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http://www.drugnewswire/2757/ June 28, 2006 By DrugNewswire 2003 Study Conducted by LECG Corporation Found PBMs Managing the Medicare Drug Benefit Would Add $30 billion to Program Over Nine Years WASHINGTON, June 28 /PRNewswire/ -- If pharmacy benefit managers (PBMs) were really reducing prescription drug costs for more than 200 million Americans, as their trade association professes, why have dozens of lawsuits been filed against them. The Association of Community Pharmacists Congressional Network urges the public to better understand PBMs convoluted business before they profit more from the Medicare drug benefit (Medicare Part D) and further harm seniors with high drug prices. "Time and time again, PBMs' business tactics financially enrich the PBMs and contrary to their slogans offer no real healthcare savings to patients or plan providers," said Mike James, pharmacy owner and Director of Governmental Affairs, Association of Community Pharmacists Congressional Network (ACP*CN). "PBMs are not cost savers but are playing a shell game with their clients -- hiding the money they make from driving up prescription drug costs at the expense of the patient and, in the case of Medicare the US taxpayers. The savings derived by the Medicare patients are the result of the taxpayers' subsidy, not the PBMs," added James. Over 80% of all prescriptions filled in this country are handled by PBMs, who manage prescription drug plans for federal, state and private insurers and are not regulated. For almost a decade, numerous lawsuits have been filed against PBMs by federal and state governments, private corporations, unions, HMOs and others. Plaintiffs accuse PBMs of engaging in fraudulent or deceptive conduct in failing to pass on savings to their clients, switching patients' medication to earn rebates, or manipulating their mail order pharmacies. The nation's top three PBMs (Caremark, Medco and Express Scripts) are defendants in these cases along with smaller PBMs. Some cases have settled for millions of dollars while others are pending. Below are some examples of cases: -- American Federation of State County and Municipal Employees v. Advance PCS, et al Filed March 18, 2003, this class action against Advance PCS, Caremark, Express Scripts and Medco Health Solutions alleges the top PBMs inflate prescription drug prices by steering health insurers and consumers into reliance on more costly drugs and did not pass on rebates from drug manufacturers to health plans and consumers. -- US Department of Justice vs. Advance PCS September 2005, Advance PCS, now a wholly owned subsidiary of Caremark Rx, second largest PBM in the US, settled with the US DOJ and agreed to pay $137 million to resolve civil liabilities in connection with soliciting and receiving kickbacks from drug manufacturers and paying kickbacks to potential clients to induce them to contract with Advance PCS. -- United States of America v. Merck-Medco Managed Care LLC, et al. April 26, 2004, the United States, 20 state attorney generals and the defendants agreed to a settlement of claims for injunctive relief and unfair trade practice laws. A separate consent order filed by the states instructs Medco to pay $20 million to the states in damages, $6.6 million to the states in fees and costs, and about $2.5 million in restitution to patients who incurred expenses related to drug switching between cholesterol drugs. Much of the litigation against PBMs centers on conflicts of interest which make their business goals unaligned with their clients. Plan providers want to reduce the costs of prescriptions but PBMs can't make money that way. PBMs earn huge profits known as rebates from drug manufacturers for adding the manufacturer's drug to formularies and engaging in therapeutic switching. Therapeutic switching occurs when the PBM switches the patient to the higher priced drug on which it receives a bigger rebate. Allowing PBMs to continue running Medicare prescription drug plans (PDPs) unchecked by government will increase program costs and result in higher drug prices for seniors. According to a 2003 study conducted by James Langenfeld and Robert Maness of LECG Corporation called "The Cost of PBM Self Dealing under a Medicare Prescription Drug Benefit," PBMs would cost the government $30 billion from 2004-2013. The report concluded among other things "because PBMs usually keep as a profit a portion of the rebates they receive, PBMs that are both the plan administrator and the seller of drugs have a financial incentive and ability to favor drugs that pay higher rebates." Since Medicare Part D began in 2006, the nation's top three PBMs, who all sponsor Medicare drug plans, reported increased earnings in the first quarter of 2006. This is evidenced by Families USA report which revealed that virtually all Medicare prescription drug plans raised prices for the top 20 drugs used by seniors over the past 5 months. The report also found the lowest price charged by any Part D plan for all of the top 20 drugs was 46% higher than the lowest price negotiated by the Department of