Categories
Health

CVS stops giving J&J Covid vaccines in pharmacies, nonetheless provides pictures at some MinuteClinics

A nurse will give a syringe to the FEMA-sponsored COVID-19 vaccination site at Valencia State College on the first day the site resumes offering the Johnson & Johnson vaccine.

Paul Hennessy | LightRakete | Getty Images

CVS Health has discontinued Johnson & Johnson’s single-dose Covid-19 vaccine in its pharmacies and only makes vaccinations available in about 10% of its retail locations, the company told CNBC on Wednesday.

The drugstore chain said it made the change in the past few weeks. Customers can still get the syringes at nearly 1,000 MinuteClinic locations in 25 states, and Washington DC MinuteClinics are located in some of the company’s drug stores and provide medical care and other services such as diagnostic tests and vaccines.

CVS pharmacies will continue to offer the two-dose vaccines Pfizer-BioNTech and Moderna Covid nationwide, according to CVS spokesman Mike DeAngelis. He declined to say how many pharmacies were affected by the change, however said it would help with vaccine supply to the drugstore chain.

CVS has more than 9,900 retail locations according to its 2020 annual report.

J&J did not immediately respond to CNBC’s request to comment on the change.

J & J’s vaccine was touted as a blessing by federal health officials when it was approved by the FDA in late February because it only requires one dose and can be stored at refrigerator temperatures for months. Since then, it has suffered from poor public perception of its overall effectiveness, concerns about rare side effects, and production delays.

For some Americans, concerns about the one-shot vaccine have increased with the advent of the Delta variant, which can spread more easily and cause more serious illness than the original coronavirus. Some people have even gone so far as to look for an extra dose not yet recommended by the Centers for Disease Control and Prevention. This week, San Francisco health officials announced they would allow patients who received a J&J vaccine to have a second vaccination from Pfizer-BioNTech or Moderna.

The change by CVS will affect the availability of the recordings for many Americans. J & J’s vaccine is already not getting as much uptake in the US as mRNA vaccines.

According to the CDC, approximately 13.5 million doses of the J&J vaccine had been administered in the US by Tuesday. This compares to a combined total of 333.6 million doses for the vaccine from Pfizer and Moderna.

Dr. Paul Offit, who served on advisory boards for both the CDC and the Food and Drug Administration, said J & J’s vaccine really “suffered” after federal health officials urged states in April to suspend vaccination “as a precaution.” “While examining six women who developed a rare but severe bleeding disorder, said

The recommended break was lifted 10 days later after U.S. officials determined that the benefits of the vaccinations outweigh their risks.

“I think the public is hearing that the vaccine is going off the market for a while and it’s just hard to get past that scarlet letter,” said Offit, also director of the Vaccine Education Center at Children’s Hospital of Philadelphia.

The company and U.S. health officials have claimed the single-use vaccine is safe and highly effective, particularly against serious illness, hospitalizations, and death. J&J reported last month that new research found that its vaccine was effective against the highly contagious Delta even eight months after being vaccinated.

– CNBC’s Nate Rattner contributed to this report.

Categories
Politics

State Dept. Presents Potential Refugee Standing to Extra Afghans Who Labored With U.S.

The State Department is offering potential refugee status to new categories of Afghans who helped the United States during the war in Afghanistan, including those who have worked for the news media and non-governmental organizations.

The ministry announced in an announcement on Monday that the measure was intended to protect Afghans “who may be at risk because of their affiliation with the US,” but who were not eligible for a special immigrant visa program that has started with it , Thousands of Afghans and their family members.

The White House is under heavy pressure to protect Afghans who have worked with the US military for the past 20 years and who may face Taliban reprisals if the United States withdraws its troops from Afghanistan. As the Taliban gains territorial gains across the country, Biden government officials and prominent members of Congress are increasingly concerned about the threat posed by ties to the United States.

The first plane load of more than 200 Afghan interpreters, drivers and other US military aides arrived in the Washington area last week to relocate them as part of a government initiative under two special visa programs prepared by Congress.

Congress created the Special Immigrant Visa Program to provide refuge to Afghans and Iraqis who have helped the US military. But the State Department’s actions on Monday reflected concerns that the program is still putting many Afghans with US ties at risk.

Last month, a coalition of news media organizations – including The New York Times, along with The Washington Post, ABC News, CNN, Fox News, and several others – sent letters to President Biden and the leaders of Congress urging them to take further action To undertake protection of Afghans who had worked as reporters, translators and support staff for the US media in Afghanistan.

The letters indicated that the special immigrant visa program “did not reach the Afghans who served US news organizations. But they and their families face the same threat of retaliation from the Taliban that the American press see as a legitimate target. “

The Taliban “long waged a campaign of threats and killing of journalists,” the letter read, and estimated that around 1,000 Afghans were at risk because of their journalistic affiliations.

The refugee program will also provide shelter for Afghans who worked on US government-funded programs and projects in the country, as well as non-governmental organizations long targeted by the Taliban.

The State Department said Afghans who fail to meet the minimum tenure of the special immigrant visa program would also be granted potential refugee status.

Those eligible for the program would undergo a “comprehensive security clearance” before being allowed to relocate to the United States as refugees, the department said.

While it offers relocation opportunities to new categories of Afghans, the United States continues to work to protect thousands more who have helped the military and are eligible for the special immigrant visa program.

