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TULSA, Oklahoma — Pharmacists are fighting for new legislation that would keep insurance companies from telling customers which pharmacies to use. Pharmacy Benefit Managers often referred to as PBMs, are companies hired to help insurance companies save money.But Tulsa Pharmacist Chris Schiller said it's the patients who end up paying more. "They negotiated drug prices and did lower costs," Shiller said. "But since that time 15 years ago, they've used all these different tactics to make money where they've actually increased costs 1,010 percent."Schiller hopes HB2632 and SB841 will pass and help regulate PBMs. He said PBMs tell the patient what pharmacy they can use, eliminating your choice of where to get your prescription filled. "I'm hoping to see a level playing field for all pharmacies that protects the patient's right to choose," Schiller said. "Patients shouldn't be penalized to use the pharmacy they are most comfortable with." "I've been coming to Economy Pharmacy since they opened years ago," Kenda Skaggs said. Skaggs travels from Sand Springs to get her prescriptions. She said it's important to her to see a pharmacist she trusts. "They don't make mistakes," Skaggs said. "They know me and they know the meds I am on, and I trust them with their advice." Schiller said because of PBMs, local pharmacies may not be here a few years down the road."It's getting to that point, to where they're reimbursing so low, and directing so many patients out of state, that there aren't going to be as many pharmacies if we do not pass some regulations," Schiller said. 1597

The South Australian Department for Environment and Water said that it plans on killing up to 5,000 camels in the coming weeks due to environmental concerns stemming from an overpopulation of camels. According to the 229

This week's series of earthquakes served as a reminder that the United States' earthquake risk extends far beyond the Pacific Coast. On Tuesday, Puerto Rico was rocked by a 6.4 magnitude earthquake. The earthquake knocked out power to most of the island, killing at least one. Also in recent days, minor earthquakes were felt in Tennessee and Texas. While there have been dozens of earthquakes with a 4.5 magnitude or higher throughout the United States in recent years, the eastern United States see relatively fewer. Only four earthquakes of 4.5 magnitude or greater in the last four years have impacted the eastern United States. But the issue is not the quantity of earthquakes in the eastern United States, but the impact. The USGS puts out a hazard map that shows the earthquake risk nationwide. The map shows areas such as the Pacific Coast and parts of Alaska and Hawaii with a high risk of peak ground accelerations. It turns out that areas of Missouri, Tennessee, Kentucky, Arkansas, Illinois and South Carolina.USGS scientist David Schwartz agrees that the Pacific Northwest all the way to Charleston, S.C., practically every region of the United States, has a risk of feeling a devastating earthquake."The nature of the crust changes as you go from east to west. The Central and Eastern US, the crust is really old, it is older it is colder, it is denser, than the crust in the west which is younger,” Schwartz said. “It’s broken up by many faults and warmer. These different crusts transmit seismic waves differently.”And this difference in geology means that a strong earthquake in the Eastern United States could cause damage over an extensive area.Although the Eastern United States has not had many major earthquakes in the last century, two of the most powerful quakes in American history have happened east of the Rockies. The magnitude 5.8 earthquake that caused damage to the Washington Monument in 2011 is only a minor example of the kind of earthquakes the Eastern United States could see.In 1811 and 1812, a series of earthquakes struck the Mississippi River valley along the New Madrid fault. The strongest of the quakes was a possible magnitude 7.8. The quake was felt across much of the Eastern United States.In 1866, a magnitude 7.0 rattled Charleston, S.C.“A repeat of any of those earthquakes would be extremely damaging, because the housing stock in the Central and Eastern U.S. has not been designed for earthquakes,” Schwartz said.According to a survey funded by the U.S. Army, a magnitude 7.7 earthquake located along the New Madrid fault could cause 85,900 deaths and 8 billion in damage. By comparison, Hurricane Katrina caused roughly 1,500 deaths and 0 billion in damage.What to do during an earthquakeDROP to the ground (before the earthquake drops you!),Take COVER by getting under a sturdy desk or table, andHOLD ON to it until the shaking stops. 2906

Three members of a white supremacist group were sentenced to prison Friday for kicking, choking and punching multiple people during the 2017 "United the Right" rally in Charlottesville and other rallies in California.Benjamin Daley, 26, was sentenced to 37 months in prison; 25-year-old Thomas Gillen was sentenced to 33 months; and Michael Miselis, 30, was sentenced to 27 months, the U.S. Attorney's Office for the Western District of Virginia said in statement.The three were members of the California-based militant white supremacist organization "Rise Above Movement." The group no longer exists, according to the attorney's office.A fourth defendant, Cole Evan White, will be sentenced at a later date, the attorney's office said."These defendants, motivated by hateful ideology, incited and committed acts of violence in Charlottesville, as well at other purported political rallies in California," U.S. Attorney Thomas T. Cullen said."They were not interested in peaceful protest or lawful First Amendment expression; instead, they intended to provoke and engage in street battles with those that they perceived as their enemies."The three men sentenced attended two rallies in California prior to the August 2017 Charlottesville rally, during one which Daley and Miselis assaulted protesters, according to the attorney's office.In August 2017, the three men were in the crowd when violence erupted on the University of Virginia campus and Daley punched multiple people, the office said.The next day, "RAM members collectively pushed, punched, kicked, chocked, head-butted, and otherwise assaulted several individuals, resulting in a riot," the office said.They were among the most violent"The sentences imposed today demonstrate the U.S. Government's intolerance of the use of violence, by anyone, to infringe upon the right of others to assemble peacefully," Special Agent in Charge David W. Archey of the FBI said Friday.A criminal complaint filed in October accused the four men of traveling from California to Charlottesville for the rally "with intent (a) to incite a riot, (b) to organize, promote, encourage, participate in, and carry on in a riot, (c) as having 'participated in violent encounters in Charlottesville.'"The complaint called the men "among the most violent individuals" at the Charlottesville rally.Photo and video footage in the complaint showed White apparently head-butting a man in a clerical collar and a female counterprotester. The woman suffered a severe laceration.Gillen, Daley and Miselis are shown assaulting multiple counterprotesters, the complaint said. In other photos, some of the men are seen apparently kicking and slamming counterprotesters to the ground. 2719

The Trump administration announced Monday that it will being formally withdrawing the US from the Paris climate accord, the first step in a year-long process to leave the landmark agreement to reduce emissions of planet-warming gases."Today the United States began the process to withdraw from the Paris Agreement," Secretary of State Mike Pompeo said in a statement. "Per the terms of the Agreement, the United States submitted formal notification of its withdrawal to the United Nations. The withdrawal will take effect one year from delivery of the notification." 578

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