https://youtu.be/JDVT-8tUfiE
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https://youtu.be/JDVT-8tUfiE
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Here are two different scientific opinions/studies on the source of COVID-19 … One stating that it is a man-made variant and the other stating that it is natural mutation. Maybe we need to do like Real Clear Politics does…. creates a poll of the average of all the various political polls that are taken. We collect all the various opinions from various scientists and/or scientific studies and if one of the conflicting theories has more opinions… we chose that as “scientific proof”. Dr Fauci is now 79 y/o… should his many years as Director of the National Institute of Allergy and Infectious Diseases give some added credibility to his opinion. After all he has held that position since 1984 – he goes back to Reagan days. Or is he taking the safe route… since he is 79 y/o and doesn’t want to have a “stain” on his reputation at the end of his career, because at some later date his opinion is proved to be wrong ? So he makes statements such as there is no double blind clinical study to prove that something does or doesn’t work.. Such a study will take 10-15 yr and we will most likely be long gone before such a study can be done. So he can neither be right nor wrong if he pushes for a study to prove a certain action based on some unproved hypothesis. “We must do what science says to do”… is such a simplistic statement, but who in their right mind … would use that logic to make decisions what could affect – possibly good or bad – 300 + million in our country. Making the correct decision could be done just as easily as flipping a coin.
https://nypost.com/2020/09/11/chinese-virologist-says-she-has-proof-covid-19-was-made-in-wuhan-lab/
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Joe Biden claims that he is going to only raise taxes on people with over $400,000 .. apparently to help pay for his proposed “medicare for all”…
But according to this, there is only 32,000 families that makes > $400,000…. as a nation we spend abt $10,000/person/yr for medical care…. meaning no premiums, no deductible, no copay would cost us abt $3.2 TRILLION/yr for this program. That amount of money is equal to our entire Federal taxes cash flow and we are currently – and for the past 11 yrs – have been spending a EXTRA TRILLION/YR.
So those people who make > $400,000/yr would only have to pay $10 million/yr each to pay for the medicare for all programs.
But he has also stated that he is going to rescind all the Trump tax cuts… so everyone who got a tax break from those new tax rates …. they will go away… so is that RAISING TAXES ON EVERYONE ?
It is claimed that abt 50% of all families PAY NO FEDERAL INCOME TAXES…
Having health insurance and getting adequate healthcare services are not the same… just ask a lot of chronic pain pts that have health insurance but can’t find a prescriber that will treat their pain and/or their insurance will not pay for their meds and/or will limit on how many doses that they will pay for each day.
Of course, > 50% of all physicians are >55 y/o… and many of them will just elect to retire … leaving most pt care to ARNP, PA, NP – middle level practitioners.
Most likely, Joe will go back to what he knows best – ACA – where we were promised that every family would save $2500, but only those who were poor enough to qualify for “financial assistance” and put on a Medicaid program… was able to save money… every one else got their premiums to double or triple and deductibles went up to $10,000/person/yr…. and everyone got limited choices of hospitals and practitioners
Because,, ACA was basically two parts – state Medicaid programs & private insurance – and a lot of Medicaid programs have been “farmed out” to private insurance (HMO).
All anyone has to look towards as a template as to what a “national insurance” could be is the VA prgm and Medicare Advantage prgms … enough said.
Remember the “open mike moment” with Joe whispering in Obama’s ear when they were announcing implementation of ACA …” this is a BIG F….ING Deal”
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On average we have 7500 people DIED EVERY DAY… so at 6 months since “they” have start counting COVID-19 deaths abt the first of March… in a six month period… we will have 1,365,000 deaths from ALL CAUSES.
Does anyone – except me – believe that they should be reporting the total number of deaths – FROM ALL CAUSES..
What if it was reported that all deaths in this period were about the same as the average year… wouldn’t that suggest that the COVID-19 has really not been that lethal ? But they don’t report those numbers.
Of course, in a typical 6 month period abt 250,000 people will die from the use/abuse of tobacco/Nicotine…. no daily death count kept on those numbers.
It has been reported that as high as 220,000 deaths in a 6 month period from MEDICAL ERRORS. https://www.cnbc.com/2018/02/22/medical-errors-third-leading-cause-of-death-in-america.html
Does ALL DEATHS MATTER ?