Approximately 2,500 Afghans are being relocated to Fort Lee, Virginia, as part of an effort known by the White House as Operation Allies Refuge to remove them while they are completing their visa and permanent relocation applications in the United States.

Federal officials say around 4,000 more Afghans in the middle of the application process will soon be flown to other countries along with their immediate families before those who have been granted visas are taken to the United States.

Categories
Health

A New Alzheimer’s Drug Gives Extra Questions Than Solutions

“It puts us in a bad place,” agreed Dr. Karina Bishop, a geriatrician at the University of Nebraska Medical Center. Ethically, she added, “if this drug was available right now, I would not feel able to prescribe it.”

Even as individual doctors grapple with advising patients, hospitals and health systems are devising protocols for when Aduhelm becomes available, probably within weeks.

At the Mayo Clinic, said Dr. Ronald Petersen, a neurologist who directs the Alzheimer’s Disease Research Center there, “we’re going to stick pretty close to the inclusion and exclusion criteria used in the trial.”

That means only patients with mild cognitive impairment or early Alzheimer’s disease would qualify, after an M.R.I. to rule out certain conditions and risks, and a P.E.T. scan or lumbar puncture to confirm the presence of amyloid. The Mayo protocols, like the clinical trials, would exclude people taking blood thinners like Warfarin or Eliquis.

“It’s not like you come in and say, ‘I’m a little forgetful,’ and we say, ‘Here’s this drug,’” said Dr. Petersen. But not every provider, he acknowledged, will employ such safeguards.

Dr. Eric Widera, a geriatrician at the University of California, San Francisco, expressed a similar concern: “If doctors were extremely cautious and limited this drug to the very specific population included in the study, with very careful monitoring, it would be the first time in medicine that was ever done.”

He pointed out another consequence of federal approval: a rift between some doctors and the Alzheimer’s Association, the national advocacy group, which this spring mounted a campaign it called More Time. Intended to demonstrate public support for approval of aducanumab, the effort included newspaper ads and social media posts.

Categories
Politics

‘It’s Extra Enjoyable’: Germany Presents Blinken a Gushing Welcome

BERLIN – Foreign leaders often feign indifference to changes in American governments. But during his two-day visit to the German capital, Foreign Secretary Antony J. Blinken’s impotent hosts did little to hide their relief over the end of the Trump era and the revival of American relations with Germany.

Federal Foreign Minister Heiko Maas raved about a joint appearance with his counterpart in a chic Berlin beer garden on Thursday and remembered his first conversation with Mr Blinken after he became Foreign Minister.

“At the end of the call,” he said, “I couldn’t help saying, ‘Tony, I still have to get used to the fact that I can talk to the US Secretary of State and always be the same.” View – because it used to be different was. ‘”

Germany, said Maas, was “very happy that the US is now on our side again”. Then, after explaining the global importance of this layer, Mr. Maas paused with a tall glass of beer in front of him.

“It’s more fun too,” he added.

The day before, the outgoing Chancellor Angela Merkel sounded visibly relieved next to Mr Blinken.

“We are pleased that the American states, to quote the American President Joe Biden, are back on the international, multilateral stage,” said Merkel. She and President Biden, she said, “could have agreed on a common approach to global problems.

That was rarely the case in Germany when it came to President Donald J. Trump.

And so Blinken’s visit underscored the German joy at the departure of an American president who was hostile to Germany, a European economic power and important NATO ally, and described it as an economic competitor and free rider among the American defense. After the resignation of Mr. Trump’s ambassador to Germany, Richard Grenell, a member of Ms. Merkel’s party even said that Mr. Grenell acted like “the representative of a hostile power”.

Mr. Blinken made it clear that those days are over.

“I think it is fair to say that the United States has no better partner, no better friend in the world than Germany,” he told Maas on Wednesday at a joint appearance at the German Foreign Ministry, a mixture of joy and pride.

Mr. Blinken’s visit was followed by President Biden’s first trip to Europe as President of several days, during which he announced the return to America’s traditional transatlantic leadership role. Mr Biden’s itinerary did not include Germany, but he met Ms. Merkel twice at meetings of European leaders and plans to receive Ms. Merkel at the White House next month.

“The new American government has reached out and we should take it,” said Federal Minister of Economics Peter Altmaier before leaving for a visit to Washington on Wednesday, according to Deutsche Welle.

Behind the scenes, however, it wasn’t just happy hours and happy conversation.

Mr Blinken and Mr Biden are strongly opposed to completing the Nord Stream 2 natural gas pipeline from Russia to Germany, saying it will give Moscow an impact on Europe’s energy security and threaten Ukraine, which makes around $ 1 billion annually on an existing one Pipeline that Russia might at some point no longer be able to use.

Mr Biden waived Congress sanctions last month against the Russian company that built the pipeline and its German chairman, effectively admitting that there was an attempt to halt the project – at the time Mr Biden left office started, was more than 90 percent complete – not worth the probable cost of German-American relations.

Now American and German officials are discussing ways to mitigate Russian benefits from the project, including trying to ensure the Kremlin “cannot use gas as a coercive weapon against Ukraine or anyone else,” Blinken told the House Foreign Affairs Committee earlier this month .

Neither man wanted to give more details about these conversations. After hearing several questions on this subject during his performance with Mr. Blinken, Mr. Maas smiled weakly.

“We can probably save the world as a whole, but people would still ask us about Nord Stream 2,” said Mass. “Well, we have to accept it and live with it.”

