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Campaign Finance, Health care 07.15.2019
Donna Shalala Opposes Florida Drug Import Bill, and So Do Her Pharma Lobbyist Donors
By Alex Kotch
More in this project
All Freshmen Democrats Took Money From Health Industry Influencers – Some In Surprising Amounts Democrats on the take: New DCCC Chair is a best friend of health insurers Top Democrats are taking health care industry cash then opposing candidates who support "Medicare for all"
This story was originally published on Sludge on July 12, 2019 and republished with permission.
At a Florida Democratic Party event for "grassroots activists, elected officials, and major donors" at the Walt Disney World Beach and Yacht Club Resort & Convention Center in early June, U.S. Rep. Donna Shalala told attendees that her state's Republican-backed bill to allow importation of cheaper prescription drugs from Canada is "the silliest thing I've ever heard of."
Shalala, President Clinton's Health and Human Services secretary, told the crowd that "No HHS Secretary has ever approved the importation of drugs because of safety," according to the website Florida Politics. In 2000, at the end of the Clinton administration, Shalala refused to implement a law passed by Congress and signed by Clinton that would have allowed importation of FDA-approved drugs from foreign countries. The Florida legislature passed the bill, House Bill 19, and Gov. Ron DeSantis signed it into law on June 11. President Donald Trump has said he supports the idea in Florida as well as in two other states, Colorado and Vermont, that have passed similar bills. The three states plan to work together on a joint importation plan.
As she warns against importing drugs from America's neighbor to the north, Shalala is the beneficiary of over $135,000 in campaign donations since 2018 from health industry PACs, executives, and lobbyists, including many tied to American pharmaceutical companies that would face new competition from imported drugs under the Florida bill. At the same time, Shalala owns as much as $200,000 worth of stock in a number of pharmaceutical companies, according to Sludge's review of her most recent financial disclosure.
In her 2018 election, Shalala's campaign accepted at least $48,000 from health industry PACs, including $1,000 from the PAC of biopharma company Emergent Biosolutions and $1,000 from pharmacy benefit manager CVS Health. CVS Health now owns health insurer Aetna, which is a member of the Healthcare Leadership Council, a trade group that's part of the Partnership for Safe Medicines (PFSM), an astroturf industry association that led the opposition to a Senate version of Florida import bill. The Healthcare Leadership Council has publicly criticized drug imports as well.
PFSM ran television ads attacking the Florida bill, and PolitiFact deemed its claim that the legislation would allow drugs from China not inspected by the FDA into the U.S. false.
A number of lobbyists for pharmaceutical companies donated to Shalala's 2018 campaign.
Forbes Tate partner Jeffrey Forbes ($1,000), who lobbies for pharma companies Abbott Labs, Amgen, Bayer, Genentech, and Novartis, as well as for Pharmaceutical Research and Manufacturers of America (PhRMA), the nation's biggest drug lobbying group.
Shalala got $1,000 from Avenue Solutions lobbyist Tracy Spicer who represents drugmakers Merck, Jazz Pharmaceuticals, Sage Therapeutics, and other health industry organizations such as the American Medical Association, Illumina, Mednax—where Shalala was a paid director until resigning in April 2018—and the Healthcare Leadership Council.
Nathanson+Hauck lobbyist Melanie Nathanson ($1,000), who represents Coherus Biosciences as well as Quest Diagnostics and BlueCross BlueShield of Massachusetts. Two other state BlueCross branches, in North Carolina and Tennessee, are Healthcare Leadership Council members.
Heather Podesta, who at the time represented health insurance company Cigna, which owns pharmacy benefit manager Express Scripts, gave $5,400. Podesta lobbied Congress on drug pricing for Cigna in 2018.
Mary Beth Donahue, a lobbyist and former executive vice president of trade group America's Health Insurance Plans (AHIP), donated $5,400 as well. For AHIP, Donahue lobbied on drug pricing.
