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This blog has been quiet lately, as a number of other things have taken place. I was in Adelaide from last Saturday to last Tuesday, at the 70th anniversary celebrations and award presentation at the State Library of South Australia, and at the ALIA Board on Sunday, and at the public libraries conference, Sunday and Monday. And I attended a meeting of the NetAlert Advisory Council in Sydney last Wednesday. You may have noticed the announcements by the Prime Minister and by the Minister for Communications, Information Technology and the Arts of a $189 million funding program intended to make the Internet safe for children. So we needed to send out some information about that. You can read ALIA's press release, issued yesterday, here. You can also listen to the Prime Minister's podcast, and some coverage relating to libraries about Senator Coonan's announcement. As you can imagine, all of this ALIA activity has led to a need for a little balance, so I am listening to Garrison Keillor while I write this. It is possible that balance is not quite the right term for this activity. And I am aware that Keillor's idiosyncratic combination of the sentimental and the wacky is not necessarily to everyone's taste - like melted cheese on noodles (apparently a Minnesota favourite) but the show is sponsored by Bertha's Kitty Boutique - "for persons who care about cats. And now here is Dr Phil with Cat Call-in Corner ..." - so bound to be a favourite with many librarians. Take this as a short personal halt in the serious business of being a libraries blogger. Tomorrow I will share some thoughts about titles in libraries, and later next week I will send some thoughts on the Commonwealth Government's new program to provide us all with free filters. buy software cheap oem software

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Titles are very important, especially in universities, where they are often used instead of money as a means of rewarding people. They can often make people feel good about themselves. Although this leads to a steady title creep or title inflation, little harm may be done. The staff receive something which they value, and the university is able to stretch its budget a little further. The language is subtly and gradually changed, which is not necessarily a bad thing. Thank you to those who have comments on the term title creep. Kim suggested that we should have simple and generic titles, and Andrew pointed out the interesting Information Consultant, Information Awareness and Literacy Services at the University of Melbourne. But he asked "Why not call a spade a spade?" My point in this post is that we can use titles to achieve benefits for our workforce, rather than aiming to use simple words to represent straightforward concepts - always a difficult process. The reason we do not always call a spade a spade is because we don't have to - language is rich and varied, always changing, and always accessible for a wide variety of purposes. We want our staff to feel good about their jobs. For our immediate environments (in my case, a university) titles carry meaning in ways other than the literal. I suspect that our customers rarely notice or care, but we do, and our peers in our working environment do. So, we need nice titles. In the library world, including the university library world, we have experienced less title creep, and less exuberant proliferation of titles than in other areas. There is certainly title creep in the academic sphere - as Cullen Murphy suggests, most commonly as "the extension of restricted honorifics to an ever widening circle of claimants." Murphy suggests that the new discipline of managing the development of titles might be called exaltametrics. In our own world we have benefited little from title creep. While in the field of information technology there is a wide range of new and more elevated titles, this is not the case in libraries. IT directors become Chief Technology Officers, the title creeping across new territory, too. Multiple titles proliferate. New terms define whole new sub-professions (business analysts) or new metaphors are taken from other professions (architects, for example). Perhaps libraries have tried to be too narrowly descriptive in the way they invent titles. Perhaps they have been too tied to the term "librarian". Perhaps they have been too afraid to cannibalise terms used by other sectors, such as "dean", although this has begun to happen in the United States. The new positions now being created throughout Australia as a result of the RQF (the Research Quality Framework) are a case in point. The generic term for the library end of this potential cornucopia of Australian library titles has now become pretty universally "repository manager". Not a great invention; the term "repository" is pretty much incomprehensible outside libraries, and the term manager is generic in the extreme. At Swinburne we use the term "Content Management Librarian". And what about Content Architect? What kinds of terms might we use in this new sphere? I am thinking my way through this one, with my colleagues, and here are some thoughts about titles for repository staff. Online content is the sphere of activity, so Online Content Officer or Online Content Librarian is good, and makes a wider claim. Or perhaps Online Content Supervisor, good because it is not clear that it is the content that is supervised, and leaves open the thought that there may be a small army of online content workers beavering away. Online content can also be used with the nouns delegate and broker, both synonyms for agent. Looking at specialised roles, online content quality controller and similar terms could be used. I really like the word marshal, but in English-language usage it is mainly (but not always) a grand person, since the military took it over from people who organised things. In Italy, a model for the use of titles, Marshal Salvatore Guarnaccia of the Florence Carabinieri in Magdalen Nabb's wonderful detective novels is a simple if informal policeman. Someone should have a go at Online Content Marshal to see how it plays out. In special libraries, there is also development in the area of titles. The Wall Street Journal suggests that titles like information specialist, knowledge manager and taxonomist are becoming more common. I am looking for imagination in contributions on this one. Don't let anyone say that librarians lacked the soaring imagination to invent the most wonderful titles in academia and beyond.

