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appealsattorney-blog · 5 years ago

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biofunmy · 5 years ago

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Advice from Peter Neupert, who worked with Jeff Bezos, Bill Gates

Amazon faced protests on its fifth annual Amazon Prime Day. While the Seattle-based e-commerce behemoth said it is offering more than a million deals, a demonstration was seen outside a warehouse in Shakopee, Minnesota. (July 16) AP, AP

Story Highlights

Peter Neupert started at Microsoft in the 1990s and late came back for a second stint to launch a health group.

When he was taking the CEO job of Drugstore.com in 1998, he spent a few days shadowing Jeff Bezos, who helped recruit him for the position.

One thing he learned from Bezos is that data matters more than opinions.

Jeff Bezos’ ambitions in health care are no longer a secret.

Between the Haven partnership with J.P. Morgan Chase and Berkshire Hathaway, his company’s stealthy work in cancer research, investments in health clinics for employees and last year’s $753 million purchase of online drug seller PillPack, the Amazon CEO is openly taking on the $3.5 trillion health-care industry.

While most of those developments are very recent, Bezos has had his eyes on this market for over two decades. Nobody knows that better than Peter Neupert, who became CEO of online pharmacy Drugstore.com in 1998, after Bezos recruited him for the job in tandem with Amazon’s investment in the company.

It was the beginning of a long relationship between the two and their effort to apply emerging technologies to life sciences. Neupert went on to Microsoft, his second stint at the company, where he led a new health solutions group. He left in 2012 and has since been a sought-after adviser for hospitals, biotech companies and start-ups.

“People are often approaching me for solutions,” Neupert, 63, told CNBC in a recent interview. “What I tell them is I don’t always have the right answers, but I do have a lot of scars and I’m happy to share those.”

Bezos stepped off Drugstore’s board in 2001, and Neupert left the company three years later. But they’re both engaged, more than ever before, in advancing health care.

Amazon is hiring aggressively at PillPack to become a major player in prescription delivery and is exploring a host of efforts to bring down the cost of care. Neupert is on the board of medical lab company LabCorp, as well as Adaptive Biotechnologies, which recently went public, and a couple early-stage ventures. He’s also on the board of trustees at the Fred Hutchinson Cancer Research Center.

Meanwhile, Amazon is still a big part of Neupert’s life in other ways – he has two kids and a son-in-law who work at the company’s headquarters in Seattle. That’s where it all started for him 21 years ago.

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Jumping to a dot-com

Neupert was working for Bill Gates at Microsoft, where he’d launched the MSNBC network as a joint venture with NBC. He was approached by John Doerr of venture capital firm Kleiner Perkins about a new start-up that aimed to sell prescription medicines, beauty products and over-the-counter drugs online. Doerr, an early Amazon investor and board member at the time, brought Bezos along for the recruiting meeting.

“They were looking for someone who could take a 10-page business plan and turn it into a real business at a time when everyone was starting companies,” Neupert recalled.

Leaving was a tough call. Microsoft was on a tear and would soon surpass General Electric as the world’s most valuable company, while Drugstore was an idea on a whiteboard backed by a cash-burning dot-com darling.

So Neupert asked if he could shadow Bezos for a few days, following him around for conversations with board members, staff meetings and conference calls. Bezos agreed, and Neupert took the job. From a short time observing Bezos, he learned something that was fundamentally different at Amazon than at Microsoft.

“I learned quickly from those days that opinions don’t matter,” Neupert said. “Data matters.”

Bezos talked about A/B testing (comparing two versions of a design or project), rapid customer feedback and the importance of experimenting and failing.

In April 1999, two months after Drugstore announced the investment from Amazon and Kleiner Perkins, Bezos and Neupert appeared together on Charlie Rose. The host asked Neupert why a consumer would rather buy from Drugstore than their local pharmacy.

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‘Nobody likes to browse the Preparation H aisle’

“They don’t like waiting in line for the pharmacist up behind the glass counter,” Neupert said. “They don’t like shopping in public for very private things.”

Bezos chimed in to say, “browsing for books is fun but nobody likes to browse the Preparation H aisle.” That was followed by a momentary pause and then Bezos’s signature – some say maniacal – laugh.

Drugstore survived the dot-com bust but struggled to grow in an extremely fragmented business. Neupert left in 2004, five years before Walgreens bought the company for over $400 million and ultimately shut it down.

Along the way, Amazon learned some key lessons that would benefit the company as it pursued a deal with PillPack many years later. One big realization was that the established pharmacy benefit managers (PBMs), the industry middlemen, would go to great lengths to protect the status quo.

Drugstore was shut out of the pharmacy business by Medco Health Solutions, one of the largest PBMs at the time, which meant it had no real way of selling prescription drugs. PillPack more recently experienced similar resistance from Express Scripts.

Over time, Neupert saw glimmers of Bezos’s ruthless style, which investors and analysts have said is a primary driver to his success. During the dot-com crash, for example, Amazon stopped giving away its email marketing access list to Drugstore and start charging for it.

