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The opioid crisis cost the U.S. economy 1 billion from 2015 through last year — and it may keep getting more expensive, according to a study released Tuesday by the Society of Actuaries.The biggest driver of the cost over the four-year period is unrealized lifetime earnings of those who died from the drugs, followed by health care costs.While more than 2,000 state and local governments have sued the drug industry over the crisis, the report released Tuesday finds that governments bear less than one-third of the financial costs. The rest of it affects individuals and the private sector.The federal government is tracking how many lives are lost to the opioid crisis (more than 400,000 Americans since 2000), but pinning down the financial cost is less certain.A U.S. Centers for Disease Control and Prevention report from found the cost for 2013 at billion. That’s less than half the cost that the latest report has found in more recent years. The crisis also has deepened since 2013, with fentanyl and other strong synthetic opioids contributing to a higher number of deaths. Overall, opioid-related death numbers rose through 2017 before leveling off last year at about 47,000.A study published in 2017 by the White House Council of Economic Advisers estimated a far higher cost — just over 0 billion a year. The new study notes that the White House one used much higher figures for the value of lives lost to opioids — attempting to quantify their economic value rather than just future income.The actuaries’ report is intended partly to help the insurance industry figure out how to factor opioid use disorder into policy pricing.It found that the cost of the opioid crisis this year is likely to be between 1 billion and 4 billion. Even under the most optimistic scenario, the cost would be higher than it was in 2017.The study was released just ahead of the first federal trial on the opioid crisis, scheduled to start next week in Cleveland where a jury will hear claims from Ohio’s Cuyahoga and Summit counties against six companies. The counties claim the drug industry created a public nuisance and should pay.The report found that criminal justice and child-welfare system costs have been pushed up by the opioid epidemic.Most of the added health care costs for dealing with opioid addiction and overdoses were borne by Medicaid, Medicare and other government programs, according to the report. Still, the crisis rang up billion in commercial insurance costs last year. Lost productivity costs added another billion.Businesses have begun noticing. Last week, a small West Virginia home improvement company, Al Marino Inc., filed a class-action lawsuit against several companies, claiming the opioid crisis was a reason its health insurance costs were skyrocketing.Still, the biggest cost burden fell on families due to lost earnings of those who died. Those mortality costs alone came to more than billion last year, the report said.Members of a committee representing unsecured creditors helping guide opioid maker Purdue Pharma’s bankruptcy process have been calling for money in any settlement to go toward to people affected by the crisis and not just governments. 3225

The Bombacinos and their son, AJ, have learned a lot the past eight years."We were thrown into this world of special needs feeding that we never really expected," mother Julie Bombacino says. When AJ was only 6 months old, he had a 45-minute seizure. It was then that doctors placed a feeding tube in his stomach and prescribed him formula. But his reaction to the formula created a new kind of problem. "Those first five, six months of him being on a feeding tube, it was constant nausea and vomiting and constipation for him, and he was just miserable," Julie says. "He also wasn't growing like he was supposed to be, and we were miserable, and we were scared."So the Bombacinos started researching and found a community that was blending whole food instead of formula.Brian Liebenow is one of those people using whole food. "Probably 2012 up [until] now, I've been blending my food," he says.Liebenow is an Air Force veteran, who travels the world. But back in 2003, doctors found lymphoma in his tonsils, leading to rounds of chemotherapy and radiation. Now, he's cancer-free, but the radiation severely damaged his jawbone. "The last jaw surgery I had in 2009 cut a nerve, and I wasn't able to swallow again after that," Liebenow says. As someone who had been able to eat whatever he wanted for a majority of his life, he wasn't ready to trade in steak and vegetables for formula. So, he started taking a blender to restaurants and feeding himself pureed food through his tube. He became an advocate for what's known as a "blenderized" diet, and another inspiration for the Bombacinos to make a difference in the feeding-tube world. "We're both from big Italian families; we love to eat," Tony Bombacino says. "Why can't our son eat the same way that everybody else does, just through his tube?"Within two years, the Bombacinos created 1853

The lives of the rich and famous are about to get a lot less smoky after the Beverly Hills City Council voted to ban the retail sale of most tobacco products Tuesday night in a first-of-its-kind ordinance. The law will go into effect New Year's Day in 2021.The retail sale of cigarettes, cigars, pipe tobacco, chewing tobacco and electronic cigarettes sold in gas stations, convenience stores, pharmacies and grocery stores will be banned. This is the first U.S. city to end most tobacco sales.There are some exceptions though — existing cigar lounges can still operate and hotels will be able to sell cigarettes and other items to its guests."We pride ourselves on being a healthy city and I feel so proud that we are really about to prove that we are taking steps to be among the healthiest city in the world," said Council Member Lili Bosse. Beverly Hills was the first city in California to ban smoking inside restaurants and most public places back in 1987. 979

Thank YOU @ThomasRhett for such a special speech last night ??Catch up on #CMTAOTY on demand now! pic.twitter.com/O5TPSIsRbW— CMT (@CMT) October 17, 2019 165

The full search warrant and related materials for Michael Cohen were released Thursday in a court filing in federal court in Manhattan.A redacted version of the document was released in March -- the new filing contains unredacted portions including those related to campaign finance.They were made public after Judge William Pauley ruled that "the campaign finance violations discussed in the Materials are a matter of national importance."Pauley ordered those sections to be unredacted after prosecutors informed the judge that they had "concluded" their investigation into the Trump Organization relating to Cohen's campaign finance violations."The weighty public ramifications of the conduct described in the campaign finance portions warrant disclosure," Pauley said.A number of news organizations, including CNN, had asked to unseal copies of the search warrants and affidavits relating to the April 2018 raids on Cohen's hotel room, home and office.In March, the judge ordered prosecutors to release the search warrants materials but allowed them to keep the sections relating to campaign finance under seal because of an ongoing investigation.Of the nearly 900 pages relating to the search warrants that were released, there were redactions spanning over 20 pages under the heading "illegal campaign contribution scheme." Some of the pages contain duplications.Last year, Cohen pleaded guilty to nine federal charges including tax fraud, lying to Congress and two campaign finance violations for facilitating hush money payments to former Playboy model Karen McDougal and adult film actress Stormy Daniels, two women who alleged affairs with Donald Trump a decade ago. Trump has denied the affairs.When Cohen pleaded guilty, he implicated Trump, saying he facilitated the payments "in coordination with and at the direction of" a presidential candidate. He later identified Trump by name in testimony before Congress. Prosecutors identified the person as "Individual 1" in court filings who they said had "become the President of the United States." Cohen is serving a three-year prison sentence.Trump's name has not been explicitly stated by prosecutors in any court filings related to Cohen's campaign finance case.On Thursday, the entire record will be released with minimal redactions for "limited references" to an uncharged third party, the names of government investigators, and some individuals who discussed business transactions with Cohen.The conclusion of federal prosecutors' investigation of the Trump company's role in the Cohen matter marks a significant victory for the President's family business. An attorney for the company declined to comment.A lawyer for Trump, Jay Sekulow, said: "We are pleased that the investigation surrounding these ridiculous campaign finance allegations is now closed. We have maintained from the outset that the President never engaged in any campaign finance violation."This story is breaking and will be updated. 2980

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