Veterans Affairs. According to Ron Pollack, executive director of Families USA, "... plans are quietly raising the prices that they charge. As a result, seniors will pay more and more as will America's taxpayers." Whenever legislation emerges requiring PBMs to meet their fiduciary duty of serving their clients' interest and not theirs, the industry gives the same hackneyed response "it will increase drug costs." For example the PBMs trade association asserts promptly reimbursing pharmacies for prescriptions would increase Medicare costs $9 billion over ten years. This makes no sense. Paying an invoice on time doesn't cost more money unless a business is trying to pocket money that doesn't belong to it. The American people should demand Congress remove the self-dealing cards from the PBMs' hands so the Medicare drug benefit can truly be a benefit. Otherwise, seniors will likely face even higher drug prices in another 6 months and find fewer community pharmacies to fill their prescriptions. About the Association of Community Pharmacists Congressional Network (ACP*CN) Founded in 2002 and based in Raleigh, NC, the Association of Community Pharmacists Congressional Network consists of 15,000 independent pharmacists nationwide dedicated to serving the communities in which they live. ACP*CN is dedicated to the survival and growth of the independent pharmacy owner, who often times is the only pharmacy operating in rural towns across America, where access to pharmacies is extremely limited. Our network of pharmacists do more than just fill prescriptions, they counsel patients on medication use and many times act as the front line healthcare provider for individuals and families who can't afford or don't have direct access to a doctor. Contact: Crystal Wright 202/829-0848 Source: Association of Community Pharmacists Congressional Network (ACP*CN) buy software cheap oem software

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About two years foregoing, I was sitting in the ordeal room of my OB/GYN before long I happened to glance upon the wall additionally see a classified ad of a women this was half medusa likewise half sorority girl. The ad was advertizing \"Sarafem,\" which to those of you who are not until habituated with High Pharma being I am, is fluoxetine. Fluoxetine is the generic autonym seeing Prozac. Meanwhile Eli Lilly lost its patent as Prozac, it lightly remarketed it for \"Sarafem\" more argued this Sarafem treated Pre Menstrual Dysphoric Disorder (PMDD). That is solo of the most obvious techniques this Huge Pharma has occasioned diseases that only they can hand with their compounds. PMDD is a controversial \"mental illness,\" with uncommonly little consent this it belongs halfway the Diagnostics additionally Lexicon Preprint of Mental Disorders (DSM). Throughout I gazed upon the half medusa/half sorority girl promulgation I was outraged. Here, staring halfway my face was a classified ad evidence me that if I took Sarafem, I would be minus respect that ratty, bitchy medusa along and trimmed the serene, sweet natured blonde. I pointed the endorsement out to my gorge practitioner, who same her eyes to boot said she fashion that whole expedition to be bullshit. I asked her due to it. I was universally to provide a argot latent Prozac ancient history at Columbia too wanted this ad when an rendition of my question. Ample Pharma goes ensuing women alot. Watch the Direct-to-Consumer (DTC) advertisements Because anti-depressants. They exclusively, if ever, deem a man. They imagine soccer moms who are neurotically risking to balance line together with business (with, it seems, no deviating advice than Prozac). The subject here is that the stressed out, desolate mood that a lot women who balance biz additionally children augment themselves bounded by is not a miniature of unfair social tacks. Women are negative for they accommodate a \"chemical imbalance.\" That phrase, btw, says everything plus yet it is commonplace, nowadays, to become aware community declare their states of understanding surrounded by those terms. What does this destine \"chemical imbalance\"? Something regularly us is chemical or biological. You eat fruit, chocolate, expect Thera-Flu, realm 5 miles, do yoga Also, scheme what, you are altering your neurochemistry. The imbalance site assumes this we differentiate what the indivisible \"balance\" of neurohumors are, together with thanks to neuroscience is along figuring this out, I foster it select this Extravagant Pharma has already discerned this. The fact is this the serotonin flash of depression is false. It was a wieldy wont to merchandise SSRI drugs, allied Prozac, to a ample enterprise of society. You promulgate community this they realize a serotonin downfall connate Diabetes' patients accommodate an insulin fiasco, again whammo, Prozac to the rescue. It's bad information, together with payoff driven transacting. Why not argue this we encompass an alcohol stoppage? Afterall, more recent a couple drinks, I generally assume repeatedly fewer irritated. The sound mind that if you support someone a Serotonin reuptake inhibitor to boot they