German officials celebrated America’s engagement at a Wednesday conference on the future of Libya, attended by Mr Blinken and other State Department officials, including U.S. Envoy for Libya Richard Norland.

The United States was a half-hearted participant in the first conference of its kind, held in January 2020. Mr Blinken’s predecessor, Mike Pompeo, made a brief appearance at the event and left the country before it was completed.

On Wednesday, Mr Mass said the Biden administration was “very committed to this dossier,” adding in an implicit dig by the Trump team, “much more active than we expected in recent years”.

After years of civil war and military intervention by foreign powers – including Egypt, Russia, Turkey and Egypt and the United Arab Emirates – Libya is trying to find influence on a stable and independent political base after the 2011 coup of his long-time dictator Muammar el-Gaddafi.

Wednesday’s conference, at which a group of nations reiterated previous calls for Libya to hold elections scheduled for December 24th and the withdrawal of all foreign forces from the country, brought little new progress.

A senior administrative official said behind the scenes that one obstacle was Turkey’s insistence on its military trainers being legally in the country under an agreement with a previous Libyan government. However, US officials are hoping that as a first confidence-building measure, an agreement could be drawn up that would allow several hundred mercenaries, each representing different factions in the country’s recent battle, to be returned to their homes.

On Thursday morning, Mr. Blinken visited the haunting memorial to the murdered Jews of Europe in Berlin to commemorate the beginning of a joint German-American “dialogue” on Holocaust issues, which is intended to combat increasing anti-Semitism and Holocaust denial.

“We help present and future generations learn about the Holocaust and learn from it,” said Blinken of his late stepfather Samuel Pisar, a survivor of the Nazi camp who lost his family in the Holocaust.

The day ended happily, however, when Mr. Blinken and Mr. Mass – sitting on stools under an outer tent, shorn jackets and ties and sipping beer – answered questions from current and former participants in the German-American educational exchange programs. (Mr Blinken, who joked that he was given a smaller glass on request, just seemed to take a sip.)

Mr. Blinken, a lifelong musician, remembered taking a road trip to Hamburg as a teenager while living in Paris and doing an improvised series there with his rock band, whose other members he called “talented, unlike me” played from gigs in a bar. ”

Mr Maas and Mr Pompeo had civil relations, but it was clear that the German diplomat, born a year after Mr Blinken, had a special chemistry with the new Foreign Minister.

“I’m very excited to see that the two of you seem to be very, very good friends,” remarked one law student who asked a question. “And that gives me hope for the future of German-American cooperation.”

Melissa Eddy contributed to the coverage.

Categories
Business

At Final, Support for Senior Vitamin That Provides Extra Than Crumbs

Long before the coronavirus emerged, nutrition programs serving the country’s older adults were struggling to keep up with growing demand. Often they couldn’t.

For example, in Charlotte, NC and nine surrounding counties, the waiting list for meals on wheels averaged 1,200 people. However, Linda Miller, director of the Centralina Area Agency on Aging, who coordinates the program, always assumed the real need was greater.

She knew that some customers were skipping meals because they couldn’t travel to a senior center for a hot lunch every weekday. Some shared a single homemade meal that served for both lunch and dinner.

Some never asked for help. “Just like with food stamps that are under-used,” Ms. Miller said, “people are embarrassed:” I’ve worked hard all my life; I don’t want charity. ‘”

In northern Arizona, budget cuts combined with only modest increases in the federal dollar under the Older Americans Act also resulted in waiting lists.

“We get a lump sum and say: ‘Thank you! We weren’t cut! “, Said Mary Beals-Luedtka, director of the regional agency for aging, which supplies four largely rural districts there. “But flat-rate financing is like a decline. It is not sufficient. “

Covid-19 made the task immeasurably more difficult. Across the country, senior centers and church halls serving meals to healthier, more mobile seniors have been closed. Then those closings, as well as on-site housing guidelines and fear of exposure, have dramatically increased the number of elderly people who have had to eat.

Many volunteers, who were also at risk from age, stayed away. Sometimes family members who had been involved in shopping and cooking also became concerned about infecting their elders.

The Arizona team struggled last year to serve 150 percent more meals at home than last year. “My staff wavered,” said Ms. Beals-Luedtka. “It was crazy.” She still has around 70 people on a waiting list.

Help has come, however. For the convenience of administrators and advocates, the first three federal Covid recovery packages included a significant increase in funding for the Older Americans Act, which supports both community meals and group meals (which serve the majority of attendees) and meals on wheels.

The fourth and by far the largest infusion, $ 750 million, will come from the American rescue plan that President Biden signed last month. That brings the total increase for senior nutritional services to $ 1.6 billion. They received $ 907 million in fiscal 2019.

“It is a victory and an endorsement of the value of this program,” said Bob Blancato, executive director of the National Association of Nutrition and Aging Services Programs. “Malnutrition among older adults is an ongoing problem.”

Regardless, a 15 percent increase for those who qualify for grocery brands, specifically the Supplemental Nutrition Assistance Program, will benefit an estimated 5.4 million elderly recipients.

For years, lawyers for older adults have been campaigning for more significant federal aid. Although the Elderly Americans Bill was supported by both parties, 5,000 local organizations were consistently lagging behind in their ability to feed the elderly due to small annual increases in funding.