Daniel Montoya, director of government affairs for drug company Gilead Sciences' HIV FOCUS program thought not a registered federal lobbyist, gave $500.
Additional 2018 donors who lobby for health industry companies and trade groups include:
Avenue Solutions lobbyist Yvette Fontenot ($1,000), who lobbies on behalf of the BlueCross BlueShield Association and the Health Care Service Corporation;
Alignment Government Strategies lobbyist Burt Carp ($700), who currently lobbies for BlueCross BlueShield of South Carolina and OhioHealth Corporation;
Brian Coyne ($250), vice president of federal affairs at Magellan Health, who is currently lobbying Congress and the Center for Medicare and Medicaid Services on potential drug discounts;
Barclay Gang ($500), government affairs director for Florida-based health services company Mednax;
Mehlman Castagnetti Rosen & Thomas partners David Thomas ($500) and David Castagnetti ($250), who lobby for 3M Health Information Systems, AHIP, the Association of Accessible Medicines, Illumina, and insurer Humana;
and Ron Book ($2,700), a Florida state mega-lobbyist who represents Automated Healthcare Solutions, the Florida Association of Rehabilitation Facilities, and Vitas Healthcare Corporation.
More health industry PACs donated to the Shalala campaign in 2018. The PAC of Mednax contributed $10,000; the PAC of trade group American Hospital Association gave $5,000; the PAC of health insurance giant UnitedHealth Group donated $5,000; and the Florida Health PAC, the PAC of BlueCross BlueShield of Florida, chipped in $2,500.
Health care executives who donated to Shalala's 2018 campaign include three top Mednax officials, including CEO Roger Medel, who each contributed the maximum allowed amount of $5,400; Joseph Natoli, executive vice president of health care network Baptist Health South Florida ($5,400); Gerald Glass, chairman of Florida-based electronic prescription company Automated Healthcare Solutions ($2,700); and Karen Ignagni ($1,000), president and CEO of insurer Emblem Health and former AHIP CEO.
In the first quarter of 2019, Shalala received at least $22,100 from the health industry, including $1,000 from the PAC of pharmaceutical wholesaler AmerisourceBergen. Shalala's campaign has gotten $5,000 from the PAC of BlueCross BlueShield of Florida's holding corporation, Guidewell; $2,500 from Mednax PAC; $2,500 from health insurer Humana's PAC; $1,000 from the PAC of insurer Anthem, a Healthcare Leadership Council member; the maximum, $5,600, from Ronald Dozoretz, a longtime health care executive and the founder and chairman of genetic testing firm Genomind; and another $1,000 from Fontenot.
Shalala's office did not immediately return a request for comment.
Invested in the Industry
The Florida representative's ties to the health industry go deeper than campaign contributions. According to her most recent financial disclosure, Shalala is personally invested in at least 11 drug manufacturing companies and several other health insurance and medical device companies.
Shalala has between $383,000 and $1,020,000 invested in 19 health industry companies identified by Sludge. She has up to $200,000 invested in pharmaceutical firms, including between $15,001 and $50,000 in Pfizer and between $1,001 and $15,000 each in Allergan, Aspen Pharmacare Holdings, Bayer, Biogen, Ionis Pharmaceuticals, Johnson & Johnson, Seattle Genetics, Teva Pharmaceuticals, United Therapeutics, and Vertex Pharmaceuticals.
The current stock investments include as much as $615,000 in UnitedHealth Group, the insurance giant that compensated her with roughly $680,000 for her board position at the company, which she left in 2007. Other companies she profits from include Mednax (between $50,001 and $100,000 worth of stock), Medtronic ($1,001-$15,000), and West Pharmaceutical Services ($1,001-$15,000).
The fate of Florida's drug importation plan is in the hands of Health and Human Services Sec. Alex Azar, a former lobbyist for pharmaceutical company Eli Lilly, who is required to certify the safety of the imported pharmaceuticals before the plans can be implemented. While Shalala and some other Florida Democrats say Canadian drugs are dangerous, some experts say it's possible to import drugs safely.