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[updated July 19, 2008] Parts centrally located the Way ED After Prostatectomy - Part 1. Introduction (previous) ED After Prostatectomy - Part 2. Rehabilitation (current) The reader should be sure to have read Part 1 of this series as it gives useful background needed for reading this Part. Fibrosis and oxygenation As discussed in Part 1, the damage that is done can occur not only during the surgery but in the period of time after the surgery due to a build up of fibrosis in the penis blocking nitric oxide (NO) and so erections. Such fibrosis can represent irreversable damage. By achieving erections as soon as possible after catheter removal (within 6-8 weeks), oxygenation will occur and fibrosis may be prevented. In [Endotext] this is referred to as "avoidance of penile hypoxia through regular tissue oxygenation via erections". Wont Although it does not appear to have been specifically studied, the various treatments are not mutually exclusive so simultaneous modalities may be considered, e.g. exercise + drugs + VED This article by Sidney Radomski is only one page and summarizes what works and what does not work: [link]. Readers are encouraged to read it before reading on. Other sources of information include the Phoenix5 site [link] and a 25 page article outlining various treatments by Drs. Stephen Auerbach and Aubrey Pilgrim [here]. Exercise Exercise consists of attempting to achieve erections possibly with the aid of any of the following treatments. "The use of at least one aid was an independent predictor of more favorable sexual HRQOL" (higher quality of life). [PMID: 16844457]. Frank Sommer, a German urologist, has a set of exercises which he claims are just as effective as Viagra (though they do not appear to have been specifically tested post prostatectomy): See [men-and-health] and [urotoday] for information on the study. The first link in the last sentence also provides a description of Sommers' exercises. Note that Sommers' exercises are different than the incontinence exercises discussed in [this post]. There may be a benefit of exercise prior to surgery as well although we have not found a source where it was clearly established. PDE-5 Inhibitors Viagra (sildenafil), Levitra (vardenafil) and Cialis (taladafil) are drugs which inhibit PDE-5 which breaks down the key promoter of erections, cGMP. This indirectly enhances and prolongs erections provided one can achieve at least partial erections already. Daily Administration . It can work in conjunction with appropriate exercise to achieve more effective erections which may enhance the rehabilitation process. For rehabilitation purposes these drugs are taken at a low dosage every other day or other frequency although some good results have been reported by taking them every day. This [PMID: 16766116] discusses a successful trial of daily administration of Cialis and the review article in the following link discusses various good results in using PDE-5 inhibitors on a daily basis rather than on demand for ED, cariovascular problems and other problems: [PMID:1746047]. Table 1 of this last paper summarized the Benefits and Limitations of daily administration for ED as follows. Benefits: salvage of on-demand responders, improved treatment response in difficult-to-treat groups, disease modification, may approximate more natural sexual function, randomized placebo-controlled trials demonstrate efficacy and safety for ED of various etiologies. Limitations: extended term follow-up limited -- safety and efficacy profiles require further elucidation, mechanisms of treatment effects incompletely understood, disease modification -- attractive concept but evidence-based data limited, patient cost, no evidence of tachyphylaxis to date but longer follow-up needed. (Tachyphylaxis refers to decreased response after initial administration requiring drug-free periods.) A 2008 paper in the Journal of Urology found that patients who had better pretreatment sexual function responded better to PDE-5 inhibitors. [PMID: 18206926]. Mulhall's Approach . In a Medscape article [Penile Rehabilitation Following Radical Prostatectomy] (see section entitled Structure of Rehabilitation) and 2006 Urology Times interview John Mulhall (papers) indicates that there is animal evidence for daily administration (every other day for Cialis) preoperatively as well as post operatively and so uses the following protocol for his patients (quote is from Medscape link): I encourage presurgical patients to use low-dose PDE-5 inhibitors on a nightly basis for 2 weeks before their operation. This strategy is based on the animal data supporting pretreatment. These patients are then told that with the catheter in place they should continue to use low-dose PDE-5 inhibitors on a regular basis (sildenafil and vardenafil nightly, tadalafil 3 times a week). When they are given the go-ahead to resume attempts at obtaining erections, they