“He did what was the best thing for Amazon,” Neupert said. “I didn’t like it at the time, but I ultimately respected it.”

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Second act at Microsoft

After leaving Drugstore in 2004, Neupert wasn’t quite ready to give up on health care.

Over the following months, he spent some time in Washington, D.C., paying close attention to regulators and pharmacy lobbyists. He observed how the major players had their own entrenched interests, which created a big problem for medical software.

Record-keeping inside large hospitals and doctor’s offices was still run on a combination of paper and homegrown systems. Electronic medical records systems were emerging but only a few large health systems, like Kaiser Permanente, were starting to shift over to vendors such as Epic Systems. So much critical data was siloed.

“It struck me that a few thousand people die every year because of adverse drug events, and a lot of that was down to a failure of systems engineering and software design,” Neupert said.

That thinking brought Neupert back to Microsoft, where he saw an opportunity to build a business to help the health-care system with that problem. He kick-started a health unit, launching a product called HealthVault for consumers and health providers to aggregate medical information. One former Microsoft Health colleague, Sean Nolan, said the mission was ambitious and ahead of its time.

“Peter was always drawn to big ideas,” Nolan told CNBC. “And he was never scared of challenging conventional wisdom.”

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While it’s still working on that mission today under corporate vice president Peter Lee, the consumer part of the equation failed to get much traction. Microsoft announced in April that it will shut HealthVault later this year. Lee said there are 72 projects he inherited from Neupert.

“It’s remarkable how much energy he injected into the health-care space that really never left,” Lee said, in an interview. “It ranges from synthetic biology to radiology imaging. It was comprehensive. It’s surprising to me how much stuff Peter got started.”

Since leaving Microsoft in 2012, Neupert has advised numerous other health-tech companies. And he’s watching from the outside as Amazon battles the industry incumbents.

“Bezos deeply understands pharmacy and all its complexities,” Neupert said.

When he’s not sitting on boards, cycling or spending time with family, Neupert is often sharing advice with entrepreneurs.

One thing he learned from Bezos is to write down your plan or approach to the market in a document and not in a bullet-pointed presentation, because complete sentences and paragraphs don’t leave much room for assumptions and interpretations.

“In rapidly growing companies, this is essential for folks to stay on the same page,” he said.

Privacy concerns: Amazon’s pharmacy PillPack relies on patient data

‘Engage the regulators early’

He encourages entrepreneurs to be bolder and take more risks. In health care, that means not just developing software but also doing the hard work of providing insurance, improving outcomes and cutting down on costs.

“Over the years, I’ve concluded that it’s really hard to make money by just selling software to the health-care system in the United States,” Neupert said. “You have to be in the delivery side of the business, too.”

A final lesson he shared is one that, as a technologist, seems counterintuitive and took him a long time to learn. And that’s to reach out to regulators early on.

“Engage the regulators early if you are doing something they haven’t seen before,” he said. “It will save you grief later.”

©CNBC is a USA TODAY content partner offering financial news and commentary. Its content is produced independently of USA TODAY.

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celebritylive · 5 years ago

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An Ohio plastic surgeon has allegedly been using sedatives obtained through his practice to drug and rape multiple women secretly on camera for a number of years, according to federal authorities who have been investigating him.

Dr. Manish Raj Gupta, 49, was arrested and charged on Friday for illegally dispensing controlled substances, aggravated sexual abuse, and sex trafficking by force, fraud or coercion, the Cleveland Division of the Federal Bureau of Investigation said in a press release.

Gupta was taken into custody after federal authorities and agents from the Drug Enforcement Agency, the Ohio Pharmacy Board and the Ohio Medical Board conducted an investigation at his two Artisan Cosmetic and Reconstructive Surgery offices in Toledo and Oregon, Ohio and his home in Sylvania, Ohio.

RELATED: Bravo Reality Doctor and His Girlfriend Accused of Drugging and Sexually Assaulting 2 Women

During the search, authorities say they found electronic storage devices containing recordings of Gupta allegedly performing sexual acts on unconscious women in various hotel rooms across the United States, according to the release.

Authorities said they also found recordings taken from “small cameras positioned around the room during the sex acts,” as well as footage showing Gupta’s face and a medical bag that he had employees ship to hotels he would stay at for medical conferences outside of Ohio.

Investigators began looking into Gupta in January 2019 after a woman who worked as a “high-end escort” claimed that the plastic surgeon had “improperly drugged and then performed sex acts” on her in September 2016, according to a criminal complaint filed in U.S. District Court for Northern Ohio on Friday.

The woman, identified as KB, had arranged to met Gupta at a hotel in Los Angeles while he was in town for a medical convention. At one point in the evening, KB took a sip of Prosecco from a glass poured by the doctor and fell into unconsciousness, the arrest affidavit, obtained by PEOPLE, said.