"The FDA has the power to regulate any drugs sold in this country, regardless of where the drugs originated," Robin Feldman, University of California Hastings law professor, told PolitiFact. "Safety is key to the FDA's mission, and that mission encompasses drugs imported from other countries, as well as drugs sold directly here."
In a blow to patients, Sec. Azar announced on Thursday the administration's reversal of a plan to pass on rebates directly to Medicare Part D and Medicaid recipients, bypassing pharmacy benefit managers like CVS Health.
Meanwhile, presidential candidate Sen. Bernie Sanders (D-Vt.) announced that he will join a group of diabetes patients on a July 28 trip to Canada to purchase insulin there at cheaper prices than in the U.S. Sanders has proposed multiple federal bills and amendments to lower domestic drug prices and allow Canadian drug imports.
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Find out what the thing really is. Work with that. Don't be making stuff up.
Of course, it is easy to write on a sticky note "Find out what the thing really is." The actual finding out is harder.
But if it were easy how much fun would it be?


Got a pain? Take a pill. Increasingly, we have become a nation of avid consumers of strong narcotic pain relievers - drugs like oxycodone, fentanyl and morphine. A recent survey found Canadian pharmacies filled an astounding 17 million prescriptions for opioids last year! This country is one of the world's top per capita users of prescription narcotics. In Ontario alone, prescriptions for meds containing oxycodone have risen 900 per cent since 1991.
Are we really in that much pain?
Yes - chronic pain is a growing problem, particularly as our population ages. Back pain and headaches are two common reasons why people are prescribed with narcotics.
The other problem is they're popular on the street. Drug users chew, melt and inject long-acting OxyContin - to get an immediate and intense high. So intense, it can and does kill. Non-medical use of opioids is now the fourth-leading form of substance use in Canada, behind alcohol, tobacco and cannabis.
Later this month, White Coat will take its microphones on the road to discuss the issue. In advance of our town hall, we'd like to hear from you.
We want to hear from patients who was prescribed pills for pain, and now can't seem to stop taking them. We want to hear from family members of patients.
We want to hear from physicians who have prescribed opioid pain relievers and who have seen not just the benefits but the harms of doing so.
We also want to hear from pharmacists who in some cases are reluctant to dispense medications prescribed by doctors.
Call our vox box 1-866-648-6714. You can also email us at whitecoat@cbc.ca, or contact us through Facebook or Twitter. We realize this is a sensitive issue, so if you do get in touch, please let us know your name and how to reach you -- but we won't use your name on the air unless you're comfortable. We'll share some of your comments and questions during the taping of our upcoming town hall.


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It was my daughter's 30th birthday and the band even sang Happy Birthday to her! We were all thrilled.
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Jazzboat was great..A beautiful night with a full moon to celebrate my wife's birthday..
The music was excellent, the diner tasted great and the service was fast and very friendly. It's nice to see Prague from different angle then from sidewalk.
Over all I enjoyed that evening.
Good music and good food.
The view of Prague from the river was amazing.
Croisière très agréable, avec le groupe Rajnosek B.and et leurs reprises de M.Jackson! La vue sur la ville de nuit est sublime et le diner était bon , notamment le saumon. Dessert un peu trop sec. Les boissons sont en supplément. Les tables de 2 , contre les vitres, sont les meilleures!
Celkový dojem - vřele doporučujeme!
Hi! Congratulations for all, very well organizated, dinner delicious, singers fantastic, really confortable, very nace experience.
A nice remember for my wedding. Transferencia for all, Best regards!!!
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Rides, games and family fun start at the CNE this weekend, and here is the other good news: If you are in Toronto, you can join your fellow CMG members on Monday, September 5 at the Labour Day Parade, and get into the Ex for free with your family and friends! Everyone also gets food and ride tickets.
On Labour Day, we march to celebrate the gains unions have made for working people, and the ongoing efforts at improving working conditions, fairness, diversity, and accessibility to a pension for all Canadians.