From 2001 to 2019, funding for the Older Americans Act rose an average of 1.1 percent a year – a 22 percent increase in nearly two decades, according to an analysis by the AARP Public Policy Institute. Adjusted for inflation, however, funds for food services fell by 8 percent. State and local matching funds, endowment grants, and private donations helped keep the kitchens open and the drivers deliver, but many programs still failed to fill their budget gaps.

At the same time, the number of Americans over 60 – the age at which they are eligible for OAA nutrition and other services – rose 63 percent. About a quarter of low-income seniors were “food unsafe”, which means that they had limited or unsafe access to adequate food.

And that shortage was before the pandemic. After the programs hastily closed community meetings last spring, a survey by Meals on Wheels America found that nearly 80 percent of programs said new requests for self-delivered meals had at least doubled. Waiting lists grew by 26 percent.

Together with the money, the Covid relief legislation gave these local programs the flexibility they needed. To qualify for Meals On Wheels, domestic customers must typically require assistance with daily living activities. The emergency funds allowed administrators to service less frail seniors who were completing home stay orders and transfer money free from community centers for home delivery.

Even so, some administrators were faced with dire decisions due to the increased number of cases from people who had never applied for a meal before.

In northern Arizona, approximately 800 customers were served homemade meals as of February 2020. By June, that number had risen to 1,265, including new applicants as well as those who had previously dined at the program’s 18 now-closed senior centers. Customers received 14 meals each week.

By the summer, Ms. Beals-Luedtka had “no more money” despite government aid. She was faced with the grim task of telling 342 seniors who had been on the list for three emergency months that she had to remove them. “People were crying on the phone,” she recalled. “I literally had a man say he was going to commit suicide.” (She restored it.) Even those who stayed got five meals a week instead of 14.

Now Ms. Beals-Luedtka is waiting for an estimated $ 1.34 million from the rescue plan, which will largely remove the waiting list, increase the number of meals for each recipient, and help local vendors reopen senior centers with the procurement and repair of kitchen appliances .

In North Carolina, the Centralina agency last month began delivering boxes of groceries – containing produce, canned foods, and other staples – to low-income seniors using federal funds from last year’s CARES Act, in partnership with a grocery bank. “You are a huge success,” said Ms. Miller. “I could never do that.”

It may seem unnecessary for senior nutrition programs to accomplish anything other than feed hungry elderly people, but research has shown that they have a broader impact.

“Addressing nutritional needs isn’t just good for people’s quality of life,” said Kali Thomas, a researcher at Brown University whose studies have shown that meals on wheels have several benefits. “It improves your health.” These programs reduce loneliness and help keep seniors away from expensive nursing homes. They can also help reduce falls, although these results were based on a small sample and did not reach statistical significance.

Interestingly, Dr. Thomas suggested that daily food deliveries had a greater impact than weekly or twice-monthly frozen food deliveries, a practice many local organizations have used to save money.

Frail or forgetful customers may have trouble storing, preparing, and remembering frozen meals. The main reason daily deliveries pay off is because of their regular chats with drivers, according to their study.

“They build relationships with their customers,” said Dr. Thomas. “You could come back later to fix a rickety handrail. If you are concerned about a client’s health, let the program know. The drivers are often the only people they see all day, so these relationships are very important. “

Congregant meals also contribute to the wellbeing of participants by preventing food insecurity and providing socialization and healthier nutrition. This resulted in a prepandemic assessment.

While program administrators enjoy a rare opportunity to expand their reach, they fear that the aid money will be spent and waiting lists will reappear if Congress does not maintain this increased budget.

“There will be a cliff,” said Ms. Beals-Luedtka. “What will happen next time? I don’t want to have to call people and say, “We’re done with you now.” These are our grandparents. “

Categories
Business

To Construct Assist for Infrastructure Plan, Biden Gives His Personal Tackle ‘Bipartisan’

WASHINGTON – President Biden’s attempt to push through a $ 2 trillion plan to rebuild the country’s infrastructure – along with the tax hikes to pay for them – will be a crucial test of his conviction that bipartisan support for his proposals will defeat traditional Republicans Objections in Congress can be overwhelming.

Rather than push back on his ambitions to curb Republican opposition in the Senate or appease moderate Democrats in the House of Representatives, Mr Biden and his allies on Capitol Hill are unapologetically pushing forward bold, expensive measures, and are betting that they can build bipartisanism among voters in the across the country and not by elected officials in Washington.

Kentucky Senator Mitch McConnell, the Republican leader, and other members of his party are working to brand the bill as a liberal wish list of wasteful spending and a fundraising Democratic government that will strain the economy with tax increases.

But Mr Biden predicts that the broad appeal of wider streets, faster internet, bullet trains, ubiquitous electric car charging stations, shiny new airport terminals, and improved aqueducts will undermine the anticipated flurry of ideological attacks that are already emanating from Republican lawmakers , Corporate groups, anti-tax activists, and President Donald J. Trump.

At his first cabinet meeting at the White House Thursday, Mr Biden directed several of his top officials to tour the country over the next few weeks to sell the benefits of infrastructure spending. White House press secretary Jen Psaki also told reporters that the president would take Democrats and Republicans into the Oval Office to discuss the plan and their ideas.

“I hope and believe that the American people will join in this effort – Democrats, Republicans and Independents,” said Biden on Wednesday in Pittsburgh when he officially announced his plan. Comparing it to the popularity of the nearly $ 1.9 trillion pandemic relief bill passed last month, he said, “If you live in a city with a Republican mayor, district head, or governor, ask them how many they would rather get rid of the plan. “

Generating sustained support for the proposal, however, will be a major challenge for the White House. The business lobby is preparing for a widespread campaign against tax hikes in the president’s plan. Influential groups like the Business Roundtable and the US Chamber of Commerce warn lawmakers against tax increases if the US emerges from a deep economic crisis caused by the coronavirus pandemic.