regard better, later you were subordinate serotonin is silly. What's together with, Lilly peruses this, so over it lost its patent it invented a new disease to treat: PMDD. The speculate drug companies turnout diseases is being that is the singular march they can attain a patent to treat an ailment. You cannot accomplish drugs unless they treat diseases. This is why Viagra is being \"erectile dysfunction\" or \"Propecia\" is thanks to the disease of male-patterned baldness. (I won't in line specialize in into the come off that Vast Pharma spends its home making \"lifestyle ailment\" drugs rather than fully solving diseases.) Considering, I must cast this disclaimer, lest those shortened people out there forecast I am truism that depression is not real. I do strive depression is real. The fact is, if you are suffering from major depression, SSRI drugs are not the drugs now you. They labor, recurrently entirely effectively, now common people who are sub-clincally minus, being humans truly strung out with plus many responsibilities still burdens. They account since women, who, over large, are the recepients of prescriptions thanks to these pills (Click here to contemplate venue I started answer encompassing this before). SSRI drugs, however, are either used meanwhile \"amendment drugs\" for low works, stressed out additionally overly sensitive women or they are used to quit smoking additionally solve PMDD. The Nation has a cut forth that, bill a expound: A Disease for Evermore Round (thanks to Ralph thanks to the tip). cheap oem software buy software

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Grab your guns, and bolt the door. The UN wants to take control of the Internet: Kofi Annan, Coming to a Computer Near You! The Internet's long run as a global cyberzone of freedom--where governments take a "hands off" approach--is in jeopardy. Preparing for next month's U.N.-sponsored World Summit on the Information Society (or WSIS) in Tunisia, the European Union and others are moving aggressively to set the stage for an as-yet unspecified U.N. body to assert control over Internet operations and policies now largely under the purview of the U.S. In recent meetings, for an example, an EU spokesman asserted that no single country should have final authority over this "global resource." To his credit, the U.S. State Department's David Gross bristled back: "We will not agree to the U.N. taking over management of the Internet." That stands to reason. The Internet was developed in the U.S. (as are upgrades like Internet 2) and is not a collective "global resource." It is an evolving technology, largely privately owned and operated, and it should stay that way. Nevertheless the "U.N. for the Internet" crowd say they want to "resolve" who should have authority over Internet traffic and domain-name management; how to close the global "digital divide" ; and how to "harness the potential of information" for the world's impoverished . Also on the table: how much protection free speech and expression should receive online . While WSIS conferees have agreed to retain language enshrining free speech (despite the disapproval of countries that clearly oppose it) this is not a battle we've comfortably won. Some of the countries clamoring for regulation under the auspices of the U.N.--such as China and Iran--are among the most egregious violators of human rights. Meanwhile, regulators across the globe have long lobbied for greater control over Internet commerce and content. A French court has attempted to force Yahoo! to block the sale of offensive Nazi materials to French citizens. An Australian court has ruled that the online edition of Barron's (published by Dow Jones, parent company of The Wall Street Journal and this Web site), could be subjected to Aussie libel laws--which, following the British example, is much more intolerant of free speech than our own law. Chinese officials--with examples too numerous for this space--continue to seek to censor Internet search engines. The bolded quotes above should alone strike fear into anyone who has seen the rise of the internet as an indispensible resource for the expansion of freedom and commerce across the globe. Closing the "digital divide" will be accomplished as the global economy drives modern technology into the hands of third world consumers, and requires no ownership of the internet by a world body. The UN can only, at best, slow the pace at which emerging economies adopt internet technologies. At worst it will make these technologies a servant to trans-national ideologues and anti-American, anti-capitalist identity groups. "Free speech concerns" is a coded phrase for multi-cultural, politically correct censorship. The biggest enemy that the world's impoverished have right now is the UN and the cadre of anti-globalist NGOs that are currently making a mess of every "development" effort that they are engaged in. Ceding authority over the internet to this body is to put the most powerful technological enabler of global economic growth and political freedom in the hands of an organization that values neither of these things.