RELATED VIDEO: Millionaire Matchmaker Businessman Accused of Assaulting Women in a ‘House of Horrors’: Police

After leaving the hotel in the morning, KB took an at-home drug test that showed she had a tranquilizer in her system, according to the court document. She then went to a treatment center for a rape test, but did not report the incident to police.

Following her encounter with Gupta, investigators said KB visited two websites used by women who date online to report “men who are dangerous,” where she found complaints “dating from March 2013 through September 2016” that “identify Manish Gupta or Dr. G as a plastic surgeon from Toledo, Ohio, as ‘very dangerous.'”

There, another woman claimed that Gupta “drugged me during a date, raped me and recorded all this,” according to the affidavit obtained by PEOPLE.

Want to keep up with the latest crime coverage? Sign up for PEOPLE’s free True Crime newsletter for breaking crime news, ongoing trial coverage and details of intriguing unsolved cases.

The FBI said on Tuesday that Gupta’s employees previously found a medical bag in his office containing sex toys, lubricant, plastic syringes, empty anesthesia bottles among other items investigators believe to have been used to drug these women.

As Gupta has previously traveled to Cleveland, Miami, Chicago, Los Angeles, Detroit and Colorado to attend medical conferences, investigators are now concerned that there may be more victims unknown to law enforcement at this time.

The investigation remains ongoing and those with information are asked to contact law enforcement at [email protected] or call 216-622-6842, according to the FBI.

An attorney for Gupta declined to comment.

If you or someone you know has been a victim of sexual abuse, text “STRENGTH” to the Crisis Text Line at 741-741 to be connected to a certified crisis counselor.

from PEOPLE.com https://ift.tt/33iNvWN

#Celebrity

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cathrynstreich · 5 years ago

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Was Too Much Money Deposited Into Your Bank? It May Be a Scam

(TNS)—A Troy, Mich., man picked up the phone and a man who called himself Alex Wade was on the line.

Wade, who said he worked at Amazon, claimed that a drastic mistake took place where too much money had been refunded from an earlier purchase and deposited into the man’s bank account.

The man needed to pay back the money or he’d be in big trouble. Wade suggested that the man buy eBay gift cards at a variety of stores, including Walmart, CVS Pharmacy and 7-Eleven.

Was there really a big problem? The caller certainly convinced the man that he needed to rush out to fix things right away.

“The victim never called his bank account to confirm this,” said Sgt. Meghan Lehman, a police department public information officer in Troy.

The 69-year-old man put $1,300 on the eBay gift cards. He spent more money after facing even more pressure tactics. In all, the man lost $6,000 before realizing he had been scammed.

Sadly, the first thing on the to-do list of a scammer is to pretend to be someone, really anyone, else. Maybe the caller pretends to be from the Internal Revenue Service. Maybe it’s someone pretending to be from the Social Security Administration. Maybe it’s someone pretending to be from the 2020 Census.

Or maybe it’s someone claiming to be from Apple Support.

The impostor scam was the most common type of scam reported in 2019 to the Federal Trade Commission. Consumers reported losing nearly $667 million to impostor scams.

Nearly half of U.S. adults have been targets of an impostor scam, according to a new survey by AARP Research, and nearly one in five ended up experiencing health problems or emotional distress from being victimized or targeted.

Three in five adults are concerned that they—or a family member—could fall victim to a scam, according to the AARP survey.

Amazon, for example, warns that specifics of scams vary, but scammers generally follow a pattern of connecting with a victim by phone, email, through social media or online. The swindler will create a sense of urgency, ask for payment using gift cards and even tell you where to buy the cards.

“The scammer then demands or instructs the victim to provide the claim code on the gift card by phone, text message or email—and then disappears,” according to Amazon’s warnings.

Signs of financial manipulation are really everywhere, even though many people are too embarrassed to file a police report or admit that con artists scared them enough to hand over cash and gift cards.

Another victim in Troy lost $1,360 in early February after someone claiming to be from the FBI told her she would be arrested after some mishap with a vehicle in Texas. The woman bought the gift cards, according to the police report, provided serial numbers from the gift cards to the caller and was out a sizable chunk of savings.

Another woman in Troy lost $1,200 in a gift card scam in late January, according to police reports, when an impostor claimed to be from the Social Security Administration and scared her into thinking that there was a warrant out for her arrest and the matter would be resolved with her being issued a new Social Security number.

As scammers get more skilled, police departments state that they’re seeing more of these type of scams every day. And all sorts of people can become victims.

“We’ve had young people, old people, people who are new to the country, people who were born here,” Lehman said. “These scammers are getting more skilled.”

Consumer watchdogs warn that the 2020 presidential election, as well as the Census, could bring new variations of old scams.

Fraudsters already are using phony political fundraising calls to trick Americans into “donating” to a favorite candidate, according to warnings from the Better Business Bureau. The BBB warns that you could receive one of these robocalls, maybe even one that sounds like a presidential candidate.