But across the country, some local Republican officials are already advocating the prospect of millions of dollars in new infrastructure spending pouring into their communities even as they are anxious to voice concerns about new taxes.

In Fresno, Calif., Mayor Jerry Dyer said the president’s proposals, if passed into law, would allow the city to accelerate plans for a high-speed rail station connecting it with labor offices in the Bay Area. He said the city was struggling to electrify its bus fleet and provide robust internet, especially for poorer communities.

“These dollars are welcomed for repairing much of our infrastructure,” said Republican Dyer. He said he was concerned about the impact of higher taxes on businesses but hoped Washington would resolve the problem.

“There is no question that the need is there,” he said.

Mayor John Giles of Mesa, Arizona, described the president’s proposal as “a very good thing” for his city. With the money, Mesa could modernize a 1970s airport tower, widen streets, expand broadband, and expand a regional light rail network. He said he was disappointed with the Republican opposition in Congress.

“It was only a few months ago that we all agreed that infrastructure was a bipartisan problem,” said Giles. “That attitude shouldn’t change just because there’s a new government in the White House.”

But Maryland Governor Larry Hogan, another Republican who has called for a huge infusion of infrastructure spending, accused Mr Biden of using the legislation to promote $ 1.4 trillion in liberal programs.

“It still has a lot of good things, but it also has a lot of things that have absolutely nothing to do with infrastructure,” said Hogan. “They say, ‘No, we just want to go through all of our priorities.'”

Mr. Biden and those closest to him understand that law enforcement will take place in Washington, not Fresno, Mesa, or Maryland. In announcing his plan, the president sought to label the Republicans in Congress as longtime proponents of infrastructure. He invited her to negotiate and dared to oppose his proposal.

“We will negotiate in good faith with any Republican who wants to help,” said Biden. “But we have to do it.”

That last line was a not-so-subtle reference to his legislative strategy. If the president fails to win the backing of Republican lawmakers, Democrats seemed ready to re-use a parliamentary budgetary tool known as reconciliation to push through the tax and spending plan by simple majority and, most likely, only democratic support.

At an event in his home state Thursday, Mr. McConnell called Mr. Biden “a first class person” whom he personally liked. But he argued that the president led a “brave left government” and warned that “no matter how much we want to deal with infrastructure, the package they are putting together will not get any support from our side.” ”

For Mr Biden, who has served in the Senate for more than three decades, the political calculations are very different from 12 years ago when a similar move was considered.

President Barack Obama took office in 2009 amid an economic crisis that left a Senate firmly under democratic control. Just a few weeks after his tenure, he pushed through a $ 825 billion stimulus package to stimulate the economy – a piece of legislation considered far too shy by many progressives today.

Mr. Obama and his aides spent weeks feverishly negotiating with Conservative Democrats and a handful of Republicans in Congress, urging the President to limit the size of the spending plan. Rahm Emanuel, then Obama’s chief of staff, said Conservative Democrats like Senator Ben Nelson of Nebraska insisted that the president win the support of Republicans.

Mr Biden seems to have drawn the lesson from this experience that trying to recruit a small number of Republicans has limited benefits – and that the key is to sell the benefits of the plan to Americans rather than the process to let pass.

“The politics were different, the politics were different, the public was different,” said Emanuel, praising Mr Biden’s approach.

Even before the president unveiled his plan, Republicans argued that Democrats weren’t really interested in bipartisan negotiations, especially after putting the pandemic relief package in place with no Republican votes.

New York Senator Chuck Schumer, the majority leader, has asked the Senate MP for guidance on how often Senators can seek reconciliation this fiscal year. This has been taken as a sign by several Republicans that they are preparing to bypass the 60-vote filibuster threshold.

“It is insincere for the President to invite Republicans to the White House and Oval Office to discuss it, if he has made it very clear – and Democrats in Congress have made it very clear – they have no intention of speaking with Republicans to work on this package. Said Representative Kevin Brady of Texas, the top Republican on the House Ways and Means Committee.

In an interview, Senator Susan Collins, Republican of Maine, said she appreciated the reach of the government in advance of Mr Biden’s announcement, including several bipartisan lawmakers briefings and individual discussions with Cabinet officials.

But Ms. Collins, a member of a bipartisan Senate group seeking to compromise on a number of issues, said bipartisan negotiations would most likely stall if the government refused to change the overall price or the makeup of the package.

“Everyone knows what bipartisanism means: it means members of Congress from both parties are working on and voting for important laws,” she said, adding, “It’s not like it’s a relic of the ancient world last year acted in a non-partisan way on the most important topic: the pandemic. “

If Democrats are already contemplating reconciliation, Ms. Collins said, “That raises questions about whether there is any serious interest in developing a bipartisan infrastructure package.”

Some Democrats have said the proposal is insufficient to address both infrastructure needs and inequalities across the country, and they have advised the White House against passing a legislative package to win a handful of Republican votes.

“I’m not particularly hopeful that a giant of Republicans will wake up who decide to pass an infrastructure package that actually deals with the climate,” Washington representative Pramila Jayapal, chairwoman of the Progressive Congressional Caucus, told reporters before the speech from Mr. Biden.