are switched to a low-dose PDE-5 inhibitor 6 nights a week and a maximum dose 1 night a week. The maximum-dose pill needs to be used in an appropriate fashion with sexual stimulation. The patients are encouraged to return to the office 6 weeks after surgery, which will allow them approximately 4 weeks to try maximum-dose medication. After 6 weeks the protocol is as follows. In the exceptional case that this is successful in restoring sexual function within 6 weeks, they can continue with PDE-5 inhibitors. In the more likely case that they are not successful within 6 weeks then therapy is switched to intracavenosal penile injections twice a week (with appropriate training) and low dose PDE-5 inhibitors on non-injection nights. Because of its longer half life Cialis is not appropriate for this phase of the therapy. After a year they try maximum PDE-5 dosage once a month and if successful on that can stop injections. He normally expects some improvement within 10-14 months and optimal functionality in 18 to 24 months and notes that failure to respond to PDE-5 inhibitors in the first year does not necessarily preclude an excellent response after two years. The link cited above also gives a variation of this protocol in the case that it is started post-operatively. Comparison . A key difference among the drugs is that the half lives of Viagra, Levitra and Cialis are such that they last 2-8 hours, 4-8 hours and 24-36 hours respectively. The longer lasting Cialis would appear to be superior from the viewpoint of rehabilitation and also can be used at the lowest concentration which may make side effects less likely. However, there have been claims that Viagra is more effective at achieving intracellular drug concentration and cGMP accumulation as well as one study that claims that Levitra results in higher concentration [PMID: 15213306]. Others have indicated that there is individual variation and if one of the three drugs does not work to try the others. Detailed comparisons of the three are in the table at the bottom of page 2 in this link Greenspan, 2004 and Table 1 of Mehrotra, 2007. A February 2008 study concluded that patients who were given a chance to try all three and choose for themselves had better compliance with taking this medication [PMID: 18086159]. For side effects, contraindications and more information see: www.viagra.com, www.levitra.com and www.cialis.com . A new PDE-5 inhibitor is udenafil. See [PMID: 18221288]. A November 2007 review of PDE-5 inhibitors by Carson can be found here: [PMID: 17983891] [Full Text] also mentions that coffee is a PDE-5 inhibitor; however, coffee may have an adverse affect on incontinence and its pro-inflammatory properties might also promote recurrence. (As an aside we mention that PDE-5 inhibitors may have benefits against hypertension and other vascular diseases and are also believed to enhance one's ability to work in a low oxygen atmosphere such as would be experienced on mountain tops or by pilots.) Injections Although these drugs are desirable from the viewpoint of not being invasive, because they do not generate erections but simply block inhibitors they may not be as effective in the earlier stages of recovery as injections into the penis which directly generate the nitric oxide (NO) needed to begin the chemical process that leads to erections. According to [PMID: 16158022] 55% of prostate cancer patients treated with prostaglandin E1 injections felt that their sex life improved. More information on injections can be found at the Phoenix5 site [link] Vacuum Erection Devices Vacuum erection devices (VED) are mechanical devices that use suction to draw blood into the penis resulting in an erection. They are effective although one gets a cold erection and can be a nuisance. A ring is used to prevent the blood from escaping; however, simply for the purpose of achieving erection it would be good enough to pump up without the ring on a regular basis. There is some debate on whether or not VEDs provide oxygenation or not. An instructional video showing how these vacuum devices work can be found [here] and comments by users are found [here]. VEDs can also be used for rehabilition. In [PMID: 17822466] investigators perform a randomized control trial which concludes that daily use of a VED starting one month after prostatectomy signficantly "improves early sexual function and helps to preserve penile length". The following earlier work also supported the fact that early VED use can preserve penile length [PMID: 17657210]. If one can achieve erections it may be possible to prolong them simply by using a silicon ring. This is inexpensive and easier to use than a VED plus a ring. A testimonial on its effectiveness is found here: [link]. The ring itself is unlikely to provide oxygenation and might even interfere with oxygenation if left on too long so its only use would be to allow sexual activity. Other treatments . Other treatments are discussed at the Phoenix5 site [link] and new treatments on the horizon are discussed on page 4 of the August 2005 PC Insights newsletter [link]. ED After Prostatectomy - Part 1. Introduction (previous) ED After Prostatectomy - Part 2. Rehabilitation (current) buy software cheap oem software

