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REPORTER: Does the president condemn the actions of Kyle Rittenhouse, who is accused of shooting protesters?McENANY: The president is not going to weigh in on that pic.twitter.com/MNaL1tkESx— Aaron Rupar (@atrupar) August 31, 2020 238

President Donald Trump signed two pieces of legislation into law on Wednesday that aim to inform consumers about drug prices.Both measures, the Know the Lowest Price Act and the Patient Right to Know Drug Prices Act, aim to end the drug industry's so-called gag orders of pharmacists, which prevent them from discussing cheaper price options with consumers. These price options include discussing whether a medication may be less expensive if using insurance or paying out-of-pocket.At Wednesday's signing, the President called the gag clauses "unjust" and said the legislation would lower drug prices that are "way out of whack" and "way too high.""It's called the law of supply and demand. They didn't want to have that. But now we have that and it's going to lower drug prices," Trump added.Both the President and Health and Human Services Secretary Alex Azar said at the signing that they expect further regulatory action on reducing drug prices in the coming months.Some states and municipalities have pharmacy gag order bans, but the Patient Right to Know Drug Prices Act, sponsored by Maine Republican Sen. Susan Collins, addresses banning the practice of gag orders on a federal level. The Know the Lowest Price Act, sponsored by Michigan Democratic Sen. Debbie Stabenow, prohibits Medicare drug plans from putting a gag clause on a pharmacy in their contracts.Collins and Stabenow were present at Wednesday's signing, as well as Tennessee Republican Sen. Lamar Alexander, Louisiana Republican Sen. Bill Cassidy, Deputy Attorney General Rod Rosenstein and National Economic Council Director Larry Kudlow.Some pharmaceutical industry experts say that although eliminating the gag clause is step toward consumer transparency, it doesn't address the issue of lowering actual drug costs, making it unclear how much of a tangible effect the legislation will have.The President has frequently expressed his frustration over rising drug prices, and in May, he laid?out his vision for increasing competition, reducing regulations and changing the incentives for all players in the pharmaceutical industry.The administration released a 44-page blueprint of the plan, entitled American Patients First, aiming to increase competition and improve the negotiation of drug prices, as well as reduce consumers' out-of-pocket spending on medicines and create incentives to lower list prices.Ending the pharmacy gag orders was included the plan, as well as speeding up the approval of over-the-counter medications and asking the Food and Drug Administration to require manufacturers to include prices in their TV ads.A gag order on a pharmacy is frequently brought on by clauses in contracts with pharmaceutical benefit managers, which manage most of our nation's prescription drug programs. The benefit managers negotiate prices with drug companies on behalf of insurance companies and other payers and then share those prices to retail pharmacies. They also negotiate rebates from manufacturers and discounts from drugstores. If pharmacists violate the gag rule, they risk losing their contract with the pharmaceutical benefit manager.Daniel Nam, executive director of federal programs at America's Health Insurance Plans, told Kaiser Health News that gag orders on pharmacies are becoming less frequent because these clauses are "not something they are incorporating into their contracts."Mark Merritt, president and CEO of a lobbying group for pharmaceutical benefit managers, the Pharmaceutical Care Management Association, told the publication that these clauses are "very much an outlier." 3635

