more potent doses of the life-saving overdose antidote naloxone under new state guidelines.

The changes, approved by the state Office of Emergency Medical Services, authorize emergency personnel to carry doses up to 4 milligrams of naloxone nasal spray, sold under the brand name Narcan. Under previous policy, they were limited to 2 milligram doses.

Naloxone can reverse overdoses from heroin and other opioids, but first responders say stronger or multiple doses are often needed to revive patients who have used substances laced with fentanyl, because of its higher potency.

 

“Sometimes they have to administer Narcan four or five times because the drugs are so powerful,” said Lt. Edward Guy, a spokesman for the Andover Police Department.

Massachusetts is one of a handful of states that limited naloxone dosages — a cap that has prevented police and fire departments from accepting some donations of Narcan from pharmaceutical companies.

In July, the Police Assisted Addiction and Recovery Initiative, founded by former Gloucester police Chief Leonard Campanello and Gloucester resident and businessman John Rosenthal, received a donation of 10,000 doses of Narcan from its manufacturer, Adapt Pharma.

The nonprofit group had to divert the 4-milligram doses, which were too high, to fire and police departments in other states.

“With stronger and more dangerous drugs like fentanyl claiming more and more lives each day, stronger, more potent doses of Narcan allow first-responders to save more lives,” Rosenthal said in a statement.

“We cannot save a dead person. Every life saved with Narcan is an opportunity for a person suffering from the disease of addiction to reclaim their life,” he said.

The state’s decision to increase the allowed dosages of nasal spray follows a recommendation by a U.S. Food and Drug Administration advisory committee to increase the minimum amount for an injectable dose of naloxone, which is now 0.4 milligrams.

Narcan counteracts the effects of heroin, OxyContin and other painkillers by blocking certain receptors in the brain.

But recent studies have suggested that higher doses may increase the chances of acute opioid withdrawal syndrome, which can make patients aggressive and even violent. Because of that, some first-responders may be reluctant to administer repeat or future doses, according to the FDA.

Other studies have recommended treating children and young adults — who may accidentally overdose after coming in contact with heroin or other opioids in their homes — with a higher dose because they tend to metabolize naloxone more quickly than adults.

Barbara Herbert, a physician and president of the Massachusetts chapter of the American Society of Addiction Medicine, supports the state’s decision to increase the maximum Narcan dosage.

She said lower doses aren’t as effective with fentanyl overdoses.

“It’s a good idea, as long as we track what happens,” she said. “If we find that it makes people more uncomfortable or difficult for our first responders, then we’ll have to pull back. But there haven’t been any reports of that happening yet, even anecdotally.”

The state’s medical community has debated naloxone doses over the years, Herbert said. During a heroin epidemic in the 1990s, some emergency rooms lowered the injected dosage to 0.2 milligrams to lessen withdrawal symptoms.

“But we’re dealing with stronger heroin, often laced with fentanyl, so we need to respond with a stronger medicine,” she said.

Sander Schultz, Gloucester’s emergency medical services coordinator, said the city’s fire department responds to several calls for accidental overdoses each month, and first responders often administer more than one 2-milligram dose of naloxone to revive patients.

For patients with strong addictions, a strong naloxone dose can also intensify withdrawal symptoms.

 

“So that person whose life you just saved will be in a lot of discomfort,” Schultz said. “They’re going to vomit and become agitated.”

Like most states, Massachusetts has experienced a surge of fatal, opioid-related overdoses. Health officials said preliminary estimates show more than 984 deaths from opioid overdoses in the first six months of 2016 — a number expected to rise as more data becomes available.

Last year, overdoses claimed an estimated 1,659 lives statewide, including 223 in Essex County.

The state has been stockpiling naloxone for cities and towns amid concerns about skyrocketing prices of the drug.

Attorney General Maura Healey reached a deal last August with naloxone manufacturer Amphastar Pharmaceuticals that provided $325,000 for a bulk-purchasing program to acquire and distribute the medicine at reduced prices, averaging about $20 per dose.