Categories
Business

Medium Gives Buyouts to Editorial Staff

Medium, the platform that provides a platform to individual writers and has launched its own online magazines in recent years, offered voluntary takeovers to all editors on Tuesday when it announced it was cutting back on its journalism.

During a monthly all-hands meeting via video conference, employees were also informed that Siobhan O’Connor, Vice President for Editorial Affairs since 2018, would be leaving the company.

Evan Williams, a Twitter co-founder who founded Medium in 2012, told staff in a long email after the meeting that Medium was making “some changes” to its publishing strategy. He said Medium would reduce the budget of the company-powered publications and redirect resources to support independent writers on the platform.

Medium has made an effort to gain a foothold with independent journalism. It started as a blogging platform that anyone could post on, with the aim of creating “a new model for media on the Internet”. In 2017, the company laid off a third of its employees – 50 employees – after Mr Williams decided to move away from ad-supported content. In 2019, the company stepped up its own journalistic efforts with the launch of OneZero, a tech and science publication, which was followed by others including GEN (Politics and Culture), Elemental (Health), and Zora (Women in Color).

“Our goal has never been to replicate the traditional publishing model as we’ve seen the challenges facing the industry,” Williams wrote in Tuesday’s email.

He said that Amplify, a program that offered writers on the editorial and promotion platform, worked well, but it had been less successful in commissioning stories from professional writers for Medium’s publications.

“To be clear, we had no illusion that these releases would pay for themselves in the short term,” he said. “The bet was we could develop these brands and they would develop loyal audiences that would grow the overall middle subscriber base. What happened, however, is that Medium’s subscriber base continued to grow while our publications audience did not. “

Some employees wept over the video call, including two people who were aware of the meeting and who were not authorized to speak publicly. Employees were told they didn’t have to take over the acquisitions, but that their jobs would most likely change if they stayed, people said.

Those who take advantage of the acquisitions will receive a five-month lump-sum salary and six months of healthcare benefits. The fate of the Medium publications was uncertain, and Mr Williams said in the email that “it would take a lot more experimentation to find out what role they play on the platform”.

A trade union action at Medium failed less than a month ago. The middle-class union has one vote less than a simple majority of workers required for union recognition, a March 1 statement said.

A spokeswoman for Medium said in a statement that the company “remains fully committed to the high quality editorial and open platform model that independent writers support”.

“The voluntary buyout reflects changes we are making to our editorial team to create a more flexible organization that focuses on both,” the statement said.

The spokeswoman said that after Ms. O’Connor’s departure, Medium’s content operation will be led by Jermaine Hall and Scott Lamb.

Categories
Business

‘The Market Appears Loopy’: Begin-Ups Wrestle With Flood of Provides

The frenzy has already created problems. Nikola, an electric car startup that went public in June via a SPAC, fell more than 80 percent after mutual fund Hindenburg Research accused the company in September of lying about its technology, overvaluing deals and being fooled into rolling a truck down a hill in a product video. Nikola founder and chairman Trevor Milton has resigned and the Securities and Exchange Commission and Justice Department have started investigations into the company.

The SEC has also launched an investigation into Clover Health, a health insurance start-up, and Lordstown Motors, an electric vehicle start-up, both of which have gone public through blank check companies in recent months.

On March 10, the SEC warned that SPACs face various risks and potential conflicts of interest. The agency particularly criticized those endorsed by celebrities and concluded that “celebrities, like anyone else, can be tricked into participating in a risky investment.”

For the time being, the special vehicles will remain on the lookout for destinations.

Jedidiah Yueh, executive director of Delphix, a data infrastructure company in Redwood City, California, heard the interest firsthand. Mr Yueh, who founded Delphix 13 years ago, said SPACs started reaching out last summer as his business picked up amid the pandemic. The company, which helps clients process and automate data, recently turned profitable and is a candidate for an IPO.

But Mr. Yueh said he had not decided whether Delphix would go public via a traditional offering or some other route such as “direct listing” or SPAC. While he’s sorted the options, SPACs have flooded his inbox with messages almost daily. A mailer was even sent to Delphix’s vacant office last year while everyone was working from home in the pandemic.

Mr. Yueh said he met with some SPACs out of curiosity. But he quickly got the feeling that sponsors were telling him what they thought they heard. When they found out that Delphix was profitable, “just shift gears and talk about how easy it is to work with you,” he said.

He said he stopped responding to cold pitches and created a can response to fend off others. The investors he’s met with aren’t the kind of long-term supporters Delphix wanted, he said. But alluding to the trend of prominent SPACs, he added, “I would have had a meeting with Shaq.”

Categories
Health

Purdue Pharma Provides Plan to Finish Sackler Management and Mounting Lawsuits

In a message marking the beginning of the end of the most notorious prescription opioid maker in the country, Purdue Pharma unveiled its bankruptcy restructuring plan just before midnight on Monday. The blueprint requires members of the billionaire Sackler family to give up control of the company and transform it into a new business whose revenues are solely aimed at alleviating the addiction epidemic that caused its signature pain reliever, OxyContin.

The 300-page plan is the company’s formal offer to end thousands of lawsuits and includes the Sacklers pledge to pay $ 4.275 billion out of their personal assets – an additional $ 1.3 billion than their original offer – to reimburse states, communities, tribes and other plaintiffs for the costs associated with the epidemic.

