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Posts by Sarah Karlin-Smith

Connecting some dots here: the Associated Press offered buyouts to ~120 US journalists this month, and among the reasons is that McClatchy dropped AP in 2024. This is a piece of what McClatchy is doing instead.

11 hours ago 96 59 5 3

It should not be possible to go 65 mph on a residential street

17 hours ago 295 46 3 3

in case it’s not obvious Part D insurance plans are saying no because the price is to high.

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Trump Is Said to Be in Talks to Send Afghans Who Aided U.S. Forces to Congo A U.S. aid worker said that the Afghans, who were evacuated to Qatar, would face a choice between moving to the Democratic Republic of Congo and living under the Taliban.

Breaking News: President Trump is said to be in talks to send Afghans who helped the U.S. war effort to the Democratic Republic of Congo.

17 hours ago 827 508 213 303

@maxbayer.bsky.social got confirmation from CMS that BALANCE is on hold. CMS says it will fund their "bridge" plan to cover costs through 2027 instead. My question is do they really have legal authority to do this bridge and spend this $$$? #healthpolicy lawyers??

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Trump’s Fails Seniors: President’s Plan to Offer Obesity Drugs in Medicare Faces Near Certain Death - Public Citizen WASHINGTON, D.C. – Two major health insurers, United Health and Aetna, did not commit to participate in the Trump administration’s…

Trump got ahead of himself on his promise to bring obesity drugs to Medicare. With United HC and Aetna not committing to participate in his demo by April 20 its unlikely to happen.

But if Trump wants a solution to high GLP-1 prices, Public Citizen has one:

www.citizen.org/news/trumps-...

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This is the perfect distillation of what the MAHA movement is all about

We saw it with that kooky piece that MAHA leader Jay Bhattacharya wrote on US pandemic preparedness—his plan is to do nil other than “urge” individuals to get healthy so that at least the healthy may survive the next outbreak

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HHS issues a call for new USPSTF members:
public-inspection.federalregister.gov/2026-07845.p...

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George Washington looking on, head in hands

22 hours ago 142 30 4 2

If the police were competent, Melissa and her husband could have potentially survived.

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Newly released records detail police response to lawmaker attacks Authorities first identified Vance Boelter as a suspect within three hours of the start of the politically motivated rampage.

Newly released records on the police response to the assassination of Melissa Hortman show officers knew a woman was lying motionless on the top of the stairs inside the Hortman home but waited 30 minutes to physically check on her.

1 day ago 1071 560 64 163

Put another way, we can't eliminate the role of the PBMs. Letting a different entity do what they do is probably even less attractive to the industry.

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You need someone to negotiate with pharma to get the prices for drugs down. Most countries do it via government. In the U.S. its way messier and there's so much extra price discrimination.

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PhRMA: PBMs are the reason we have high drug prices. Focus on the net, not the list. Look at all the money PBMs are pocketing from rebates.

Policymakers: OK lets get the data to see if we can fix this.

PhRMA: No, no, no, that's not what we meant.

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PBMs warn Trump’s proposal to disclose drug prices is illegal Pharma industry middlemen are pushing back on a major drug price transparency proposal.

The net prices of individual drugs should be “treated as confidential and used solely for fiduciary oversight purposes. Pricing methodologies and cost data are commercially sensitive, and appropriate confidentiality protections are necessary ..." PhRMA’s lobbyists said.

1 day ago 3 2 1 1
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CMS Has Limited Oversight of Selected Compounded Drugs Prescribed to Medicare Part D Enrollees

Seems important to think about this report in context of RFK/FDA maybe opening flood gates on compounding peptides.

oig.hhs.gov/reports/all/...

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wow. ...also if you don't have children, I hope you know you have the best height around for the 6-7 crowd.

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Pharma lobbyists focus on a surprising new target: the FDA Lobbyists told STAT they believe the odds of approval go up if a decision can be spun as a win for the Trump administration.

Eli Lilly has also pointed to its connection to the White House to ask for preferential treatment from the FDA. ...Lilly officials repeatedly referenced its drug pricing deal to push for a quicker approval decision, four FDA officials told STAT. @lizzylawrence.bsky.social @danielpayne.bsky.social

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If you have not walked around a city with a tiny person or just as a shorter adult, you may not realize just how huge a lot of personal vehicles are. So many giant pickup trucks where I am shorter than the hood of the car.

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The driver said he didn’t realize he struck anyone. If that is accurate that says quite a bit about a design flaw with the truck.

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CNPV For Life? Lilly’s Foundayo Filing Plans Suggest Voucher Can Span Indications Orforglipron was approved for obesity under the Commissioner’s National Priority Voucher pilot, but Eli Lilly also plans to submit the oral GLP-1 agonist for type 2 diabetes using the voucher program,...