“According to the recording, rivals have been raising a lot of money. In order to see your favorite candidate elected, you need to donate…immediately,” according to the BBB warning. “If you offer to give, you’ll be transferred to a live person and asked for your credit card information. But your money won’t go to support the political cause. Instead, the phony caller will make off with your money and/or personal information that can be used for identity theft.”

Sure, the calls can sound pretty convincing. Con artists, after all, work overtime at being believable. But remember, only the crooks are demanding you buy them gift cards.

The post Was Too Much Money Deposited Into Your Bank? It May Be a Scam appeared first on RISMedia.

Was Too Much Money Deposited Into Your Bank? It May Be a Scam published first on https://thegardenresidences.tumblr.com/

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finallement · 5 years ago

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What I buy

Consumption and Materialism Part 1

Normally, I am not a big consumer - I would say I’m somewhat of a snob about NOT being a big consumer. But my dependency on first-world creature comforts became a sobering realization during the power outage. It’s only when you don’t have something that you realize how much of a consumer you really are. Food, water, utilities, information sources - and most of all, the extra cognitive processing energy consumption as I scrambled to arrange for my parents’ and my basic needs during the outage. It’s not like I haven’t dealt with power outages before - I lived on the Long Island Sound and hurricanes happened - but I wasn’t taking care of elders.

Here is what the village wharf looked like during the storm. You don’t have to watch for very long to get the idea:

https://www.facebook.com/cindy.horsfall.3/videos/pcb.10159650482658868/10206818968630318/?type=3&theater&ifg=1

Being on the phone with Hydro-Quebec’s automated message, I couldn’t help but think of the Eubanks & Schaeffer (2008) article that refers to Laura Penny’s book, Your Call is Important to Us. It makes you want to shake them by their virtual shoulders to have to listen to an endless stream of useless information such as HQ touting their phone app for power outages (what if my phone battery is dead?) or to go online to their website (fat chance with no internet). That is, if they were even accepting calls. At one point, I had to call 911 because the powerline across the street had snapped, spiralling and sparking, into the woods, road, and neighbour’s driveway. I knew it was pointless to try calling HQ.

Our entire village was out of power but fortunately, our community centre has a generator so I could go there to charge my cell phone, computers, lanterns, and to cook food. There is a generator available for our home’s use but the owner of the generator was tag-teaming it around to 3 other locations and besides, it didn’t help with our heat. Simultaneously, my father had a severe attack of vertigo and was bedridden. Seeing our neighbours at the community centre was heartening in the way that a crisis can bring everyone together. Perhaps this will be the way affluenza can be tamed, by really learning first hand “the rewards that come from community involvement” (Mattison, 2012).

My consumption journal.

I shop for three people. My consumerism is mostly based on optimum healthy food choices for the parents, and also what I call ‘mood-food’ - things they like to eat that help keep their weight up. It is a fairly prosaic list. * by an item means a commentary will follow. The commentaries are to illustrate what is going on in my head as a consumer.

Oct. 26. The usual stuff. Groceries: Milk, soy milk, tofu, ham, BBQ chicken *, carrots, onion, sweet potatoes, rutabaga, lettuce, parsley, bananas, pears, chips (potato and nacho, whole grain) cheetos, cookies, graham crackers, ice cream, tartar sauce, horseradish sauce, applesauce, peaches, white beans, soup, canned pumpkin, canned cherries, corn meal, brown rice flour.

*BBQ chicken. I resort to buying these now and then, but I feel guilty every time because (1) the idea of mass-produced chicken is too depressing - “nasty, brutish and short” (Hobbes, 1651) are their lives (2) the packaging. I wash it and put it in recycle but I would wager that for every one that gets recycled, three get put in the trash. It gets the fast-consumption treatment from start to finish. (3) the food quality. Although they taste good, there is a lot of salt and a lot of fat.

Unusual stuff: 2 bottles of white wine (one for home, one for Jacques) The aforementioned reusable produce bags, 3 shirts (Jacques’ birthday present) a pair of shoes for Dad.*

*The bags, shirts and shoes were purchased through Amazon. This company makes it way too easy to shop there and they are very, very good at staying in touch and getting you your stuff fast, but it still makes me uncomfortable. I was brought up by children of the Depression (one a New England Yankee; renown for, and proud of, their frugality). My sister and I wore lots of clothes purchased at church rummage sales. But see how the mighty have fallen - now I shop online. Amazon specializes in immediate gratification. While you shop, they suggest other things you might like and so help me, I have ended up buying more stuff that way. My weakness is event clothes, especially costumes for plays.

Oct. 28. (Canadian Tire)* Gallon of grey paint, toilet paper, paper towels, baking soda, Mrs. Meyers’ all-purpose cleaning fluid, batteries., gas for car.