RANDALLSTOWN, Md. — The current wave of COVID-19 continues to put a strain on doctors and nurses.There are concerns that the rapidly increasing number of hospitalizations and patient deaths is putting the mental health of health care workers at risk.After dealing with the coronavirus for nine months, with doctors and nurses already stretched thin, they brace themselves for what another wave of COVID-19 will bring.An intensive care unit nurse at Northwest Hospital in Randallstown, Maryland, said “at the height of this pandemic, we were essentially in survival mode, going to work everyday with this new virus, being fearful. Fearful that we're going to take this home to our families, not really knowing enough about it to know are we really protected with what we're doing.”The ICU nurse admits the ongoing pandemic doesn't just have frontline workers concerned about their physical health, now there's also a concern for the state of their mental health.“The patients are sicker, than our traditional, regular ICU patients that come in, which in itself has taken a toll because we are exhausting all medical intervention possible and as a nurse, putting your heart and soul into taking care of and trying to save a patient and we fail,” the nurse said.COVID safety protocols leave patients to die alone, without anyone by their side except for a nurse.“You know, I’m going into a room, to hold a hand, or to hold an iPad and let a family say goodbye. That probably has been the toughest part for me. As an ICU nurse, I’m used to that. I’m used to hearing from patients and families at end of life but not to this capacity that we're seeing with the virus. Not these numbers of patients. And also not being the only contact that they're getting,” the nurse said.A recent survey by the non-profit organization Mental Health America, found the pandemic is taking a toll on the mental health of doctors and nurses.Mental Health America president and CEO Paul Gionfriddo said “the majority of them are experiencing conditions like stress and anxiety but more than half are questioning whether or not they're in the wrong profession at this point. Three-quarters are concerned about their kids and whether or not they're going to physically, negatively affect their kids or even emotionally whether or not they're giving the support to their children and families that they need.”Gionfriddo worries about the long-term effects the pandemic will have on frontline workers.“Some people will develop PTSD, others will develop psychosis, others will develop depression. The whole range of mental health conditions will emerge out of this pandemic among people who were healthy going into it, and who would have remained healthy if they were not put under the stress and pressure that they've experienced in trying to provide care to others during the pandemic,” Gionfriddo said.Considering the increasing level of stress from dealing with life and death on a day-to-day basis, some may wonder what keeps this ICU nurse going to work everyday instead of calling out or just calling it quits.“I took an oath as a nurse, and I think that's instilled in a lot of us. We have that responsibility, to the community and our families,” the nurse said.She decided to become a nurse and she said it's in her family. Her stepmother is a nurse, one of her aunts is a nurse, and it's something she always wanted to do, which is help people.This story originally reported by Mark Roper on WMAR2News.com. 3495

Residents of a hospice in London woke up Sunday to a pleasant and sweet-smelling surprise: the flowers that surrounded the Duke and Duchess of Sussex on their wedding day.The donated flowers, which adorned both St. George's Chapel and St. George's Hall in Windsor on Saturday, were designed by Philippa Craddock and a team of florists from Buckingham Palace and Windsor Castle.The bouquets were made up of foxgloves, peonies, and white garden roses, many of which were sourced from the gardens and parkland of the royal-owned Crown Estate and Windsor Great Park.Kensington Palace confirmed that the flowers were donated to a number of charities and hospices. One recipient was St. Joseph's in Hackney, east London. "To see the faces of the patients when they received the flowers was just fantastic," hospice spokeswoman Claire Learner told CNN.St Joseph's has a long history of royal connections, having been visited by Queen Elizabeth II, Princess Diana and, most recently, Prince Edward, who toured the grounds in 2015, the hospice said.The ties to the royal family do not stop there. Pauline Clayton, an 89-year-old patient, once worked as an embroideress to Norman Hartnell, one of the Queen's dressmakers.She revealed that aged just 19, she worked for almost 50 hours on the train of the Queen's own wedding dress, according to the UK's Press Association.Clayton added that she thought the gesture to donate the flowers was "lovely."For Father Peter-Michael Scott, the hospice's lead chaplain, the gesture signified something altogether more fundamental."It is about the energy of love. We are absolutely thrilled by the flowers and wish them (Harry and Meghan) all the best for the future," he also told PA. 1732

President Donald Trump's televised meeting Wednesday with lawmakers on gun control "made for great TV," a National Rifle Association spokesperson told CNN -- but the group was not entertained by the President's apparent sharp turn on policy."While today's meeting made for great TV, the gun-control proposals discussed would make for bad policy that would not keep our children safe," NRA public affairs director Jennifer Baker said. "Instead of punishing law-abiding gun owners for the acts of a deranged lunatic, our leaders should pass meaningful reforms that would actually prevent future tragedies."Lawmakers should focus on "fixing the broken mental health system, strengthening background checks to ensure the records of people who are prohibited from possessing firearms are in the (National Instant Criminal Background Check) system, securing our schools and preventing the dangerously mentally ill from accessing firearms," Baker added.During the meeting, Trump insisted that he is "a fan of the NRA," but he chided Republicans for being "afraid" of the gun lobby. Meanwhile, he expressed openness to measures that the NRA and some Republicans oppose, including raising the age limit to purchase firearms to 21 from 18. The President's remarks left Republicans visibly shell-shocked and Democrats giddy.Trump was skeptical that major gun policy changes would present a political risk, saying it would be "so easy" to harness the 60 votes needed to avert a filibuster in the Senate. And he pointedly dismissed the power of the NRA to derail the effort, telling lawmakers in the room, "They have great power over you people, they have less power over me.""Some of you people are petrified of the NRA," Trump added. "You can't be petrified." 1756

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