We also march to have fun, and connect with thousands of other union members enjoying summer in the city.
See you there on Monday, Sept 5 at 9 a.m.!


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About India .....Overview .....Food .....Geography How to Travel in India Travelouge
Kodaikanal is one of the most popular hill stations in India. This charming place, situated in Tamil Nadu, is called the princess of hill stations.
This scenic city is also visited by many honeymooning couples. The Kodaikanal Lake is a very popular tourist destination. It is an artificial lake. Row boats and pedal boats can be hired at the Kodaikanal Boat Club.
Bryant Park is a botanical garden in Kodaikanal and is spread over 20.5 acres. It was planned and built by H D. Bryant in 1908 and is also named after him. The garden has various species of trees and has a section dedicated only to roses.
The Green Valley view is a place which offers a spectacular view of the plains and has a drop of 1500 meters.
1,00,645(2001)
Nearest Major City(s): Dindigul is 53 km from Kodaikanal, Madurai is 77 km from Kodaikanal and Tiruppur is 97 km from this town.
Kodaikanal By Air
The nearest airport is at Madurai , which is 120 km from Kodaikanal.
Kodaikanal By Train
The nearest railway stations are the Kodai Road Railway Station which is 80 km away and the Palani Railway Station, which is 64 km away.
Kodaikanal By Bus
Kodaikanal is connected by road with Chennai which is 520 km away, Ooty which is 264 km away, Trichy which is 197 km away, Coimbatore which is 175 km away, Kumili which is 160 km away and Madurai which is 120 km away.
Regular bus services are available from Madurai, Palani, Kodaikanal Road, Theni, Dindigul, Tiruchirapalli, Kumuli (Thekkady) and Coimbatore.
Additional buses ply during the season. Taxis and vans are available for local transportation. There are no auto-rickshaws in Kodaikanal.
Major Tourist Attraction: The Lake, Coaker's Walk, Bryant Park, Green Valley View, Pillar Rocks, Kurinji Andavar Temple, Solar Physical Observatory, Telescope House, Shenbaganur Museum, Dolmen Circle, Thalaiyar Falls, Berijam Lake, Chettiyar Park, Palani, Bear Shola Falls, Dolphins Nose, Lutheran Church, Silver Cascade, Pambar Falls.
Speciality(Famous for): It is a hill station.
Total Reviews : 1
All * fields are mandatory.
Reviews by users : (1)
Wonders of Kodaikanal - by Satyajit Banrjee Dated : 2012-02-27
The Kodaikanal Lake is a wonder in itself. Try taking a walk around the lake and you will come across many interesting things along the street. You will stumble upon flowers of various hues and trees. You will notice many people playing board games, boating and riding horses. It's a very good place for couples, children and people in general. It's a good place for children because there is a playground here.
Berijam, a nice picnic spot, is another major attraction in Kodaikanal. Berijam is about 26 Kms from the city centre and the entry into the forest requires the forest Officer's permission. You first need to take a token from the forest office and then take the forest Officer's signature. I was told that during peak season, entries are restricted to 300 - 400 cars per day but at other times there are no limitations. Also note that entry into the forest is not allowed on Tuesdays and days on which animal movement is observed.
Although the notice board on the gate reads that tokens will be issued from 8 am, there is no sign of officials till 10 am. If you want to visit the forest, I suggest that you reach the office by 8.30 am. Kodaikanal, with its various attractions is a paradise for visitors.