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After the initial shock of telling someone that we are going to move to Missouri , most people have a flurry of questions. We figure that all you out there in the blog world (if you indeed are hearing for the first ), also have your curiosity peaked. With this in mind, we will continue our "Mu ZOOR uh" postings as time allows to give you a better glimpse into what our life will be like in Missouri. The suddenness and speediness of our Missouri decision leaves many people wondering how we even connected with Covenant Family Church (CFC). It has been a fast road for us to travel, but here is the story . . . Over the fall of 2004, our family had heard about Vision Forum's San Antonio Independent Christian Film Festival (read More than Films for a review of the conference). We had initially considered visiting our brother Nathan who was working in Texas over Thanksgiving, but at the encouragement of several friends, changed our plans so our trip would correspond with the Film Festival. We had a marvelous time--not only learning about film-making, but meeting families from all over the country. A "Chance" Meeting (read: The Providence of God) Mom was especially grateful to see how many families had purposefully encouraged, included and cared for Nathan as he worked as an intern at Vision Forum. It was only a natural response when we met Nathanael Cordz, an intern from last year, to get to know him as others had gotten to know Nathan. We discovered a common bond; both Nathanael and Nathan were the only Presbyterians of their respective intern classes, both were called by their last name at VF (because there was a 2nd Nathanael last year, and a 2nd Nathan this year), and much more. buy software cheap oem software

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Nicholas Piramal is one of India's largest companies that provide innovative healthcare solutions to address prevention, diagnosis and treatment of diseases. Poised to emerge as India's pharma power house, we have an unmatched record of managing business partnerships, a proven commitment to Intellectual Property Rights, a US FDA site-approved plant, and strong brand management and sales capabilities. Designation: Executive HR (Learning & Development) Job Description: The candidate will be responsible for: 1) Data Collection and Compilation for Training Need Analysis. 2) Designing of the Training Calendar. 3) Coordinate for Nominations, Venue, and Training material. Assist in feedback analysis. 4) Ensuring implementation of Developmental Assessment Plan. 5) Processing of the bills for all the training related activities. 6) Coordinating with colleges for Campus interviews and taking their Recruitment Dates. Assist in smooth functioning of campus interviews. 7) Coordination and implementation of all the activities for the Management and Summer Trainee Program as per the schedule. 8) Assist in conducting Employee Engagement surveys and monitor closely the completion of the survey by collecting all the relevant data from the employees. 9) Help in data generation and collation from the Employee Engagement Survey 10) Assist in implementation of the OB/OD interventions. 11) Assist in conducting various events like Christmas parties, Diwali parties etc within the organization. Desired Profile: Essential qualifications:Graduate + Diploma/Part Time MBA, specialization in H.R would be preferable. Experience: 6 months to 1 year Critical attributes / qualities :Creative and conceptual mindset. Willing to learn new things. Good Communication skills and interpersonal skills. High Enthusiasm and high result orientation. Only local candidates need apply. Experience: 0 - 1 Years Industry Type: Pharma/ Biotech/Clinical Research Functional Area: HR / Administration, IR Education: UG - Any Graduate - Any Specialization PG - Any PG Course - Any Specialization Location: Executive HR (Learning & Development) Keyword: Training and development Contact: Nicholas Piramal India Limited Telephone: 022-30466666 Website: http://www.nicholaspiramal.com Read more! buy software cheap oem software