In addition to law enforcement, naloxone is made available to the public by pharmacies as an injectable product and nasal spray. School districts across the state have also stocked up on the overdose-reversing drug. Those doses range from 0.4 milligrams for injections to 4 milligrams for the nasal spray.

What’s unclear is whether the state’s decision to increase naloxone dosages will drive up costs for cities and towns.

“Even if the cost doubles, it will still be less than what police departments were paying a few years ago,” said Mark Leahy, executive director of the Massachusetts Association of Police Chiefs. “Overall, this will be far a more efficient way to administer Narcan.”

Christian Wade covers the Massachusetts Statehouse for the North of Boston Media Group’s newspapers and websites, including the Times.

Obamacare expanded existing calorie-labeling requirements

unclesambadMore regulations, more confusion, bigger government!

http://www.sounddollarcampaign.com/more-regulations-more-confusion-bigger-government-1751

OBAMACARE was suppose to be HEALTH INSURANCE… but the Supreme Court declared that the “premiums” were actually a “TAX” and the IRS had to hire an additional 12,000+ employees to oversee the collection of this HEALTHCARE TAX.

Now this “health insurance” is getting involved in calorie labeling requirements that will impact all sorts of relatively small food vendors… while at the same time it has been recently announced that 2017 “premium” increases will AVERAGE 25%.

And there is still abt 30 million of our citizens STILL DON’T HAVE HEALTH INSURANCE… and many of those that do have health insurance now are struggling to pay the premiums and with a $2500 + deductible.. they can’t afford to seek medical care

All of this takes place as President Obama is “walking out the door”… HOW CONVENIENT !!!

Obamacare expanded existing calorie-labeling requirements. The intent was to further regulate the information that food establishments with 20 or more locations provide to customers.

Venues such as movie theaters, sport stadiums, amusement parks, bowling alleys, and miniature golf courses that serve prepared foods are affected. Even vending machine operators face the updated calorie-labeling regs.

Grocery stores, gas stations and convenience stores will also be required to list the number of calories in certain prepared foods that are intended to be eaten immediately.

For example, the rules would apply to turkey sandwiches and individual salads sold at grocery stores, but not larger portions of deli meat or cheese that is sliced up and intended to be eat over the course of a week. Grocery stores’ bakeries would also be exempt from counting the calories in cake.

That means when you’re hungry for lunch, you could look at a 6-inch turkey sub at the deli counter that packs 450 calories … and then shuffle over to the bakery and spot a chocolate cheesecake without any calories noted.

Gas stations and convenience stores will have to list the calories of slushies as well as hot dogs they sell off their grills.

Ice cream shops will be required to disclose the number of calories in each scoop. The same for coffee shops with their muffins. Alcoholic drinks sold in restaurants and bars will need to be labeled, too. Craft beer brewers will have to decide if it is worth the additional cost to try to get their beers into chain restaurants.

One beer maker commented: “It’s freaking beer. Not a diet drink. Beer.”

Now that you have the basics of the Obamacare calorie labeling rules, let’s review the thinking behind them: 

First, obesity a problem

This is a no-brainer.

“It’s freaking beer. Not a diet drink. Beer.” — Protesting beer maker

Most people agree that America has an obesity problem. Obesity can lead to diabetes, cardiovascular disease, sleep apnea, depression, and a horde of other medical issues.

And according to the Centers for Disease Control and Prevention, the trend over the past 30 years has been one way … upward.

Second, fewer calories means you’ll lose weight

Wrong.

Cutting calories doesn’t necessarily result in weight loss. Suppose you consume 200 fewer calories a day. Good for you!

But if that calorie reduction makes you lethargic to the point that you spend an extra 2 hours on the couch, you’ve accomplished nothing. Or worse yet, you might even gain weight.

So cutting calories alone is not a guaranteed cure for obesity.

Diets and other meal plans are extremely complex. Choosing the right foods to help you feel better and lose weight goes way beyond just knowing how many calories a food or meal contains.

If you’re on Weight Watchers’ new Smart Points plan, for example, you’re also supposed to keep a close eye on how much fat, saturated fat, carbs, fiber, sugar and protein you’re taking in.

Plus, wearing a Fitbit will give you calories if that’s what you’re after. In other words, calorie counts (even if they are general ones and not exact) aren’t hard to come by.