* I like Canadian Tire, although the excessive merchandise annoys me. The commentator for the video, “The Story of Stuff,” reminds me of the inner monologue that runs in my head while I’m shopping. For example, looking at those awful Keurig coffee single serving containers makes me furious. But I like CT because they have a decent website that actually tells you what aisle something is in, so that if you’re not the type of shopper to linger and hang out (I’m not) you can get in and get out in fairly short order. The other thing I like about them is that you can apply your points at the checkout (they show on the screen) and as they also have a gas station, I get my gas there, too. About the car - yes, it uses gas. It is my father’s former car, which I took over when he stopped driving and after I sent my dear Fit back to the States because (1) no point in having 2 cars, since I’m the only one driving, and (2) too expensive and time-consuming to bring it over the border permanently. I talk to my car and keep him reasonably clean - I think things like buildings and cars, while not being exactly sentient, absorb the energy we put towards them and ‘know’ that they are cared for. Ironically, this is what builds an image for advertising. The history of the ‘relationship’ someone has with a certain brand of car is carried forward and burnished to a high nostalgic sheen to keep you loyal to that brand. The following link is to show what I mean, NOT because I drive a Mustang!

https://www.theverge.com/2018/1/16/16892736/ford-mustang-bullitt-detroit-auto-show-2018

(Jean Coutu Pharmacy)* Prescription drugs for the household. My parents don’t take too many, but nevertheless I am still going to the pharmacy 1-2x a week. I order prescriptions over the phone via their automated service, but I usually have to wait in line for them. There are large and scary photos of women’s faces with fake eyelashes and pink lips that I try not to look at while I’m waiting. I have nothing against makeup -I wear it - and decorating one’s face and body is as old as humankind - but the advertising is appalling. It’s not artistic, it’s depressing and vapid and completely negates any sense of human-ness. And what the labels say -! My sister claims to have seen a bottle of foundation with ‘resurfacing’ written on it. Great, just what I want to be told, that my face needs to be resurfaced.

Here is the view from the pharmacy:

Groceries: Halloween candy*, flour, mango salsa,* grapeseed oil, eggs, cheese, yogourt, apples, bread.

*Halloween candy: we had no trick-or-treaters because of the weather, so we ate it instead. Holiday-sanctioned junk food! * Mango salsa was strictly an impulse buy, as what I really wanted was lemon yogourt but realized I couldn’t have it then as it would interfere with my synthroid rx (calcium blocks a lot of meds) - so, I was a primed sitting duck for the salsa in the next aisle, justifying my purchase because it was ‘on sale!’

Nov. 2. Been without power for 12h.

Groceries: Napkins, pickles, cookies, tea, maple syrup, chicken broth, graham crackers, canned cherries, peanut butter, buckwheat flour, orange juice, milk, eggs, cheese, soy milk, grapes, apples, chicken, deli sandwiches,* cotton squares.

* Deli sandwiches were a concession to the storm so I didn’t have to cook. I don’t visit the deli much because it’s an expensive way to buy meat. I did cook the chicken at the community centre, and I think I blew a fuse with the skillet.

Canadian Tire: Gas for the car. Camp stove and fluid. Definitely an unusual purchase, but desperate times call for desperate (expensive) measures. Financial conscience assuaged by more CT points.

Pharmacy: More prescriptions. Cetaphil cream (a must for keeping my mother’s paper-thin skin hydrated), latex biodegradable gloves (I use these one-use gloves for applying my mother’s skin medications - she has a rare genetic skin condition.) I don’t like using single-use anything, but I need to protect my hands. When the CLSC nurses come, they throw away everything they use - gloves, tweezers, scissors, saline bottles. They have to. I used to rinse off the tweezers and scissors and save them with the extra bandages the nurses leave.

Razor blade replacements for Dad’s electric razor.

Nov. 3. Power restored late in the day. I went into consumer overdrive: rushed around using every appliance in sight - three loads of laundry, the dishwasher, the vacuum cleaner, and I went to the store, too. Threw away everything in the refrigerator, just to be on the safe side with my parents. I hate the waste, as so many go without - and although there wasn’t a lot to throw out, it’s still a financial loss. I read somewhere that most food waste is from households, not restaurants - I have not researched this but if this is accurate, it’s a frightening indictment against us wasteful Westerners.

Groceries: Water,* mayonnaise, tartar sauce, beef and chicken broth, chips, butter, one beer, cheese, deli meat.

*Water was purchased mainly for the container. Jacques had given us a huge water container with hand pump but the smaller gallon containers are easier for the parents to pick up.

Nov. 4. Groceries: Peanuts, baked beans, ice cream, frozen fish, tofu, grapes, bananas, celery, hummus, bacon, chicken, veggie burgers.

Nov. 5. Haircut and highlight, 2x a year. I am not clever about cutting /highlighting my hair and have learned it’s best to leave it to a professional. Justified by only going twice a year.

Pharmacy (next to hairdresser) more batteries. I return used batteries and ink cartridges to Bureau en Gros recycle in Magog.

