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The Trump administration took hesitant first steps Wednesday to allow the importation of certain drugs from Canada and other countries.The historic move comes after President Donald Trump cast aside typical GOP opposition and pushed his health officials to find a way to approve the Republican governor of Florida's recent request to allow the importation of lower-cost drugs.The Department of Health & Human Services, which has long raised safety concerns over importation, released a Safe Drug Importation Plan that describes two ways certain drugs from abroad could enter the US. It marks a major turnaround for HHS Secretary Alex Azar, who called importation a "gimmick" in the past.But it will likely take a while before these lower-priced medications find their way into patients' hands.Under one scenario, states, pharmacists or drug wholesalers could submit plans to the agency for test projects on how they would import drugs approved by Health Canada. But the method also sets up many hurdles, including saying the tests would be limited in time and require regular reporting to ensure safety and costs are being met.The second pathway would allow manufacturers to import lower-cost versions of the drugs that they sell in foreign countries. Agency officials said drug makers are interested in doing this but have not been able to because of contracts with other players in the supply chain.Under the new plan, Insulin, however, cannot be imported from Canada, likely disappointing diabetics, some of whom have to travel north to purchase the costly, lifesaving medicine there.But HHS clearly put the burden on states and manufacturers to convince it that importing drugs would be safe for consumers and save them money. For instance, it would be up to states to negotiate with Canadian authorities to allow their drugs to be sent to the US, said Azar. 1878

Trooping guards with bearskin hats, guns blasting at the Tower of London and a spot of afternoon tea launched President Donald Trump's long-awaited state visit to the United Kingdom on Monday.The elaborate displays of hospitality did little to prevent Trump from dispatching insults over Twitter as he descended into London.It was an appropriate start to a visit laced with controversy and steeped in tradition, delivered by a fractured nation for a hard-to-please guest."I think it'll be very important," Trump predicted as he departed the White House on Sunday evening. "It certainly will be very interesting."Indeed, the dramatics began even before Air Force One had touched down at Stansted Airport outside London. As he was descending, the President tweeted an insult of London's mayor, calling Sadiq Khan a "stone cold loser" for being "foolishly 'nasty' to the visiting President of the United States."Trump and Khan have engaged in a transatlantic spat over terrorism and security, and this week Khan called Trump "one of the most egregious examples of a growing global threat" 1097

The Texas Board of Pardons and Paroles recommended Friday that Gov. Greg Abbott grant a 120-day reprieve to Rodney Reed, an inmate set to be executed next week.Reed was sentenced to death more than 20 years ago for the 1996 assault, rape and strangling of 19-year-old Stacey Stites. He's scheduled to be executed November 20.But the inmate and attorneys with the Innocence Project 393

TripAdvisor has defended itself against accusations of misleading travelers by failing to stop some of its highest ranked hotels winning their status with fake reviews.UK consumer group Which? Travel analyzed a total of almost 250,000 reviews for the 10 top-ranked hotels in 10 global tourist destinations, from Las Vegas to Cape Town. It found that one in seven of the hotels had "blatant hallmarks" of fake reviews, with others raising "serious concerns."But TripAdvisor called the analysis "flawed" and said its more sophisticated detection tools were able to weed out fraudulent feedback.Which? Travel said that when it reported 15 of the worst cases to TripAdvisor, the reviews giant -- now one of the world's biggest travel websites -- admitted that all but one of the hotels in question had been caught using fake reviews in the past year.Six had previously been penalized, and two had received a "red badge warning" -- where TripAdvisor warns users that the hotel is suspected of using fake reviews, and has "repeatedly failed to remedy its behavior and refuses to cooperate with TripAdvisor's investigators."Yet, Which? Travel said it found that the review patterns had continued unabated despite the measures, and the red badges had been removed.The group has accused TripAdvisor of a "lack of serious ongoing action to address repeated abuse of the system."It says that five-star reviews left by new users who have written no other reviews should be a red flag. Its analysis compared the proportion of first-time five-star reviews with that of first-time three-star reviews, which are less likely to be faked.In total, it studied 247,277 reviews."TripAdvisor's failure to stop fake reviews and take strong action against hotels that abuse the system risks misleading millions of travelers and potentially ruining their holidays," said Which? Travel's Naomi Leach.TripAdvisor has removed hundreds of reviews in light of the investigation, Which? Travel claimed."Striking" evidence of fake reviewsHotels in the Middle East had "striking" amounts of fake positive reviews, according to the research. TripAdvisor docked 730 five-star reviews of the "best" hotel in Jordan following the analysis -- but the hotel has not been given a red badge. It remains in the top 10 in the country.At the top-ranking hotel in Cairo, 79% of five-star reviews came from one-time contributors. Just 14% of three-star reviews came from similar accounts.The hotel has lost its status as a result of the reviews' deletion.Las Vegas was another hotspot for fake reviews. At two of the top-rated hotels, almost half the five-star reviews came from one-time contributors. For a competitor which did not arouse suspicion, the figure was just 3%.Some of the top-ranked hotels in London, Paris, Barcelona and Cape Town "gave reason for suspicion," the research showed, but failed to demonstrate the same patterns across the board.Repeat offendersTripAdvisor called the analysis "based on a flawed understanding of fake review patterns," adding that "it is simply far too simplistic to assume all first-time reviewers are suspicious."It said that Which? Travel did not have access to IP [internet protocol] information or location data, both of which TripAdvisor uses to detect fake reviews."We analyze hundreds of data points about each review -- most of which only we have access to -- and we combine that data with a wealth of knowledge and understanding of review patterns that our team of experts has gained from tracking hundreds of millions of reviews over a near 20-year period," said the company."This includes an ability to track and analyze first-time reviews in far more detail and with far more rigor than Which's team was able to do."Online reviews influence an annual estimated ￡23 billion ( billion) of booking transactions in the UK alone, according to the UK government."Sites like TripAdvisor must do more to ensure the information on their platforms is reliable," said Naomi Leach."If they continue to fall short, they should be compelled to make changes so holidaymakers are no longer at risk of being duped by a flood of fake reviews." 4152

They never even saw the transcript of the call. A total Witch Hunt!— Donald J. Trump (@realDonaldTrump) September 24, 2019 134