Third, labeling will cut the number of calories Americans consume

Wrong.

There is little proof that consumers will read the labels. After all, when was the last time you read those safety instructions in your airplane seat pocket?  

However, there is evidence that restaurant nutritional labeling fails to convince customers to buy lower-calorie meals. Some studies found that less-educated, lower-income individuals — the very group where obesity is most serious — don’t understand the labels.

Even when they do, the desired goal can backfire. For example one survey participant admitted that a restaurant’s nutritional chart induced him to order an alternative with 300 fewer calories. When asked further, he admitted that he made up the difference by grabbing a Snickers back at the office.

Fourth, no harm done if labeling doesn’t work

Wrong.

Calorie labeling takes time and money. The Obama administration estimates businesses across the entire food service industry will spend as much as $1.5 billion and two million paperwork-burden hours to comply.

What’s more, you know the government won’t simply pass labeling regs and turn its back. There will be armies of bureaucrats to make sure the more than 600,000 restaurants in America are following the letter of the law.


It is now perfectly legal — and extremely easy — for you to invest in companies before they go public … setting yourself up for the kind of life-changing gains that were previously reserved just for the Wall Street elite.

Plus, there are even new mutual funds you can buy that are trouncing the results you might be used to in your 401(k) or regular brokerage account!

All of this — and more — is now literally a mouse click away.


Inspectors will be on the lookout for rule-breakers — and they will be issuing citations, which will further hit the pocketbooks of owners, employees and … yes … American taxpayers.

It could be a boon for hungry lawyers, though, who will swoop in as disputes of labeling regulations surge.

What you can do

The new labeling regs were to take effect in November 2015. But a group of senators demanded that the FDA delay the rules. The senators said:

“While we recognize the benefit of improved access to nutritional information for consumers, we are concerned that the lack of clear and consistent guidance from the agency will make it difficult, confusing, and burdensome for businesses, particularly smaller businesses.”

Congress then came up with the Common Sense Nutrition Disclosure Act (H.R. 2017), meant to correct this unintended consequence of Obamacare. In truth, though, it allows Big Food to play number games.

For example, with the new legislation, they will be able to decide that a serving is only one-half of a sandwich and note the appropriate number of calories per that serving. So you’ll feel pretty good about consuming only 320 calories when you are actually taking in 640.

Pizza chains will be allowed to list the number of calories by the slice instead of by the box. The reasoning is that people don’t eat a whole pizza; they eat on average two slices. So you can expect the sizes of your pizza slices to shrink to make the calorie count lower. But will you stick to two slices? Doubtful.

Washington’s concern about our well-being and coming up with ways to protect us from ourselves is touching. However, you need to ask yourself:

Have we become so ignorant that we need the government to tell us that a hot dog and a slushie have a whole lot more calories than a bottle of water and a carrot stick? Or is calorie labeling just another scheme by politicians to expand their powers over our everyday lives and pushing us closer to becoming a nanny state.

On Feb. 12, the House of Representatives passed the Common Sense Nutrition Disclosure Act. You can see how your Representative voted here. It must next pass through the Senate, then onto the President before it becomes law. If you agree with me that this bill is a waste of your hard-earned taxpayer dollars and another intrusion on our everyday lives, here is a letter to consider sending to your Senators. Click here for their e-mail addresses.

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Re: The Common Sense Nutrition Disclosure Act

Dear Senator ______:

The Common Sense Nutrition Disclosure Act is anything but common sense. It’s just more regulation on top of more regulation that will do little or nothing to reduce the obesity problem our country faces. The real crisis lies with low-income families, many of them people of color, whose health is already at risk because they live in food deserts, and have less disposable income to buy fresh fruit and vegetables.

They’re stuck having to purchase from small community grocery stores and convenience stores, which are filled with processed food options that tend to be high in fat, sugar, salt, and artificial ingredients.

Come up with a strategy, for example more community gardens, to put healthier food on their doorsteps, and you’ll be on the right path. For now though, I urge you to vote against The Common Sense Nutrition Disclosure Act when it comes before the Senate.