To sum up my consumer patterns: in the plus column, I coordinate my errands so I am not making several trips to Magog (10m. From Georgeville). During the summer, there is a nice farmer’s market in the village where I can buy vegetables and eggs. There is a village market, but it is expensive so I don’t go there often. I take my parents out for breakfast once in a while to the village restaurant. They make their own bread and use locally sourced food. I realize that it is a privilege to live in a place like Georgeville. It gives me a deep sense of serenity that people would spend a great deal of money to replicate in a vacation.

In the negative column: if I were not as happy with where I lived, or felt that my social life was missing something special, or if I was lonely - and if I had the money - I would consume a lot more. Almost all of the readings point to people spending money they don’t have to buy things to fill that void inside. That would not be my situation, but I would spend money for things like nicer art supplies, going out and traveling. I am aware that I have consumer weaknesses but I try not to give in to them too often.

Behaviour Shift: Part 2

My pivotal moment was actually a thought on the back burner that got moved to the front burner; this thought being, I/we have got to get off the grid. That slender thread that brings power into this house is something I have no control over if it breaks, and I have to be in a position to take care of the folks. This is a project that needs to be carefully planned, but the time to start planning is now. Working on the solar curricula really got me thinking about it.

My one concrete behavioural shift was to purchase reusable produce bags so that I won’t be taking the single-use plastic bags in the store anymore. I have been thinking about it, but finally decided to do it, motivated in part by this assignment. It is embarrassing to admit that it took this long to make the change, as I had written a paper in 2014 on the effects of plastic in the oceans.

https://www.fws.gov/news/blog/index.cfm/2012/10/24/Discarded-plastics-distress-albatross-chicks

Another shift was away from plastic water bottles. They have been banned from the community centre in the village and it was my dad who said he wanted metal bottles for us - and now we have them.

Challenges with changes - any new behaviour takes some time for adjustment. For example, I finally stopped chewing gum about 4 years ago. It took awhile, but I finally did it. Such a waste of money! I also stopped drinking carbonated water, but I still crave it now and then. I am trying to improve my recycling habits. Starting a compost this coming spring will be my next venture.

A small postscript: Some of my notes from Trevor Norris, from authors he cites

Arthur Brittan: “Advertisers sell privatization - individuals isolate themselves from demands and obligations of political and social relationships.” It sounds like the advertisers are implying that dependency on a community makes you weak. This is really disturbing.

Zygmunt Bauman: “quick-fix world of consumerism.” Spending time in the pharmacy has me dwelling on the quick-fix world of pharmaceuticals - that, and living near Pfizer headquarters in Connecticut. The way pharmaceutical companies advertise their wares is its own creepshow; the barrage on TV relentless. My parents watch a lot of news, and as the viewing public at that time of day are generally retirees, the pharmaceutical ads are prolific. Serious-looking actors in white lab coats touting pills galore.

Barber: “McWorld in tandem with the global market economy has globalized many of our vices and almost none of our virtues” - “Consumerism as imperial project of global expansion of cultural uniformity” - In 2006, I went to a rural part of Bulgaria for a month on an artist exchange program - photos of Rocky, Madonna and J-Lo abounded, among other American pop culture icons. I couldn’t believe my eyes.

Ivan Illich - “Schools are the reproductive organ of a consumer society” - my mother was really into Illich in the 1960s and his views, considered radical then, turned out to be most prescient. Consumerism indoctrination starts in earlier grade levels now, however. The tweens market comes to mind - pre-teenage girls being forced to think about their looks way too soon.

References

Eubanks, P., Schaeffer, J.D. (2008). A kind word for bullshit: the problem of academic

writing. CCC[College Composition and Communication] 59:3

Horsfall, C. (2019). Video from Georgeville. Retrieved on November 4, 2019, from

https://www.facebook.com/cindy.horsfall.3/videos/pcb.10159650482658868/10206

818968630318/?type=3&theater&ifg=1

Klavitter, J. (2012). Discarded plastics distress albatross chicks. [U.S.Fish & Wildlife Service,

Open Spaces: A talk on the wild side]. Retrieved from

https://www.fws.gov/news/blog/index.cfm/2012/10/24/Discarded-plastics-distress-albatross-chicks

Mattison, M. (2012). “Emancipation from Affluenza: Leading Social Change in the

Classroom.” Dissertations & Theses. Paper 116. http://aura.antioch.edu/etds/116

Norris, T. (2011). Consuming schools: commercialism and the end of politics. Toronto: University

of Toronto Press, Scholarly Publishing Division. eBook.

The Phrase Finder. (n.d.). The meaning and origin of the expression: nasty, brutish and short.

Retrieved November 9, 2019, from https://www.phrases.org.uk/meanings/nasty-brutish-and-short.html

Warren, T. (2018). The return of Ford Mustang Bullitt tugs at auto lovers’ heart strings.

Something new, in the spirit of something old. Retrieved from

https://www.theverge.com/2018/1/16/16892736/ford-mustang-bullitt-detroit-auto-show-2018

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articlesonline · 5 years ago

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So then, what are they smoking? That's what Detroit-based Cannabis Counsel lawyer Matthew Abel is asking of the Michigan Senate Judiciary Committee, who met earlier this year, in January, in order to discuss a package of bills which would amend the public health code so that medical marijuana must be dispensed by pharmacists, and to classify medical marijuana as a schedule 2 controlled substance - weed for sale online .

