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WASHINGTON - President Trump signed 4 executive orders Friday afternoon which all aim to lower the cost of prescription drugs for Americans.The first executive order will require medical facilities to pass along discounts they receive on insulin and EpiPens to consumers. The second order will allow for the importation of prescription drugs from Canada and other countries.The third order aims to eliminate the "middle man" in prescription drug sales. "Nobody even knows who they are. But the middle men are making a fortune,” President Trump said Friday.The fourth executive order strives to bring Medicare’s drug prices more in-line with prices in other countries.Florida's Governor, Ron DeSantis, joined the press conference, along with administration representatives and Americans who have diabetes and other medical conditions.During Friday's event, President Trump said he and his administration has secured 90 percent of the world's supply of remdesivir, which has proven to be a reliable treatment option for Covid-19. These efforts were initially announced in early July by the U.S. Department of Health and Human Services.Reducing drug prices has been an ongoing effort of the Trump administration. In 2018, the president signed two pieces of legislation into law on Wednesday that aimed 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.In 2019, A federal judge nixed a regulation that was a centerpiece of the Trump administration's efforts to bring down drug prices.US District Judge Amit Mehta of the District of Columbia vacated the Department of Health and Human Services' rule that would have required drug makers to include their list prices in TV ads, saying the agency had overstepped its authority."No matter how vexing the problem of spiraling drug costs may be, HHS cannot do more than what Congress has authorized," Mehta wrote at the time of the ruling in July 2019. "The responsibility rests with Congress to act in the first instance."President Donald Trump has been unable to land the big deal with Congress to curb drug costs.Democrats, including Joe Biden, are pushing a much more ambitious plan to empower Medicare to negotiate prices.Friday's orders come at a time when the pharmaceutical industry is racing to create a Covid-19 vaccine. 2498

WASHINGTON (AP) — Just 7 years old, Jackeline Caal was picked up by U.S. authorities with her father and other migrants this month in a remote stretch of New Mexico desert. Some seven hours later, she was put on a bus to the nearest Border Patrol station but soon began vomiting. By the end of the two-hour drive, she had stopped breathing.Jackeline hadn't had anything to eat or drink for days, her father later told U.S. officials.The death of the Guatemalan girl is the latest demonstration of the desperation of a growing number of Central American families and children showing up at the U.S.-Mexico border, often hoping to claim asylum, and it raises new questions about how well authorities are prepared.Customs and Border Protection said Friday that the girl initially appeared healthy and that an interview raised no signs of trouble. Her Spanish-speaking father signed a form indicating she was in good health, authorities said, though a Guatemalan official said late Friday that the family's native language was a Mayan dialect.CBP Commissioner Kevin McAleenan said agents "did everything in their power" to save her.The episode drew immediate questions from members of Congress and others about whether more could have been done. There were only four agents working with a group of 163 migrants, including 50 unaccompanied children, and only one bus to take them to the nearest station 94 miles away. The protocols the agents followed failed to alert them to any signs of distress until it was too late."A 7-year-old girl should not be dying of dehydration and shock in Customs and Border Protection custody," Senate Minority Leader Chuck Schumer tweeted.The Rev. John L. McCullough, president of Church World Service, said her death was a result of "the administration's immoral war on immigrants." He declared, "People don't walk thousands of miles unless they are desperate for freedom at the end of their journey." The Homeland Security Department's inspector general opened an investigation.The girl and her father, 29-year-old Nery Caal, were arrested with the large group near the Antelope Wells border crossing at about 9:15 p.m. Dec. 6. The rugged, mountainous area is home to ghost towns and abandoned buildings from Old West homesteader days. It's an unforgiving terrain where Geronimo made his last stand and remains largely isolated with no cell service and few unpaved roads. The sparsely used official port of entry is open from 10 a.m. to 4 p.m.The group was held at one of 17 "forward operating bases" in Arizona, New Mexico and Texas — spartan facilities built in recent years to increase official U.S. presence in extremely remote areas. Agents live there on weeklong assignments because driving back and forth every day from their stations would consume enormous amounts of time.Jackeline and her father were held in the facility with food and water but no medical aid.CBP officials say the drive from Antelope Wells to the nearest Border Patrol station in Lordsburg can take hours.With the migrants, the agents went over an intake form that reads: "Receiving screening will be performed by professional or paraprofessional personnel trained to recognize the state of conscious, quality of gross motor function, fever or other signs of illness upon arrival at the facility."According to the form, the girl showed no sign of illness. She was not sweating, had no tremors, jaundice or visible trauma and was mentally alert."Claims good health," the form reads. Jackeline's father appeared to have signed the form, which was obtained by The Associated Press.The final question is whether she should be in a general population, referred for non-emergency medical care or referred for emergency medical care. The "general population" box is checked.Arresting such large groups poses logistical problems for agents, who have to wait on transport vans that are equipped with baby seats to take the migrants to processing facilities, some which are far from the border.There is a single bus that transports migrants to and from this area to the base in Lordsburg, and, following protocol, the other minors filled the first bus while the daughter and her father waited.It's not clear whether Jackeline ate or drank anything while in custody.The father and daughter did not board the bus until 4:30 a.m. She began vomiting at 5. The bus continued — there was no way to receive medical care where they were, officials said — and radioed ahead to have emergency medical technicians available when they arrived in Lordsburg. By the time they arrived, at 6:30, she had stopped breathing.Emergency crews revived her, and she was airlifted to an El Paso, Texas, hospital, while the father was driven there. The girl died at about 12:30 a.m. Dec. 8. Officials said she had swelling on her brain and liver failure. An autopsy was scheduled to determine her girl's death. The results could take weeks.CBP said Friday it didn't immediately publicize the death out of respect for the family but is reviewing its disclosure practices. Commissioner McAleenan didn't mention the girl's death when he was questioned by senators this week on border issues."The agents involved are deeply affected and empathize with the father over the loss of his daughter," McAleenan said Friday. "We cannot stress enough the dangers posed by traveling long distances, in crowded transportation, or in the natural elements through remote desert areas without food, water and other supplies."White House spokesman Hogan Gidley described Jackeline's death as "a horrific, tragic situation" and called for "commonsense laws to disincentivize people from coming up from the border," crossing illegally.Guatemalan consular officials said they had spoken with the father who was deeply upset. Tekandi Paniagua, the Guatemalan consul in Del Rio, Texas, said the family's native language was Ki'che', a Mayan dialect spoken in the country's highlands.Arrests in the U.S. have surged since summer, with many prospective migrants coming from the highlands, where Mayan dialects flourish.In many ways, the group of 163 migrants that included the girl offers a snapshot of how dramatically the border has changed in recent years. In November, there were 51,001 arrests of people entering the country illegally from Mexico — the highest of Donald Trump's presidency — and more than half were traveling as families or unaccompanied children.It was unclear if any in the group expressed fear of returning home, but families and children increasingly seek out agents to pursue asylum or other humanitarian protection, avoiding an often life-threatening effort to elude capture in remote areas.The Trump administration has made curbing illegal immigration a signature issue — and some advocates say its policies are prompting more people to cross in perilous ways. Immigration officials say their system is strained and not equipped to handle such a high volume of families who can't be easily returned, but there is resistance to suggestions to change facilities to better accommodate families. The government notes there are many other border missions, including trade, commerce and counterterror efforts.___Spagat reported from San Diego. Associated Press Writers Astrid Galvan in Phoenix, and Sonia Perez D. in Guatemala City, and Russell Contreras in Albuquerque, New Mexico contributed to this report. 7395