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https://opioidmakersnotcauseofopioidcrisis.weebly.com/debunking-brandeis-dr-andrew-kolodny.html
Phone numbers in order of preference:
(585) 255-0997 (Cell – Call anytime – best to reach me)
(585) 473-7013 (Home – 9:30 to 22:00 EDT/EST)
(585) 250-8053 (Home – 9:30 to 22:00 EDT/EST)
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https://www.omnipod.com/Omnipod-system
The Omnipod® System provides all the benefits of insulin pump therapy while providing more flexibility and freedom than other traditional tubed pumps.
Insulin pumps work by continuously delivering insulin at set and variable rates, mimicking the insulin release of a healthy pancreas. The Omnipod® System delivers insulin in two ways:
When opiates are given IM/SubQ… they become FIVE TIMES the potency of oral dosing.
This is a new system and I have previously dealt with ambulatory pumps… works in similar ways but are about the size of a large beeper, using a butterfly needle. They have been around for years.
I am sure that this system would not be right for everyone… but… given the potential for a chronic pain pts to cut their opiate mgs/day by 80%. The pt would get a “smoother” blood level of opiates… fewer/no peaks/valleys as oral dosing provides… less/no break thru pain …
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This probably will not work as the President believes because there are several middlemen between the manufacturer and the pt who gets/needs the medications. Two of those middlemen are insurance companies and PBM (Prescription Benefit Managers). They – sometime arbitrarily decide which medications they will pay for and/or demand kickeback/rebates/discounts from the pharma in order for the pharma’s meds to be on their approved formulary. So if Trump tries to implement a “favored nation status” to determine prices.. All of those Medicare Advantage and Part D programs are your basic for profit companies. If the pharmas are required to cut their price to these entities… and won’t be in the position to pay those kickback, discount, rebates to those middlemen… the middlemen will just raise the premiums that pts pay, increase deductibles, increase copays.
Remember what happened when President Obama got his ACA (Affordable Care Act) with promises of everyone saving $2500/yr in premiums and being able to keep your doctor. Most people who were not “poor enough” to qualify for financial assistance on ACA’s premiums… they saw their premiums DOUBLE OR TRIPLE and their annual deductibles being upwards of approaching $10,000/per/yr. Pts were unlikely to use be able to use their favorite doc or hospital and or other healthcare providers that they had used in the past or prefer to use. The insurance companies – those who provided care under the ACA just shifted costs to people they insured.
The other option is as contracts with other country’s national insurance programs… the pharma just raise their prices over there … so that the “favored nation price” in other countries will start to rise… So in the end…. people in other countries will end up paying more for the meds and so will Americans… may be less than they were first raised to, but still more than they use to pay… The for profit insurance/pbm industry will get their monies and profits.
https://www.modernhealthcare.com/politics-policy/heres-peek-white-houses-unreleased-drug-pricing-order
Partial text of an executive order the White House has refused to make public indicates the White House is using a more aggressive version of a payment demonstration for outpatient drugs to try to pressure drugmakers to the negotiating table.
President Donald Trump signed four drug-pricing executive orders on Friday, but the White House has refused to release the text of the most controversial order that aims to reduce the amount Medicare pays for some high-cost outpatient drugs. Trump said during the White House event that the order would go into effect a month after signing.
The visible text of the order details that presumably the HHS secretary would be directed to “implement his rule making plan to test a payment model pursuant to which Medicare would pay, for certain high-cost prescription drugs and biological products covered by Medicare Part B, no more than the most favored-nation price.”
The text of the order indicates the White House may pursue a more aggressive version of international reference pricing than it first proposed in October 2018.
The order text seems to line up with prior comments by HHS Secretary Alex Azar, who said in November 2019 that Trump was “not satisfied” with the average international price approach, and instead wanted the United States to get “the best deal.”
The text said the purpose of the demonstration would be to see if a most favored-nation pricing demonstration would “mitigate poor clinical outcomes and expenditures associated with high drug prices.”
So far, HHS has only proposed an advance notice of proposed rulemaking on its international reference pricing plan, and would have to propose a rule and finalize it before the policy could take effect. The proposed rule has languished under review at the White House budget office since June 2019. The rulemaking timeline makes it highly unlikely that it could be finalized by the end of Trump’s first term.
The visible text does not detail how a “most-favored nation price” would be calculated, and does not indicate any deadline for implementation. It is possible that details or a deadline were listed on the obscured page of the order.
The White House declined to comment on the partial text.
Trump said he planned to meet with drugmakers this week, but a meeting has not occurred. Pfizer Chairman and CEO Albert Bourla told investors on Tuesday that he was not interested in meeting with the White House to discuss the order.
“I don’t think there is a need for, right now, for White House meetings,” Bourla said.
Pharmaceutical Research and Manufacturers of America said the group remains willing to speak with the administration and discuss ways to lower costs for patients at the pharmacy counter.