"It seems that if the legislature ever passed these bills, they would be in conflict with the medical marijuana statute," Abel said. "So they'd need a 3/4 vote to supersede the law, and you know that they can't even get 3/4 of the legislature to agree on lunch, let alone this."

Southfield-based lawyer Michael Komorn, who also serves as the treasurer for the Michigan Medical Marijuana Association, said the bills are similar to bills introduced last year; last year, the bills which also would have allowed for 10 marijuana growing facilities to be affiliated with a pharmacy, got no traction.

This year's incarnation of the bills would essentially make all production of medical marijuana illegal, though use would still be protected by law, Komorn said.

"It's like the stamp act, arcane and without any understanding of what really is going on with patient needs," Komorn said. "Bottom line, this is an attempt to repeal the Michigan medical marijuana act."

It's impossible, Abel said, to require dispensing of medical marijuana through pharmacies.

"They don't have a supply, and no way to get it. There's just no way for them to do it," Abel said.

Still, he's resting easy with the idea that the bills are going nowhere, and are really more about grandstanding for political popularity than they are about the Michigan medical marijuana law.

Now that the MMA has been around long enough to generate some interesting cases and controversies, we must wait until one of them percolates through the Michigan Supreme Court in order to get a true sense of this legislation - buy marijuana online . Our blog takes the position that the MMA is flawed and thus, exposed to failure, so long as it can be used to mask recreational pot use. Perhaps the most common sense thing to do at this point is what Peter Tosh called for world-wide: just legalize it.

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mmiblog1 · 5 years ago

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bountyofbeads · 5 years ago

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https://www.washingtonpost.com/health/trump-to-unveil-drug-price-health-initiatives-in-walk-up-to-2020/2019/07/31/f4adc4de-af1a-11e9-8e77-03b30bc29f64_story.html?utm_term=.2e3fe5c66adb#click=https://t.co/tUpbziAyqY

Remember what the Trump healthcare plan is: Destroy the ACA in court, allowing health insurance companies to take away coverage from 130 MILLION Americans. #DemDebate #DemDebate2

White House races to come up with health-care wins for Trump’s campaign

By Yasmeen Abutaleb and Josh Dawsey| Published July 31 at 6:30 PM | Washington Post | Posted July 31, 2019|

White House advisers, scrambling to create a health-care agenda for President Trump to promote on the campaign trail, are meeting at least daily with the aim of rolling out a measure every two to three weeks until the 2020 election.

One of the initiatives would allow states to import lower-priced drugs from Canada and other countriesand another would bar Medicare from paying more than any other country for prescription drugs, according to two senior administration officials and lobbyists — controversial ideas in line with Democratic proposals. Yet it remains unclear whether the administration has the legal authority to execute some of these policies without Congress’s approval.

The White House is already facing fierce pushback on some proposalsfrom Republicans on Capitol Hill and the pharmaceutical industry, which will probably go to court to challenge any measure it opposes.

The furious push reflects the administration’s sense of vulnerability on an issue that Democrats successfully used in 2018 to win control of the House of Representatives. White House officials are eager to inoculate the president against a repeat of that strategy in 2020 — and reduce the GOP disadvantage on an issue that pollsters say plays to Democratic strengths. Health care is already playing a starring role in the Democratic presidential debates, with most of the candidates making proposals, including Medicare-for-all plans, key to their campaigns.

“While the radical left has sweeping proposals for a total government takeover of the health system that will hurt seniors and eliminate private insurance for 180 million Americans, the Trump administration is working on real solutions that will provide Americans with the options and control they want and the affordability they need,” White House spokesman Judd Deere said in a statement.

Some doubt a flurry of executive orders and new regulations would have any immediate effect on consumers’ pocketbooks. What is clear is that the approach, which includes White House support for a bipartisan Senate bill to cap Medicare drug price increases, is putting congressional Republicans in a tough spot: Embrace Trump’s agenda and abandon conservative precepts about interference in the marketplace, or buck the president on one of his top priorities.

While Republicans have largely fallen in line with Trump on free trade and immigration even when he has blown up GOP orthodoxy, many rely heavily on donations from the pharmaceutical industry and are reluctant to sour those relationships.

One lobbyist, who spoke on the condition of anonymity, described being stunned at a recent White House meeting when Domestic Policy Council Director Joe Grogan said the administration would not let Democrats run to the president’s left on lowering prescription medicine prices.

In another tense meeting, top pharmaceutical executives were told bluntly “it wasn’t in the industry’s best interests” to block the bipartisan Senate bill backed by Trump. If it failed, they were told, they’d see “the president of the United States negotiating with Nancy Pelosi [on allowing the government to negotiate drug prices in Medicare],” said a person familiar with the meeting.

