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In a new effort to tackle the deadly opioid addiction crisis in the US, pharmacy giant CVS announced on Friday it will limit opioid prescriptions to seven days for certain conditions. This restriction will apply to patients who are new to pain therapy.The new pharmacy program will also limit the daily dosage of pain pills based on their strength and will require use of immediate-release formulations before extended release opioids -- intended for severe, long-term pain treatment -- are dispensed.The changes will roll out on February 1, 2018 and cover all commercial, health plan, employer and Medicaid clients.CVS, which manages medications for nearly 90 million plan members, is one of the largest pharmaceutical chains in the US, with approximately 9,600 CVS Pharmacy stores and more than 1,100 walk-in medical clinics."With a presence in nearly 10,000 communities across the country, we see firsthand the impact of the alarming and rapidly growing epidemic of opioid addiction and misuse," said Larry J. Merlo, president and CEO of CVS Health.From 1999 to 2014, sales of prescription opioids in the US almost quadrupled, according to the US Centers for Disease Control and Prevention, yet there has been no change in pain reported by Americans.CVS said its pharmacists will also counsel patients with opioid prescriptions about the risk of dependence and addiction based on CDC guidelines. These educational sessions will also emphasize the importance of keeping medications secure in the home and proper disposal of unused medication.To help patients wanting to follow these guidelines, the company will almost double the number of drug disposal units in its Medication Disposal for Safer Communities Program from 800 to 1,550 kiosks. This expansion will begin this fall with locations in Florida, Massachusetts, North Carolina, Pennsylvania, South Carolina and the District of Columbia.The company is also committing million to Community Health Centers that provide medication-assisted treatment and other addiction recovery services.The President's opioid commission says that about 142 Americans die every day from a drug overdose, equal to the death toll from the September 11 attacks every three weeks. Most of those overdoses are from opioids.Though there were over 30,000 fatal overdoses from opioid drugs in 2015, public health experts believe that for every fatal overdose, there are 30 non-fatal overdoses. That would mean over 900,000 overdoses in 2015 alone.According to the CDC, drug overdoses are the leading cause of unintentional death in the US.  2589

House Speaker Paul Ryan endorsed Majority Leader Kevin McCarthy -- House Republicans' second in command -- to succeed him as speaker, in an interview with NBC."I think we all believe that Kevin is the right person," the Wisconsin Republican said in an interview that aired Friday. "I think Kevin's the right guy to step up."Ryan's support for the California congressman comes just days after Ryan announced he'd retire in January. Already, behind the scenes, the race for Speaker is unfolding. While Majority Whip Steve Scalise, of Louisiana, has said repeatedly he wouldn't challenge McCarthy in a head-to-head race, a leadership source told CNN earlier this week that Scalise's intention was to be ready if McCarthy couldn't garner the votes. 752

House Republicans released a tax reform plan Thursday that would eliminate a tax break for Americans with student debt.The student loan interest tax deduction saves people as much as 5 a year, though most see a smaller benefit.The sweeping legislation was described by House Speaker Paul Ryan as a series of tax cuts aimed at helping most Americans. But it eliminates or limits some tax deductions and exemptions to fund those cuts.The student loan interest tax deduction is just one on the chopping block. The bill still needs to be approved by both the House and Senate, and signed by President Trump, who has said it will be done "before Christmas."Here's how it currently works: Those eligible can claim up to ,500 of what they paid toward the interest on their student loans, but not the principal.It's an "above the line" deduction that can be claimed without itemizing. But it's only available to borrowers with a modified adjusted gross income of less than ,000 (0,000 for married couples filing jointly.) The benefit is gradually reduced once you earn at least ,000 (or 0,000 for couples).About 12 million people claimed the student loan interest deduction in 2015, according to the IRS. More than 40 million Americans have student debt.The student loan interest deduction cost the federal government billion in foregone revenue during 2016, according to a report from The Pew Charitable Trusts.The cost has more than doubled since 2007 as student loan balances grew, even though the maximum deduction (,500) hasn't changed since 2001, the report said.Still, it costs less than the American Opportunity Tax Credit. That allows families who are paying for college out-of-pocket to claim up to ,500 per student. The benefit, which cost nearly billion in 2016, would be preserved under the House Republican plan.Even if the federal student loan interest deduction is repealed by Congress, you may still qualify for a state deduction. Thirty-seven states and D.C. offer a similar benefit, according to The Pew Charitable Trusts.The House bill also proposes nearly doubling the standard deduction. It would raise it for singles to ,000 and for married couples filing jointly to ,000. 2279