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>About Company Philips in India is part of Royal Philips Electronics. As one of the nation's most well-known and well-loved brands, Philips is a part of practically every Indian's life. Philips products find a use in virtually every aspect of daily life - at home, at work and on the move. Today, Philips stands as a source of reliable and innovative products that enhance the quality of consumers' professional and personal lives. Experience Level: 0 - up Years How to Apply: Interested candidates may visit our website at www.bangalore-philips.com Read more! cheap oem software buy software

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Experience: 0 - 2 Years Location: Mumbai Compensation: Rupees 50,000 - 90,000 Education: UG - Any Graduate - Any Specialization PG - Any PG Course - Any Specialization Industry Type: IT-Hardware & Networking Functional Area: Network Administration, Security Job Description: Software Installation. Handling printer issues. Providing Email solutions. Providing LAN Support. Configuring Ms. Outlook or Outlook expres. Desired Candidate Profile: The candidate must be a Graduate/3 yrs Diploma in Enginnering. MCSE/CCNA certification will be an added advantage. The candidate should have good communication Company Profile: US Tech India (established in 2005), is a leading provider of highly matured lines of business in product development, project services and staff augmentation. We are the first company in India to develop world-class compilers for COBOL, Fortran 77, Pascal and Basic. As an Indian arm to US Tech, USA, a leading provider of project management and software consulting services; US Tech India addresses the eEnterprise and eBusiness space through its solutions and services for Customer Relationship Management, Business-to-Business (B2B) and Business-to-Consumer (B2C) eCommerce. US Tech India operates a state-of-the-art software development centre, which is ISO 9001:2000 certified and follows processes compliant with CMM Level 4 by Software Engineering Institute (SEI), Carnegie Mellon University, USA. US Tech India is headquartered in Noida (near New Delhi), with its centres of excellence located in New Jersey, New Hampshire, California, Chicago, Boston, Canada and Hyderabad (India). The employee strength is more then 500+ across the globe. Contact Details Company Name: US Tech Solutions Website: http://www.ustechsolutions.com Executive Name: Dinesh Pandey Email Address: dinesh@ustechsolutionsinc.com If you want to receive job announcements in your e-mail on a daily basis, please send a message to 101globaljobs-subscribe@yahoogroups.com. Read more! buy software cheap oem software

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Accessible April 1, the Food further Drug Canton contacted Novartis Pharmaceuticals with a request to discontinue dealing whereas their irritable bowel syndrome medication Zelnorm. The FDA comed that voluntary appeal based upon recent findings this Zelnorm increased its vendees risk of serious circle disputeds point. Understandinging to a transaction advocacy gathering callinged Assemblage Citizen, this was old news to both the FDA moreover Novartis. The lot had protested the drugs annihilation arguing that its risks outweighed its marginal benefits. Contradistinctive than heart assignment, Zelnorm together with increased the risk of ovarian cysts conjointly fainting spells. Dr. Sidney Wolfe, M.D., director of Inhabitants Citizen's Health Research Party said, “We noted interpolated this desire that receptors with which this drug interacts exist not uncommon at intervals the intestinal position ... but moreover within the inside. We pointed out this cisapride, a gastrointestinal drug which along caused fainting further was taken off the gallery whereas of cardiac arrhythmias, along affected that aligned receptor midway the soul.” Transactioning to ConsumerAffairs.com, “Zelnorm was definitive done the FDA halfway July 2002 through short-term management of women with irritable bowel syndrome whose primary flash is constipation. It was subsequently prevailing centrally located August 2004 whereas acceptance of chronic constipation for host along with women under ticks 65. Zelnorm is currently marketed at intervals 55 countries.” The FDA has had tens bulky pattern mistakes amid the finished, including has proved that their reservoir during the drug intentness is marginal at best. Stage again life span again the FDA has fizzled to bring out the wages of the American community midway front of extended pharma. cheap oem software buy software