On Wednesday, as if on cue after the first of two Democratic debates in Detroit, Health and Human Services Secretary Alex Azar held a call with reporters, outlining steps that might eventually lead to the importation of some lower-cost drugs from Canada — an idea supported by Trump but opposed by many Republicans.

Those drugs could potentially include insulin — whose price rose about 300 percent from 2002 to 2013 — as well as drugs for rheumatoid arthritis, cancer and cardiovascular conditions.

“For the first time in HHS’s history, we are open to importation,” Azar said. “There is a pathway. We can be convinced.”

The plan would allow state governments, pharmacies and drug manufacturers to submit importation proposals for federal approval.

However, Food and Drug Administration experts said it could take two to three years for the administration to issue a final rule. While some rules may be done faster, this one will probably be especially complicated — and the administration is months from formally proposing it.

Drug industry groups panned the idea, as did the Canadian government, which warned of shortages for its 37 million residents if the United States imports its medicines on a large scale.

White House officials are also weighing an Obamacare replacement that Congress would take up after the election, a Medicare plan to contrast with Democratic Medicare-for-all proposals, help for beleaguered rural hospitals and steps to reduce maternal death rates, according to two senior administration officials.

The health-care effort is being driven by Grogan, acting chief of staff Mick Mulvaney and the Office of Management and Budget’s acting director, Russell T. Vought. Other participants in the sometimes contentious daily meetings include Azar, the president’s son-in-law and senior adviser Jared Kushner, White House counselor Kellyanne Conway and representatives from the vice president’s office.

One senior administration official, who spoke on the condition of anonymity to discuss internal deliberations, said the White House thinks it has “tremendous authority” to write executive orders under food, drug and cosmetics laws, as well as through the Affordable Care Act, which gives the government broad power to test ways to improve health care and reduce costs in government programs.

“We think the [ACA] authority is pretty tremendous,” the official said. The administration is arguing in federal court to overturn the law, however, with a decision expected in late summer or fall.

But many health policy and legal experts disagree and are also skeptical that the steps the administration is talking about would have a tangible effect on consumers before the election.

“It’s unlikely the administration is going to be able to use an executive order that Americans are going to be able to notice before the election,” said Benedic Ippolito, a health economist at the American Enterprise Institute. “It’s an incredibly ambitious timeline.”

Others see court challenges as inevitable, noting that the drug industry has been willing to sue the administration over policies it opposes; it recently won a lower court victory against an HHS regulation that would have required drugmakers to include the list prices of their medications in television ads.

“I’m not sure they can get anything done and survive a court challenge before the election,” said Chris Meekins, a former HHS official who is now a health-care policy research analyst at Raymond James, a financial services firm.

The White House is also attempting to build support for the Senate bill written by Finance Committee Chairman Charles E. Grassley (R-Iowa) and the panel’s ranking Democrat, Sen. Ron Wyden of Oregon, that for the first time would require drugmakers to pay back the federal government if they raised the prices of medications in the Medicare program in excess of the rate of inflation. It would also limit out-of-pocket costs for beneficiaries.

The pharmaceutical industry opposes the bill, and some Republicans have derided the legislation as tantamount to negotiating drug prices or imposing “price controls” — a line in the sand for many who oppose what they see as government interference in the market. Senate Majority Leader Mitch McConnell (R-Ky.) has not said whether he will bring a drug-pricing legislative package up for a vote, but he is generally opposed to voting on health-care legislation ahead of the election.

Against the advice of many congressional Republicans, White House advisers are also working to craft an Obamacare replacement plan that Trump could campaign on, especially if the U.S. Court of Appeals for the 5th Circuit should declare the law unconstitutional this fall and catapult the issue to the forefront of the 2020 races.

Some GOP lawmakers and strategists worry about rolling out a plan that has no chance of passage in the current Congress and that Democrats could pick to pieces during a long campaign. Many also have little appetite to return to the debate over repealing Obamacare.

Nonetheless, the White House is considering a plan, put together by conservative think tanks, that would eliminate the ACA’s subsidies for low-income consumers and replace the open-ended federal commitment to Medicaid with a lump-sum payment for each state in the form of a block grant, according to a copyposted online. The proposal largely follows the outlines of a 2017 Republican bill, which the Senate never voted on because it did not garner enough support.

“We don’t have a lot of buy-in on the Hill,” acknowledged the senior administration official, “but we’re figuring it out.”

Some of the other health-care proposals under review also appear largely aspirational, for instance, a draft executive order that instructs agencies to speed development of a universal flu vaccine, first reported by Politico, but that proposes no new funding. Other efforts, such as the initiatives to reduce HIV infections and end-stage kidney disease, and double the number of transplants, contain new funding and have been widely heralded.

“Every chance we have to set or tweak a rule we are doing it,” said the senior official. “This administration has been more creative and accomplished more when it comes to health care and health than anybody has given us credit for.”

Laurie McGinley contributed to this report.

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risprinabeachw-blog · 6 years ago

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