Hurricane Michael's death toll climbed to 18 Saturday, after another victim was discovered in Virginia.Fears were mounting for those who did not heed evacuation orders before Hurricane Michael bulldozed large swaths of Florida's Panhandle, and residents in the hardest-hit areas grew increasingly desperate for provisions.Three days after the monster storm, with rescue workers cutting through hulking debris piles in search of survivors, residents formed long lines outside fire stations, schools and Salvation Army food trucks to collect bottled water and ready-to-eat meals (MREs)."It's about to get stupid if people don't get food and water," Panama City Assistant Fire Chief Gary Swearingen said Saturday.Some have already resorted to looting, according to CNN affiliate WEAR-TV, because of the lack of resources such as water, electricity and food. 862

In 2016, President Obama used the Affordable Care Act to extend federal sex discrimination protections to people who identify as transgender.But after a recent move by the Trump administration, some of those protections are now gone.“What happened with the recent Trump administration ruling is that they basically said they were taking out that definition of sex discrimination and stated that it only applied to a person’s birth sex and couldn’t be applied to their gender identity and that they were no longer going to enforce any protections on the basis of gender identity," said Dr. Eliabeth Kvach. “I think there’s something to be said, to think about what it’s like to be a person where the government says you don’t deserve to get accessible health care,” said Andrew MillerKvach and Miller both work at Denver Health in Colorado. Both call the recent rule change in DC a direct threat to the lives of transgender men and women.“We have for example, 300 patients on our list to be able to receive vaginoplasty or gender confirming surgery for transgender women. And if you’re waiting years to get that surgery and then all of a sudden you’re worried about whether your insurance is going to cover it, that is enormously psychologically devastating to people,” said Kvach.“I think that we’re already seeing that with cases coming out of hospitals denying care to transgender and non-binary folks," said Miller.“I certainly think that it is dangerous to the lives of transgender and non-binary people,” said Kvach.Denver Health is a LGBTQ+ Center of Excellence. For the health system it means any patient regardless of sexual orientation, gender identity, or other LGBTQ identification can receive treatment from any doctor for any health need“LGBTQ health care isn’t specialty care, it’s just health care,” said Miller.And while Miller is an employee at Denver Health, this is an extra important issue for him personally.“I identify as a transgender man, and as I said before, my pronouns are he, him, his. I was born female, and at a certain point in my life, I recognized that being a woman didn’t fit for me, it was like I was living this false life,” said MillerFor him, and many trans people, being called the wrong name or the wrong pronoun isn’t just a simple mistake“When we say hey, my name is Andrew, that’s what I go by, but you call me my birth name, what I hear is, 'It doesn’t matter that I told you my name.' You get to be more of an expert on me than I get to be on me. Why should I feel safe that you’re going to actually take care of me, if you can’t even call me my name?” Miller said.For trans people around the country, this rule change might mean they could be denied hormone therapy or gender reassignment surgery. Procedures the transgender and health care providers who treat them, deem medically necessary.“Medical treatment with hormones and with surgery help a person’s body align with who they are, with their gender identity,” Kvach said.But it also means they have to be worried about being denied treatment for anything from a sore throat to life saving surgery.“I’m from the south, I think about it all the time. What it would be like to go back home and have a medical emergency and not be able to get care. To be a person denied health care, and it’s terrifying,” said Miller.And that increased anxiety can lead to bad health outcomes from avoiding preventative treatment to suicide.A survey from the Trevor Project released this month shows that more than half of kids who identify as transgender and nonbinary have seriously considered suicide in the last 12 months.While this rule change may be disheartening to many, institutions like Denver Health reaffirm their commitment to treating transgender people, like people“I want folks to be able to go to the doctor and feel safe. I want my community to survive,” Miller said. 3878