“However, we remain steadfastly opposed to policies that would allow foreign governments to set prices for medicines in the United States,” said PhRMA spokesperson Nicole Longo.
The drug-pricing orders were released shortly after former Rep. Mark Meadows took over as White House chief of staff. Meadows criticized the Trump administration’s international reference pricing proposal while he was in Congress.
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I have been a student of our bureaucracies for some 40 yrs.. They very seldom do anything in a “one and done” type approach… particularly when a large part of the population is going to be directly affected.
The included chart clearly demonstrates that OD’s went up dramatically, the line that noted when the CDC posted those guide lines is WRONG… it indicates 2012 when in fact it was 2016 – HOWEVER – 2012 was the peak of opiate Rxs being prescribed and the chart is correct that they dropped every year after 2012.
Apparently there are a few states who have passed so sort of law that is suppose to ensure prescribers that it is safer – less/no recourse for doing so, but I have asked many times that how can a state pass a law that will prevent the DEA from coming into state and use the Federal Controlled Substance Act to raid and shut down a prescriber’s practice and confiscate all his/her assets. But I can’t remember anyone presenting a valid argument that they can prevent the DEA from coming into a state.
The CDC published their opiate dosing guidelines in 2016 and in hindsight it now seems more like a trial balloon … they knew that they didn’t have the statutory authority to do it, but – what the hell – both the DEA and the VA wanted these guidelines and if no one challenged their legality in the courts… they could come back in a few years and claim that they had been grossly mis-applied and so they were going to revise them… at the same time that Congress is taking up new bills… that will codify those CDC opiate dosing guidelines… and maybe even just made the new law to will automatically adopt any changes the CDC makes to those guidelines in the future.
Never mind that those MME conversion programs was developed using SINGLE DOSES on acute pain pts and really little/no application to properly dosing intractable chronic pain pts… Never mind that there is such a thing as CYP-450 enzyme opiate metabolism and it is a proven fact that there is about 5-6 levels of speed of opiate metabolism in the body from poor to ultra fast. For century treating pts has been called the “practice of medicine”, but now we have the “cookbook formula” of treating pain.
Like all criminals, crooks, thieves and liars… they first some minor crimes at first and if they get by with it … they keep trying something BOLDER… they typically get to the point where after repeatedly getting by with criminal activity.. they try things that are more and more brazen…with bigger payoffs… the vast majority end up getting caught. But close to 50% of crimes remain unsolved and end up being cold cases…
Right now in the small town of Bardstown, KY there are three unsolved murders – one being a state trooper – after abt 5 yrs.
The DEA started 5 yrs ago reducing the pharma industry’s production quota that they are now producing abt 50% less now and they are already putting out press releases that they are going to reduce it farther in 2021. maybe they will ignore these state laws because at the rate they are going in reducing pharma production quota by 2025-2026 there is going to be very little legal opiate produced.
The DEA won’t have to raid any more prescribers’ practices or pharmacies… the prescribers can write all the opiates that they wish… because there were be little/no opiates in the pharma distribution system. When the Pharmacist tells a pt that they are “out of stock” … he/she will probably being telling you the truth.
The DEA won’t have to worry about the drug wholesalers shipping suspiciously large orders of opiates to pharmacies.. after all we have some 60,000 pharmacies… that is a lot for the DEA to stay on top of…
DEA has already lost their “cash cow” of Marijuana and if they can just move on to declaring Kratom has no valid medical value and will reclassified it as a C-I – which the control substance act only give that authority to our Surgeon General… and they will then be able to start chasing the diversion/abuse of Suboxone type products…. After all it is a C-III controlled substance so all the data as to the products are sold to via a wholesaler, the pharmacy that dispenses it and the doc who prescribed it … via the state’s PDMP. They will just have to create a new category of prescribers and vendors to go after… and it doing so they will be meeting the primary goal/function of all bureaucracies … to perpetuate and grow the bureaucracy.
The CDC reports drug OD deaths.. they don’t bother delineating between legally prescribed meds, illegal meds and use/abuse of NSAID’s that it is claimed kill 15,000/yr… and we may never know how many of those deaths labeled at a DRUG OD… is in fact a SUICIDE – or as they would rather have it referred to as “death of despair”.
Besides, most of those who die from something… are most likely “high cost medical care”… treating their mental health of addiction with medications, or putting them in jail/prison, or chronic painers are believed that they will never be part of a productive manner of our society – pays taxes – so they have been classified as a “taker” and will never again be a “maker” in our society.
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