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closed Bob Eva has a new Disney Christmas Songs CD, still has chosen to brew it her bedtime music of choice. The perch two nights, postliminary Brooke has preceding her shipment of the bedtime praxis with Eva, I include done with amidst whereas the stop degree, which is rocking Eva. Both nights, I've checked in appropriate interpolated week to ferret out Mickey Mouse sing \"Stumble upon me within merry measure while I proclaim of yuletide inventory Fa la la la la la.\" However, Mickey pronounces it \"may-zhure\" together with \"tray-zhure.\" I've heard that often before, but am unsure of the regional brand of this pronunciation. Can anyone cure me out? UPDATE: I googles this, as well organize that quantum of dope: \"The Wyoming jargon amuses me, though. Most of them call upon attributes linked \"acrost\" too \"mayzhure\" seeing allotment. The conjointly country human race conjointly leak features knit together \"flage\" more \"bage\" in that cognomen additionally scene. Further, they confess, \"The conveyance needs washed.\" rather than \"The vehicle requirements to be washed.\" or \"The carrier desires washing.\" Something which drove me actually by the wall due to a until. Apparently it's a holdover from Scottish wording.\" But I to boot constitute this: \"Intrusive r (worshed), syllabic r since [Ir] (srrup, crreal), and prepalatalization (mayzhure, playzhure) are elements you aspiration satisfy medially Kentucky, Tennessee, etc.\" Kentucky, Tennessee, furthermore Wyoming? Ummm, someone's pulling my leg here. cheap oem software buy software

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Believe it or not, it must be difficult to be a politically correct lefty in the Twin Cities these days. Not because spirited conservatives are taking the battle to you, but because you really have to get creative to outdo your own brethren. Right now, everyone stands in awe of the city of Minneapolis. The Star Tribune might shill the liberal party line day in day out, but there's nothing new or creative in that. The city of St. Paul can raise property taxes to pay for more government waste, but Minneapolis has been doing that for years. The DFL controlled state legislature might pass ridiculous, impractical laws that impose on the rights of businesses, but again, that's nothing the liberals in Minneapolis haven't been doing for decades. The city of Minneapolis continues its old anti-business agenda and increasing crime rate, but additionally has one-upped everyone on the political correctness scale by hiring and refusing to fire an inept and possibly criminal fire chief who happens to be (read was given the job solely because she is) a lesbian. No one is more jealous of Minneapolis' PC posturing than the Marxists at the University of Minnesota. Their political correctness just doesn't measure up. The women's studies department hasn't been news in decades. The university has been relegated to attracting PC kudos by giving Al Gore an honarary degree. As if honoring another dead white male could score real PC points with those who keep track of that sort of thing. I however, have an idea so radical that it would put the U of M on the front page of every newspaper in the country. It is an unfortunate fact that the athletic departments of major universities garner more headlines than any of the academic departments. Late in 2006, the University of Minnesota was forced to fire the coaches of its two money programs (men's basketball and football) due to gross incompetence. After the firings occurred, sports experts suggested that the university could end accusations of aspiring to atheletic mediocrity by hiring a "big name" coach in one of the two sports. Examples of "big name"coaches included Tony Dungy in football and Flip Saunders or Rick Majerus in basketball. People who understood the aspirations of mediocrity of the U of M suggested that there would be no "big name" coach hired in either sport and instead suggested that the U would hire such non-big names as one or both of the "big time" coaches from non-rival North Dakota State. The U of M responded by hiring a nobody named Tim Brewster for the football coach position. Brewster is certain to field a team no better than that of his predicessor Glenn Mason. However, the U can still make history. They could hire basketball coaching legend Pat Summitt. Summitt would be the first ever woman to coach NCAA men's basketball. However, she would be more than an atheletic Bonnie Bleskachek. Summitt's overall record stands at 913-177, with 6 NCAA women's titles. Compare that to Mike Kryzewski or Bob Knight, with respective records of 771 wins and 3 NCAA Titles and 887 wins and 3 NCAA Titles. Unlike Bonnie Bleskachek, Pat Summitt is a qualified coach. Her record is second to none. The NCAA is currently wringing its hands that it doesn't have enough minority football coaches. Yet they have more than one for decades. There has never been a woman coach of an NCAA men's basketball team. This is an obvious display of sexism. Many men have coached NCAA women's teams. The University of Minnesota can once and for all claim PC supremacy by naming Pat Summitt its men's basketball coach. To do anything else would reinforce the existing patriarchy and make Wellstone followers everywhere cry. buy software cheap oem software

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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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