WASHINGTON (AP) — A more conservative Supreme Court appears unwilling to do what Republicans have long desired — kill off the Affordable Care Act. That includes its key protections for pre-existing health conditions and subsidized insurance premiums that affect tens of millions of Americans. The justices met a week after the election and remotely in the midst of a pandemic that has closed their majestic courtroom to hear the highest-profile case of the term so far. They took on the latest Republican challenge to the law known as “Obamacare,” with three appointees of President Donald Trump, an avowed foe of the health care law, among them.But at least one of those Trump appointees, Justice Brett Kavanaugh, seemed likely to vote to leave the bulk of the law intact, even if he were to find the law’s now-toothless mandate that everyone obtain health insurance to be unconstitutional.“It does seem fairly clear that the proper remedy would be to sever the mandate provision and leave the rest of the act in place,” Kavanaugh said.Chief Justice John Roberts, who wrote two earlier opinions preserving the law, stated similar views, and the court’s three liberal justices are almost certain to vote to uphold the law in its entirety. That presumably would form a majority by joining a decision to cut away only the mandate, which now has no financial penalty attached to it. Congress zeroed out the penalty in 2017, but left the rest of the law untouched.“I think it’s hard for you to argue that Congress intended the entire act to fall if the mandate were struck down when the same Congress that lowered the penalty to zero did not even try to repeal the rest of the act. I think, frankly, that they wanted the court to do that, but that’s not our job,” Roberts said.Tuesday’s arguments, conducted by telephone and lasting two hours, reached back to the earlier cases and also included reminders of the coronavirus pandemic. The justices asked about other mandates, only hypothetical, that might have no penalties attached: To fly a flag, to mow the lawn or even, in a nod to current times, to wear a mask.“I assume that in most places there is no penalty for wearing a face mask or a mask during COVID, but there is some degree of opprobrium if one does not wear it in certain settings,” Justice Clarence Thomas said.The court also spent a fair amount of time debating whether the GOP-led states and several individuals who initially filed lawsuits had the right to go into court. 2495