Can you use a Commissioner's National Priority Voucher twice? This @pinksheetsutter.bsky.social flags another unique aspect of this program, which was launched without rulemaking or guidance and has raised a lot of questions about politicized decision-making.

insights.citeline.com/pink-sheet/p...

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Smith and Huntsman approached Scott and grabbed his
arms. Scott repeatedly pleaded “please” and “what are you
doing” in a distressed voice, while Smith and Huntsman
pulled him to the ground. At first, the officers held Scott’s
arms at his sides while he was lying on his back. In this
position, Scott screamed, struggled, and pled with the
officers to leave him alone for over two minutes. The
officers then eventually rolled Scott onto his stomach,
repeatedly ordering Scott to “stop.” With Scott on his
stomach and with his hands restrained behind his back,
Huntsman put his bodyweight on Scott’s back and neck for
about one to two minutes. At the same time Smith put his
weight on Scott’s legs, restraining his lower body. Scott’s
pleas turned increasingly incoherent and breathless as
Huntsman applied his bodyweight.
After handcuffing him, the officers attempted to roll
Scott on his side, as he continued to incoherently cry out that
he wanted to be left alone. When they rolled Scott over, his
face was bloody from contact with the ground. Scott stopped
yelling and thrashing around after a few minutes. Scott did
not respond when Smith and Huntsman tried to wake or
revive him. Shortly after, when the paramedics arrived, Scott
was still unresponsive. Scott was pronounced dead after
paramedics removed him from the scene. Plaintiffs’ expert
found that Scott had died from restraint asphyxia.

Smith and Huntsman approached Scott and grabbed his arms. Scott repeatedly pleaded “please” and “what are you doing” in a distressed voice, while Smith and Huntsman pulled him to the ground. At first, the officers held Scott’s arms at his sides while he was lying on his back. In this position, Scott screamed, struggled, and pled with the officers to leave him alone for over two minutes. The officers then eventually rolled Scott onto his stomach, repeatedly ordering Scott to “stop.” With Scott on his stomach and with his hands restrained behind his back, Huntsman put his bodyweight on Scott’s back and neck for about one to two minutes. At the same time Smith put his weight on Scott’s legs, restraining his lower body. Scott’s pleas turned increasingly incoherent and breathless as Huntsman applied his bodyweight. After handcuffing him, the officers attempted to roll Scott on his side, as he continued to incoherently cry out that he wanted to be left alone. When they rolled Scott over, his face was bloody from contact with the ground. Scott stopped yelling and thrashing around after a few minutes. Scott did not respond when Smith and Huntsman tried to wake or revive him. Shortly after, when the paramedics arrived, Scott was still unresponsive. Scott was pronounced dead after paramedics removed him from the scene. Plaintiffs’ expert found that Scott had died from restraint asphyxia.

One might hope that the Supreme Court's conservative supermajority would at least explain why it tossed out the lower court ruling against these officers, who seemingly murdered this man for no reason. Alas, we get nothing.

Here's that now-vacated ruling: cases.justia.com/federal/appe...

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Amazon is behind on jobs promised for funding to build Virginia headquarters The company expected to be nearly halfway to its goal of 25,000 new jobs in the area by 2038. It has created a little more than 7,000.

Amazon promised a lot of new jobs in Virginia in exchange for public subsidies, but failed to hit its annual job growth mark for third year, ending 2025 with 73 fewer new positions vs 1,600 new jobs projected for the year under its incentive agreement with state wapo.st/3QOsNdS

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“Mom, stop talking your battery ran out.” -4yo

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anyone who knew someone with pancreatic cancer knows how big of a deal this is

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Federal judge unloads on ‘unserious’ RFK Jr., says anti-trans policy showed his ‘cruelty’ Judge Mustafa T. Kasubhai vacated the “Kennedy Declaration,” finding it unlawfully attempted to override medical standards and restrict care for transgender youth.

Breaking: HHS’s ban on gender-affirming care is struck down. Rarely have I read a ruling this sharply worded.

“This case is one of a long list of examples of how a leader’s wanton disregard for the rule of law causes very real harm to very real people.”

www.advocate.com/politics/nat...

3 days ago 11330 3957 6 231

i think folks might be unfamiliar with "the pharisees", so let's make it clear: he's saying the jews run the press, and that they are conspiring to undermine the military. it's not just antisemitism, it's indistinguishable from nazism.

4 days ago 3866 1266 69 29

I know Sanofi would argue they do this to combat rebate games but well before this PBM-related concern drug industry would try to keep some $$ from drugs that were getting older by offering their own "generic" versions while still duping some with brand prices.

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TrumpRx is baffling to me. New group of drugs added yesterday. Sanofi added both its unbranded and branded versions of insulin glargine as separate products on the site (for same price point). Just seems to highlight for consumers that the list price of these identical products are different.

4 days ago 3 1 1 0
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