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Though Kelly said it was "nothing illegal," he added that it "wasn't quite up to the standards" he had been used to while working as a military general at the Pentagon. Kelly noted that the standards at the White House had to be raised, and that's when he noticed that a number of people did not have final security clearance. He chalked that up to the fact that most of the White House staffers have never worked in government before. 435

Trump said his "thoughts and prayers" are with the victims and their families, but did not suggest plans to take any legislative or other policy action to address the shooting. 176

This is really a law for people who are very sick, who have exhausted all treatment options and who cannot enroll in a clinical trial, said Starlee Coleman, senior policy adviser at the Goldwater Institute, a conservative public policy think tank based in Phoenix that supports right-to-try legislation."For people living in a state where right-to-try is already on the books, they already have the ability today to work with their doctors directly to approach a drug company with a drug in clinical trials and ask for the option to try that drug outside of the clinical trial," she said. "For people living in the 12 states without a right-to-try law, today they don't have this option, but if the federal law passes, they will have the option."Some opponents argue that the bill won't change much but could have a detrimental effect on how the FDA safeguards the health of the public.Dr. Steven Joffe, professor in medical ethics and health policy at the University of Pennsylvania's Perelman School of Medicine, co-authored a perspective paper about such concerns, published in the New England Journal of Medicine last month.The paper notes that the FDA already has expanded-access policies, sometimes called compassionate use, to give terminally ill patients without other options access to investigational medical products outside of clinical trials.About 99% of submitted applications for expanded access to almost 9,000 investigational drugs were allowed to proceed over a 10-year period between January 2005 and December 2014, according to a study by FDA researchers, published in the journal Therapeutic Innovation & Regulatory Science in 2016."Emergency requests for individual patients are usually granted immediately over the phone and non-emergency requests are generally processed within a few days," FDA Commissioner Dr. Scott Gottlieb said in a statement last year. 1885

There has been an active shooter situation at Dennis Intermediate School. At this time, the school building is secure.— WeRrichmond (@wearrrichmond) December 13, 2018 166

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