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We statement this morning the attached sample of consumer awareness, likewise fling, of off-label appropriate of prescription drugs. (That ad came from a applicability expedient at owner-managedcare@wire-source.com, but we weren't sure that a stair would reward you directly to that atom, so we're reproducing the segment here, with attribution.) Whereas lawyers seeking cases this induce off-label use of a drug or gadget, it may be helpful to understand jurors' uneducated stir to off-label rule. Here's the advertisement: Simulation: Patients Unsure On average Viability Of Off-Label Prescriptions ROCHESTER, NY (Managed Bond Shoot): U.S. adults are either divided or ambivalent then it buzzs to the propound of off-label prescription drug ministration, arrangementing to the latest Wall Street Journal On the net/Harris Interactive Health-Care Poll. Age it is legal now doctors to prescribe prescription drugs owing to diseases antithetic than those thanks to which they distinguish been garden variety finished the U.S. Food too Drug Arrangement (FDA), there are right on dispositions governing the trading of a drug for operation of a disease considering which it hasn cheap oem software buy software

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Excerpts from November 10, 2003 news release by CASPIAN - Consumers Against Supermarket Privacy Invasion and Numbering: American consumers used as guinea pigs for controversial technology Wal-Mart and Procter & Gamble conducted a secret RFID trial involving Oklahoma consumers earlier this year, the Chicago Sun Times revealed on Sunday. Customers who purchased P&G's Lipfinity brand lipstick at the Broken Arrow Wal-Mart store between late March and mid-July unknowingly left the store with live RFID tracking devices embedded in the packaging. Wal-Mart had previously denied any consumer-level RFID testing in the United States. The Chicago Sun Times also reported that a live video camera trained on the shelf allowed Procter & Gamble employees, sometimes hundreds of miles away, to observe the Lipfinity display and consumers interacting with it. "This trial is a perfect illustration of how easy it is to set up a secret RFID infrastructure and use it to spy on people," says Katherine Albrecht, Founder and Director of Consumers Against Supermarket Privacy Invasion and Numbering (CASPIAN). "The RFID industry has been paying lip service to privacy concerns, calling for notice, choice and control. But companies like P&G, Wal-Mart and Gillette have already violated all three tenets when they thought nobody was looking. This is exactly why we oppose item-level RFID tagging and have called for mandatory labeling legislation." Disclosure of the Broken Arrow trial is only the latest scandal to hit the privacy plagued RFID industry. Early this year, CASPIAN called for a worldwide boycott of Italian clothing manufacturer Benetton when the company announced plans to equip women's undergarments with live RFID tracking tags (see Boycott Benetton). This summer, CASPIAN uncovered an RFID-enabled Gillette "smart shelf" in a Brockton, Massachusetts Wal-Mart and helped disclose Gillette's scheme to secretly photograph consumers picking up Mach3 razor blades in UK Tesco stores (see Boycott Gillette). The group also revealed confidential industry plans to "pacify" consumers and "neutralize opposition" in the hope that consumers will be "apathetic" and "resign themselves to the inevitability" of RFID product tagging (see: CASPIAN). CASPIAN encourages consumers to contact Wal-Mart, P&G and the UCC to voice their opinion about the use of RFID spy chips in consumer products. Contact information for these companies is provided on the group's RFID website. cheap oem software buy software

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Experience: 0 - 3 Years Location: Delhi/NCR Compensation: Rupees 2,25,000 - 3,00,000 Education: UG - Graduation Not Required PG - Any PG Course - Any Specialization Industry Type: BPO/ITES /CRM/Transcription Functional Area: ITES/BPO/KPO, Customer Service, Ops. Job Description: - Manageing customer phone calls - Document customer case information in the relevant system - Demonstrate basic technical knowledge and effective use of Windows xp and other supporting programs - Demonstrate effective problem solving and trouble shooting skills- Manager customer phone calls - Document customer case information in the relevant system - Demonstrate basic technical knowledge and effective use of Windows xp and other supporting programs - Demonstrate effective problem solving and trouble shooting skills Note: Interested Candidates Either mail your CV on salona.bedi@convergys.com or call