If the plan is approved by a majority of the company’s creditors and Judge Robert D. Drain of Federal Bankruptcy Court in White Plains, NY, payments will flow into three buckets: one to compensate individual plaintiffs, such as families whose relatives have overdosed , or legal guardians of infants with newborn abstinence syndrome as well as hospitals and insurers; another for tribes; and the third – and largest – for state and local governments devastated by the cost of a drug epidemic that only worsened during the Covid-19 pandemic.

“With drug overdose still at record levels, it is time to use Purdue’s fortune to help tackle the crisis,” said Steve Miller, chairman of the Purdue board of directors, in a statement. “We are confident that this plan will achieve this important goal. ”

It remains to be seen whether the plan will be adopted. Since the company filed for bankruptcy in 2019, 24 states and the District of Columbia have denounced it, arguing that the lawsuit would preclude their ability to take legal action directly against individual Sackler family members who they consider to be inadequate contributions.

Although some details of the settlement terms are still being worked out, Purdue officials said the Sacklers would not be exempt from criminal investigations that could be launched by a handful of states for violating consumer protection laws. However, the plan exempts them from further civil litigation.

The new application, filed minutes before a court-set deadline, marks a milestone in Purdue’s long, troubled history as the maker and marketer of OxyContin, the prescription pain reliever that has become addicting hundreds of thousands of people. Federal and state agencies spent years trying to curb Purdue’s marketing tactics. In 2007, the Justice Department reached an agreement with Purdue and top executives on $ 634.5 million to resolve criminal charges related to its marketing practices.

As of 2015, when the opioid epidemic hit the country, the lawsuit engulfed cities, counties, states, tribes, families, hospitals and insurers, drug distributors, pharmacies and manufacturers, including Purdue boss. The cases almost consistently claim that OxyContin helped lay the foundation for the prescription and illicit drug addiction epidemic that killed more than 400,000 people over 20 years.

To halt the growing civil lawsuit that cost Purdue $ 2 million a week in legal costs, the company filed for bankruptcy protection in 2019.

The legal dispute before a federal court against other companies continues.

The biggest difference between Purdue’s earlier proposals and this latest plan is that the Sacklers increased their payments by $ 1.3 billion and extended their payment schedule by an additional two years (from seven to nine).

Another notable change concerns control of the new company. The original 2019 proposal called for it to be monitored by state-appointed officials. The restructuring plan now describes it as a private company run by independent managers selected by the states and local governments that sued Purdue. The largest groups of applicants – tribes and the government – own the company and would ensure that the proceeds are used solely for crisis management programs.

The company’s managers could sell to private owners by 2024, but those owners would also be bound by the same rules of conduct and income directions.

As it worked its way through the bankruptcy process, Purdue pleaded guilty in November of fraud against health officials and violating anti-kickback laws.

Individual members of the Sackler family agreed to pay the federal government civil fines of $ 225 million, but said in a statement that they “acted ethically and lawfully.” Although the Sacklers were not charged, the Justice Department reserves the right to file criminal charges later.

A key goal of the new Purdue plan is to install guard rails to ensure that settlement money is used to alleviate the epidemic, rather than being paid out more generally to cover budget constraints. Such payouts were a major criticism of the 1998 settlement that ended widespread legal disputes against the large tobacco companies that opioid disputes are sometimes compared to.

During the bankruptcy negotiations, pushed forward by the creditors, the company suggested in its plan that the payouts comply with the latest public health principles signed by at least two dozen major medical, drug policy, and academic institutions, and attention to drug prevention, youth education, and race set up justice and transparency.

Tens of thousands of parties vote on the plan. Confirmation hearings will follow and completion is expected in a few months. Since bankruptcy proceedings began 18 months ago, leaders of a large community bloc have signaled their support, as have 24 states.

Lloyd B. Miller, who represents numerous tribes including the Navajo Nation, said his customers were on board.

“It is critical that more funds go to the treatment of opioids in tribal communities, all the more given the extraordinary devastation tribes have suffered during the Covid pandemic,” he said.

But since 2019, when Purdue filed for bankruptcy, 24 other states – some controlled by Democrats, others by Republicans – and the District of Columbia have declined to take the move, finding that Purdue has continued to benefit from its OxyContin sales.

Maura Healey, the Massachusetts attorney general who was the first to sued individual members of the Sackler family, alleged that Sackler payments under this scheme would come from their investment returns rather than capital.

“The Sacklers became billionaires by causing national tragedy,” Ms. Healey said in a statement. “They shouldn’t be allowed to get away with paying a fraction of their investment returns over the next nine years and walking away richer than they are today.”

Opposing state attorneys general said the plan, while an improvement on previous proposals, still found it disappointing for several reasons. Among them, the plan should be amended to “achieve a speedy and orderly liquidation of the company that does not involve unduly states and other creditors”.

Two branches of the Sackler family – heirs to two brothers who founded the company – said: “Today is an important step in helping addicts and we hope that this proposed resolution signals the beginning of a far-reaching development. Make an effort to provide help where it is needed. “

The oldest brother, Dr. Arthur Sackler, sold his shares before OxyContin was launched, and his relatives are not part of the litigation.

A forensic review of the Sacklers’ finances commissioned by Purdue as part of bankruptcy investigations found that the family made more than $ 10 billion from the company from 2008 to 2017. Family lawyers said the full amount was illiquid: more than half went into taxes and investments in companies sold under the bankruptcy agreement.