Copyrights @ 2010-2011. Remarkable India

redpajama_set_name: RedPajamaCommonCrawl


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Mechanical and elastic behaviour of concretes made of recycled-concrete coarse aggregates
In this paper an investigation of mechanical behaviour and elastic properties of recycled-aggregate concretes is presented. These concretes were prepared by alternatively using two different (coarse and finer coarse) recycled-aggregate fractions both made of recycled concrete coming from a recycling plant in which rubble from demolition is collected and suitably treated. Several concrete mixtures were prepared by using only virgin aggregates (as reference), 30% finer coarse recycled aggregate replacing fine gravel and 30% coarse recycled aggregate replacing gravel. Five different water to cement ratios were adopted as: 0.40, 0.45, 0.50, 0.55 and 0.60. Concrete workability was in the slump range of 190–200 mm. Compression tests were carried out after 28 days of wet curing. In addition, concrete elastic modulus and drying shrinkage were evaluated. Results obtained showed that structural concrete up to C32/40 strength class can be manufactured by replacing 30% virgin aggregate with recycled-concrete aggregate. Moreover, a correlation between elastic modulus and compressive strength of recycled-aggregate concrete was found and compared to those reported in the literature. Finally, on the basis of drying shrinkage results, particularly if finer coarse recycled-concrete aggregate is added to the mixture, lower strains could be detected especially for earlier curing time.
Titolo: Mechanical and elastic behaviour of concretes made of recycled-concrete coarse aggregates
CORINALDESI, Valeria
Abstract: In this paper an investigation of mechanical behaviour and elastic properties of recycled-aggregate concretes is presented. These concretes were prepared by alternatively using two different (coarse and finer coarse) recycled-aggregate fractions both made of recycled concrete coming from a recycling plant in which rubble from demolition is collected and suitably treated. Several concrete mixtures were prepared by using only virgin aggregates (as reference), 30% finer coarse recycled aggregate replacing fine gravel and 30% coarse recycled aggregate replacing gravel. Five different water to cement ratios were adopted as: 0.40, 0.45, 0.50, 0.55 and 0.60. Concrete workability was in the slump range of 190–200 mm. Compression tests were carried out after 28 days of wet curing. In addition, concrete elastic modulus and drying shrinkage were evaluated. Results obtained showed that structural concrete up to C32/40 strength class can be manufactured by replacing 30% virgin aggregate with recycled-concrete aggregate. Moreover, a correlation between elastic modulus and compressive strength of recycled-aggregate concrete was found and compared to those reported in the literature. Finally, on the basis of drying shrinkage results, particularly if finer coarse recycled-concrete aggregate is added to the mixture, lower strains could be detected especially for earlier curing time.


The performance of a game can be highly influenced by the costly equipments that are used while playing a game. For instance, the opponents dreaded the combination of a polo player and his favorite horse. It was one of the costliest horses of his stable and hence his favorite. Whenever he was on its back he used to hole two balls. In fact, he refused to accept a large sum of money when offered by an opponent as he knew it would be more costly for him on parting with his lucky horse.
It was not that something miracle used to happen whenever he sat on the horse back. His skills remained the same but his way of using them changed as he gained in confidence while riding his costliest horse.
Participation in sports has been on a steady rise for the last two decades. Millions of kids across the world take part in some kind of sport every year and it is common for children to begin participating in sport activities as early as 4-5 years of age. Participation in sports opens doors for various lessons that help the person in his or her whole lifetime.
Sports Massage: It is a kind of body work geared towards sports people. It is used in preventing injuries, preparing the person's body for the athletic activities and maintaining it in the optimal condition. It also helps the sport spersons to recover from injuries and workouts. There are three kinds of sports massage: pre-event, post-event and maintenance massage.
Roles are also important in equal-participation youth programs. At this level of play, team roles help provide beginners with an opportunity to find meaningful success. For instance, a young basketball player may initially have a limited role-setting screens, making good passes, and playing solid defense.
Working in sports is no easy task, it requires an assortment of skills as well as your undying devotion. People who work in sports do not just enter the field because they just want some regular old job, but because they are passionate about the game and want to be around it all day everyday. Not all people however are meant to work in the world of sports but those who are posses in my opinion three essential skills to be successful in the business. Those three skills include communication skills as our business is fast paced and requires excellent communication, people skills as we are required to work and service an endless variety of people, and finally being proficient in the use of various computer applications and other computer software.


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