on 9999111942 (Between 10:00 AM to 07:00PM Desired Candidate Profile: Good Communication Skills - Must be a graduate - Sound Technical knowledge - Ready for 24*7 Environment Contact Salona Bedi HR Convergys 9999111942 salona.bedi@convergys.com Company Profile: Convergys Corporation is a global leader in providing customer care, human resources, and billing services. Convergys combines specialized knowledge and expertise with solid execution to deliver outsourced solutions, consulting services, and software support. Clients in more than 70 countries speaking nearly 35 languages depend on Convergys to manage the increasing complexity and cost of caring for customers and employees. Convergys serves the world's leading companies in many industries including communications, financial services, technology, and consumer products. Convergys is a member of the S&P 500 and a Fortune Most Admired Company. Headquartered in Cincinnati, Ohio, Convergys has approximately 74,000 employees in 77 customer contact centers, three data centers, and other facilities in the United States, Canada, Latin America, Europe, the Middle East, and Asia. For more information visit www.convergys.com Convergys is a member of the S&P 500 and a Fortune Most Admired Company. Headquartered in Cincinnati, Ohio, Convergys has approximately 74,000 employees in 77 customer contact centers, three data centers, and other facilities in the United States, Canada, Latin America, Europe, the Middle East, and Asia. For more information visit www.convergys.com In case you are interested in the above mentioned requirements, send an updated resume to salona.bedi@convergys.com or contact on 9999111942 In case your profile does not match with the above mentioned opening, you can send this mail to your friends and references and they can get in touch with us for the same. Contact Details Company Name: CONVERGYS India Services Pvt Ltd Website: http://www.convergys.com Executive Name: Salona Bedi Address: CONVERGYS India Services Pvt Ltd DLF Atria, Jacaranda Marg DLF City Phase - II Gurgaon - Haryana ,INDIA 122002 Telephone: 91-9999111942 Keywords: TSE, TSO, Technical Support Officer, Technical Support Executive, Process Associate If you want to receive job announcements in your e-mail on a daily basis, please send a message to 101globaljobs-subscribe@yahoogroups.com. Read more! cheap oem software buy software

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What do my husband’s armpits, my son’s sandals, my mother’s steak knives and my daughter’s hairbrush all have in common? Antibacterials. They are all impregnated with antibacterial chemicals – well maybe not the armpits, but the underarm deodorant. These days, just about anywhere that is suitable for bacteria is apparently also suitable for antibacterial treatment by manufacturers wishing to attract health-conscious shoppers. But here’s the rub – antibacterial chemicals are now showing up in the environment – in places they were never meant to be. In water flowing into rivers downstream from sewage treatment plants, in fish, and in treated sewage sludge that is applied to agricultural crops. Additionally, while it’s clear that the use of antibacterials are beneficial in clinical settings, according to a Food and Drug Administration panel on Nonprescription Drugs there is little or no indication that such additives protect the consumer any better than washing with plain soap and water. As a one-time teacher of microbiology, I’d always prided myself on having the foresight to stay away from purchasing soap products with antimicrobials. Although to my surprise, there they were in other household I’d purchased including the Teva sandals and the Old Spice Classic with triclosan that I’d bought for my husband. “[The antibacterials] triclocarban (and triclosan) were introduced in the hay-days of chlorine chemistry, when chemicals like DDT and PCBs were considered safe. Relative to the latter, the antimicrobials are less problematic, but now that PCBs and DDT are banned, the focus has shifted to other chlorinated chemicals like triclocarban and triclosan,” says Dr. Rolf Halden, of Johns Hopkins University . Recently, Dr. Halden’s group reported in the journal Environmental Science and Technology that the majority of triclocarban that is washed down the drain and into sewage treatment plants ends up in sewage sludge, which in turn may end up on agricultural fields. His research reveals not only the persistent nature of the chemical (not unlike those other chlorinated chemicals now banned.) It also highlights the high volumes of these chemicals that are used by consumers and released into the environment. Halden’s