Although states and other creditor blocs have protested vigorously against elements of the plan for the last 18 months, many factors seem to favor the likelihood of approval: the length of the litigation, the exorbitant costs for all parties, the urgency of the worsening opioid crisis, and the general depletion of public health resources due to the coronavirus pandemic.

The new company would continue to sell OxyContin, a pain reliever that is still approved by the Food and Drug Administration in limited circumstances. But it would diversify its products to include generics and a drug used to treat attention-deficit hyperactivity disorder, as well as new drugs to reverse overdose and treat addiction to be marketed as a public health initiative on a nonprofit basis.

Categories
Politics

Biden Administration Formally Presents to Restart Nuclear Talks With Iran

WASHINGTON – The United States took a major step on Thursday to restore the Iranian nuclear deal abandoned by the Trump administration, offering to join European nations in the first substantial diplomacy with Tehran in more than four years, government officials from Biden said.

In a series of moves aimed at delivering on one of President Biden’s key election promises, the administration stepped back on the Trump administration’s efforts to restore United Nations sanctions against Iran. These efforts had separated Washington from its European allies.

At the same time, Foreign Minister Antony J. Blinken announced on Thursday morning in a call to European Foreign Ministers that the United States would work with them to restore the 2015 nuclear deal with Iran, which he described as “an important achievement of” multilateral diplomacy. “

Hours later, Enrique Mora, the European Union’s Deputy Secretary-General for Political Affairs, appealed to the original signatories of the nuclear deal to save it from a “critical moment”.

“Intensive discussions with all participants and the USA,” said Mora on Twitter. “I am ready to invite you to an informal meeting to discuss the way forward.”

However, it was unclear whether the Iranians would agree. The first barrier to business recovery can be a politically sensitive dance about who goes first. The Biden government has other goals, including expanding and deepening the deal to curb Iran’s growing missile capability and continued support for terrorist groups and the Syrian government of Bashar al-Assad.

Mr Biden has announced that he will only lift the sanctions imposed by President Donald J. Trump if Iran returns to the limits of nuclear production observed until 2019.

Under the original 2015 deal, Iran shipped 97 percent of its nuclear fuel out of the country and agreed on tough restrictions on new production, which would essentially ensure that it would take a year or more to produce enough material for a single weapon to produce. In return, the world powers lifted international sanctions that had stifled the Iranian economy. But when he took office, Mr Trump unilaterally restored American sanctions, arguing that the deal was flawed.

Iran said the United States was the first to violate the 2015 nuclear deal, and it would not be brought back into line until America reversed course and allowed it to sell oil and do banking all over the place World perform. A senior official in the Biden government said Thursday evening that closing this loophole would be a “painstaking” process.

The announcement will open a number of delicate diplomatic offers. A State Department official said the United States had no indication of whether Iran would accept the offer and warned that the prospect of a meeting was a first step in a long, difficult process to restore the nuclear deal.

The new Washington

Updated

Apr. 18, 2021, 6:10 p.m. ET

The offer comes days ahead of the Sunday date when Iran announced it would prevent international inspectors from visiting undeclared nuclear facilities and conducting unannounced nuclear site inspections if the US does not lift sanctions re-imposed by the Trump administration.

Such inspections, mandated by the nuclear deal, are vital to the understanding of the international community of Iran’s progress toward weapons capability. The State Department official said Thursday’s meeting was not specifically designed to prevent Iran from taking this step, as the United States would not offer a concession to forestall an action Iran has absolutely no reason to take .

The official also did not offer details of what proposals the United States might bring to initial meetings with Iran and the Europeans.

Sparring about who moves first will only be the first of many hurdles. And with a presidential election in Iran just four months away, it was not clear whether the country’s top leader Ayatollah Ali Khamenei and the country’s political and military leadership would fully support reintegration into the United States.

A second senior government official from Biden said the negotiations would take place if other world powers, including China and Russia, were part of them. This left the question unanswered as to whether regional powers excluded in the last agreement – Saudi Arabia, Israel and the United Arab Emirates – would play a role.

The State Department said Iran must return to full compliance with the deal before the United States lifted a series of US economic sanctions that Mr Trump has imposed on Tehran and paralyzed the Iranian economy, as the Biden administration has stressed.

Until then, the Biden government with good reason withdrew its demand last fall that the United Nations Security Council enforce international sanctions against Iran for violating the original 2015 agreement that restricted its nuclear program.

Almost every other nation had rejected the Trump administration’s insistence that the United States could invoke the so-called snap-back sanctions because it was no longer part of the deal.

In addition, the Biden government is lifting travel restrictions on Iranian officials wishing to travel to the US to attend UN meetings, said the official, who spoke on condition of anonymity before announcing the measures.

Iranian Foreign Minister Mohammad Javad Zarif said on Twitter that Tehran is waiting for American and European officials to “demand an end to Trump’s legacy of #EconomicTerrorism against Iran”.

“We will be following ACTION w / action,” tweeted Mr Zarif.

When asked whether the United States had preliminary diplomatic communication with Iran, the State Department official did not specifically respond, simply saying that the government had consulted extensively on the issue.

European officials who more than a year ago officially accused Tehran of violating the agreement by collecting and enriching nuclear fuel beyond the limits of the agreement had largely been left to cohesion. In the hope that the deal will be restored once Mr Trump resigns, officials in the UK, France and Germany have since delayed enforcing a dispute mechanism to punish Iran for repeated violations of the deal.