VISTA, Calif. (KGTV) - The generosity and hard work of a Vista kindergarten student is helping hundreds of other children. Katelynn Hardee of Breeze Hill Elementary overheard a student’s mother saying she had a hard time paying for an after-school program. Katelynn asked her mom if they could open a hot cocoa and cookie stand to raise money for other families. RELATED: San Diego grandmother grateful for man's random act of kindness“I said ‘let’s do it’, and all proceeds would go to charity; I didn’t know at that point if we could donate to the lunch program,” Katelynn’s mother Karina told the Vista Unified School District. With sales as hot as the cocoa, the stand raised enough money to pay off hundreds of lunch balances for students. “Because of her generosity, 123 students in the Vista Unified School District had their account balances paid off,” says Jamie Phillips, Director of Child Nutrition Services for Vista Unified School District.” “It is truly inspiring to see Katelynn's compassion and generous nature utilized to help those less fortunate. Students like Katelynn embody the mission and values of Vista Unified School District." RELATED: Positively San Diego: El Cajon students go bald in support of classmate teased after chemoBreeze Hill Elementary School Principal Lori Higley and Cafeteria Lead Teresa Sharp presented an award to Katelynn Friday. 1383

WASHINGTON (AP) — A federal judge on Monday ordered North Korea to pay more than 0 million in a wrongful death suit filed by the parents of Otto Warmbier, an American college student who died shortly after being released from that country.U.S. District Judge Beryl Howell harshly condemned North Korea for "barbaric mistreatment" of Warmbier in agreeing with his family that the isolated nation should be held liable for his death last year. She awarded punitive damages and payments covering medical expenses, economic loss and pain and suffering to Fred and Cindy Warmbier, who alleged that their son had been held hostage and tortured.Warmbier was a University of Virginia student who was visiting North Korea with a tour group when he was arrested and sentenced to 15 years of hard labor in March 2016 on suspicion of stealing a propaganda poster. He died in June 2017, shortly after he returned to the U.S. in a coma and showing apparent signs of torture while in custody.In holding the North Korean government liable, Howell accused the government of seizing Warmbier for "use as a pawn in that totalitarian state's global shenanigans and face-off with the United States.""Before Otto traveled with a tour group on a five-day trip to North Korea, he was a healthy, athletic student of economics and business in his junior year at the University of Virginia, with 'big dreams' and both the smarts and people skills to make him his high school class salutatorian, homecoming king, and prom king," the judge wrote. "He was blind, deaf, and brain dead when North Korea turned him over to U.S. government officials for his final trip home."The arrest and death of Warmbier came during a time of heightened tension between the U.S. and North Korea over the country's nuclear weapons program. President Donald Trump held a first-of-its-kind summit with North Korean leader Kim Jong Un in June 2018 and plans another next year.The judgment may be mostly a symbolic victory since North Korea has yet to respond to any of the allegations in court and there's no practical mechanism to force it do so. But the family may nonetheless be able to recoup damages through a Justice Department-administered fund for victims of state-sponsored acts of terrorism, and may look to seize other assets held by the country outside of North Korea.Fred and Cindy Warmbier, who are from a suburb of Cincinnati, said they were thankful the court found the government of Kim Jong Un "legally and morally" responsible for their son's death."We put ourselves and our family through the ordeal of a lawsuit and public trial because we promised Otto that we will never rest until we have justice for him," they said in a statement. "Today's thoughtful opinion by Chief Judge Howell is a significant step on our journey."The lawsuit, filed in April, describes in horrific detail the physical abuse Warmbier endured in North Korean custody.When his parents boarded a plane to see him upon arrival in the U.S., they were "stunned to see his condition," court documents say.The 22-year-old was blind and deaf, his arms were curled and mangled and he was jerking violently and howling, completely unresponsive to his family's attempts to comfort him. His once straight teeth were misaligned, and he had an unexplained scarred on his foot. An expert said in court papers that the injuries suggested he had been tortured with electric shock.A neurologist later concluded that the college student suffered brain damage, probably from a loss of blood flow to the brain for five to 20 minutes.North Korea has denied that Warmbier was tortured and has said he contracted botulism in custody, though medical experts said there was no evidence of that.The complaint also said Warmbier was pressed to make a televised confession, then convicted of subversion after a short trial. He was denied communication with his family. In June 2017, his parents were informed he was in a coma and had been in that condition for one year.Though foreign nations are generally immune from being sued in U.S. courts, Howell cited several exceptions that she said allowed the case to move forward and for her to hold North Korea liable. Those include the fact that North Korea has been designated by the U.S. as a sponsor of terrorism, that the Warmbiers are U.S. citizens and that North Koreans' conduct amounts to torture and hostage taking.The penalty awarded by Howell to the Warmbiers and to Otto Warmbier's estate includes punitive damages as well as damages for economic losses, pain and suffering and medical expenses.The lawsuit was brought on the Warmbiers' behalf by Richard Cullen, a prominent Virginia lawyer and former U.S. attorney. He told The Associated Press that while "nothing will ever bring Otto back to the Warmbiers or erase their memories of his horrid last 18 months," the judge's order was "very good news for his family and friends." 4916

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