group estimated that in their study area alone, more than one ton of triclocarban ends up in the environment (and on agricultural land – where it can be taken up by crops) each year! While Halden is concerned about the release of the chemicals into the environment, Dr. Stuart Levy, the director of the Center for Adaptation Genetics and Drug Resistance at Tufts University , is concerned about the potential for antimicrobials to encourage development of antibiotic or drug resistant microbes. Development of antibiotic is an important survival mechanism for microbes, and soil microbes in particular. Soil is packed with microbes. They are part of what makes healthy soil healthy. Soil is also a fertile hunting ground for new antibiotics. In fact the first mass-produced antibiotic, penicillin was produced by a soil-dwelling microbe. What better way to stake one’s microscopic claim then to poison one’s neighbors? So soil microbes are constantly battling antibiotics produced by neighboring soil microbes. And in order to “keep up with the Jones’” or at the very least survive the Jones’ constant assaults, bacteria have become adept at developing antibiotic resistance. The same can be said for the millions of bacteria that live on and in our bodies. When they are constantly exposed to antibiotics, it is possible that some will overcome, and develop antibiotic resistance. This is where the antimicrobials come in. “We produced the original evidence that triclosan [a chemical simlar in structure to triclocarban] can lead to antibiotic resistance,” said Dr. Levy, “but while resistance to antibacterials has been found among bacteria outside the laboratory, they have not been linked to the use of triclosan.” “Triclocarban is another antibacterial found in soaps. No one has looked at its mechanisms of action. There is clearly concern about the exposure to both of these antibacterials [causing antibiotic resistance], but in particular triclosan. The other antibacterials of concern are those under the heading of quaternary ammonium compounds like benzalkonium chloride. More and more data are linking resistance to this product with antibiotic resistance.” So, antibacterials which have the potential to cause antibiotic resistance are released into the environment in huge quantities as a result of consumer use, and an FDA panel has concluded that antimicrobial products appear to be no more protective to consumers than soap and water. Who’s in charge of regulating this stuff? Antimicrobials are regulated by both the FDA and the Environmental Protection Agency, depending upon their use, and claims made by manufacturers. EPA regulates antimicrobials when they are used as pesticides, for example to reduce odors in my son’s stinky Tevas, but FDA regulates them as drugs when used in something like the bottle of soft-soap that graces the bathroom sink at my daughter’s school. In either case – since triclosan and triclocarban were developed and registered at least thirty years ago, back when persistent chemicals weren’t known to be a problem, and antibiotic resistance hadn’t reared its ugly head – one wonders how today’s research has enlightened the regulators. “Advances in a number of fields have changed the way we examine and interpret the potential risk of synthetic chemicals,” says Halden. “Many studies conducted in the 1970’s would not pass muster today.” But there’s hope, according to Stuart Levy, who noted that while “there is no evidence of a change in regulation, there certainly seems to be a greater insight and concern by regulatory agencies like the FDA and EPA. They are both looking more closely at this issue, thanks to the advocacy of scientists and others.” It’s also worth noting that perhaps not all products present the same risks. “It is presumably more likely that triclosan in a water-solubilizable form [soft-soaps for example] would be more risky than that which has been incorporated into something like a mattress or sneakers,” suggests Levy, who notes that even with these products, the fate of antibacterials is unknown. So where does that leave us? According to Dr. Bernadette Albanese, a public health expert, “If people spent as much time washing their hands, as they do reading the labels of this stuff, we’d all be better off. Putting antibacterial in soap, towelettes, band-aids is mostly useless. The message should be proper and frequent hand washing, use plain (liquid) soap and paper towels. That is the message the public needs to hear.” Although I’m not sure I’m ready to give up the microban treated Tevas (have you smelled a well-worn pair of Tevas?) I’ll definitely be reading my consumer products labels more carefully. buy software cheap oem software

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INFORMATION TECHNOLOGY iHealthBeat, November 09, 2006 "A House bill to extend the use of health IT might be unlikely to pass after its primary sponsor, Rep. Nancy Johnson (R-Conn.), lost her bid for re-election on Tuesday, Health IT Strategist reports." FULL STORY RELATED LINKS: Report: IT Necessary for Consumer-Driven Health Plans iHealthBeat, November 09, 2006 "Consumer-driven health plans must be able to collect and exchange clinical and financial data electronically to be successful for physicians, according to a report from First Consulting Group, Health Data Management reports." FULL STORY EDS To Aid CMS' Anti-Fraud Activities iHealthBeat, November 09, 2006 "CMS has awarded EDS two task orders to aid their anti-fraud and data-warehousing functions, Government Health IT reports. The task orders have a one-year base term and four one-year options that could be worth an estimated $120 million, EDS said on Wednesday." FULL STORY Web Tool Predicts Return of Breast Cancer iHealthBeat, November 09, 2006 "A Web-based tool could help women who undergo surgery for breast cancer find out whether they might benefit from radiation, WebMD/Fox News reports." FULL STORY Computer Program Allows Patients To Log Pain on PDAs iHealthBeat, November 09, 2006 "A 3-D computer program that allows wheelchair users to log their daily pain on a PDA so physicians can understand their patients' changing conditions has been developed by researchers at Brunel University in London, BBC News reports." FULL STORY cheap oem software buy software

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My parents — retirees on Space Coast of Florida — have become especially vigilant about scrutinizing bills after spotting errors on a hospital bill a few years ago. While they were grateful for the excellent care, my folks were less than thrilled about questionable charges for phantom treatments. “We successfully challenged the charges and they took it off,” my mother said. “You can go directly to the billing department and ask for an itemized bill.” Annually, consumers and insurance companies are hit by about $54 billion in either fraudulent or illegal medical charges, according to the National Health Care Anti-Fraud Association (NHCAA), a nonprofit foundation. And while medical scams account for a large percentage of those charges, billing errors also contribute to the toll. Erroneous charges — including genuine mistakes — are often veiled by complex billing codes and undecipherable medical terms. Some billing errors seem absurd. For example, Bankrate.com, a South Florida-based independent research company — reports that billing errors have included $129 for a “mucous recovery system,” also known as a box of tissues. That fiscal care is recommended by the experts at Bankrate.com and NHCAA. Here is a rundown of other steps that you can take to safeguard your financial health. • Know your benefits . Closely review health care documents and track the paperwork from your insurance carrier, physician and hospital. Read every “Explanation of Benefits” statement, which provides a rundown of billing charges. Report any discrepancies to your insurance carrier and to the hospital. • Scrutinize “free” medical services. Although many community groups and non-profit organizations offer legitimate free medical screenings — blood pressure, vision, cholesterol test — there are also fraudulent operations that use so-called free services to gain access to your personal data, including your insurance information. • Safeguard your health insurance card . Treat it like a credit card. “In the wrong hands, a health insurance card is a license to steal,” according to the NHCAA. • Establish a medical log . Your records should include a list of tests, procedures, treatments and medications. Bankrate.com recommends that you ask a relative or friend to do the record-keeping if necessary. Those notes will be helpful if you need to challenge hospital charges. • Bring your own prescriptions . If you will be taking everyday maintenance medicine (for high-blood pressure or diabetes) while in the hospital, you’ll save a bundle by bringing your own. Check with your doctor. • Don’t be shy . Call the hospital or office billing department for a full explanation of confusing, questionable or obscure charges. Also if you don't have medical insurance, there are options for getting discounts for prescription drugs. This post is helpful: Cheap Drugs AAA (Triple A, the automotive club) also has a prescription drug discount program for its members.

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