February06 Newsletter.Indd

Total Page:16

File Type:pdf, Size:1020Kb

February06 Newsletter.Indd newsletter National Association of Boards of Pharmacy® February 2006 / Volume 35 Number 2 aid to government Groups Advocate Various Plan B the profession the public Classifications as FDA Delays 1904 to 2006 Decision on OTC Application At the end of 2005, Food 1999. If taken as directed been realized. If women This Month on and Drug Administration within 72 hours after know about and have access www.nabp.net: (FDA) found itself unprotected intercourse to EC, proponents say, the embroiled in a controversy or contraception failure, number of unintended Special Items in the highly charged area these EC drugs have been pregnancies could be cut Register Online for the NABP of reproductive medicine shown to reduce the risk dramatically – as could nd 102 Annual Meeting or, more specifically, of pregnancy by 89%, and the subsequent emotional, 2005 Fall Educational emergency contraception they are more effective the financial, and physical Conference CE Summaries (EC). As of press time, earlier they are taken. Since costs to women; the costs Headlines FDA had yet to issue a final they largely impede pre- to society of overburdened Author Provides Insight into Development of Dangerous decision on whether or not fertilization events such as families, teen mothers, Doses at Fall Educational to categorize an emergency release of an egg from the or neglected children; Conference contraceptive marketed ovary or fertilization of the and the health care and as Plan B® as an over-the- egg by the sperm and do not social services costs to Upcoming counter (OTC) drug. interfere with an established governments. Moreover, Meetings Two dedicated EC pregnancy (after the it has been estimated that medications have been fertilized egg has implanted nearly half of unintended Thursday-Friday in the uterus), ECs are pregnancies are terminated February 23-24, 2006 available by prescription for Committee on Constitution the last several years – not medically or legally by induced abortion, so and Bylaws Preven®, containing considered abortifacients. widespread use of EC could NABP Headquarters substantially reduce the Mount Prospect, IL estrogen and progestin, Proponents of EC feel that which was approved by it holds great promise for abortion rate. Indeed, the Saturday-Tuesday Alan Guttmacher Institute April 8-11, 2006 FDA in 1998, and Plan B, improving public health NABP 102nd Annual Meeting containing only progestin, and affecting social policy, estimated in a 2002 report Westin St Francis, which was approved in some of which has already (continued on page 26) San Francisco, CA Sunday-Tuesday August 6-8, 2006 In This Issue. NABP/AACP District III Meeting Legal Briefs: Feature News: 102nd Annual State Board Charleston, SC Gimme a Break!!! NABP Testifies Meeting: News: Thursday-Saturday at Counterfeiting More Florida’s Strict August 10-12, 2006 Hearing Before Opportunities Law to Curb NABP/AACP District V Meeting Congressional to Share Counterfeit Winnipeg, Manitoba, Canada Subcommittee Information and Medications Saturday-Tuesday to Network Goes Into Effect May 19-22, 2007 in July NABP 103rd Annual Meeting Hilton Portland & Executive Tower Portland, OR 28 30 34 41 Feature News nabp newsletter Plan B behaviors, such as failing on the pharmacy owner, to take precautions that not the pharmacist. “This The NABP Newsletter (continued from page 25) (ISSN 8756-4483) is would prevent sexually rule creates a precedent for published ten times a that 51,000 abortions were transmitted diseases as well [the] government to use year by the National averted by women’s use as pregnancy. license capacity to coerce Association of Boards of EC in 2000, and that of Pharmacy (NABP) The issue has created a private business owners, 43% of the decrease in to educate, to inform, moral dilemma for some and the citizens they are, to total abortions between and to communicate the pharmacists as well. In abandon deeply held moral objectives and programs 1994 and 2000 could be the continuing education principals,” he says. of the Association and attributed to EC. its 66 member boards session “Refusal to A Third Class of pharmacy to the Efforts to broaden the Dispense” at NABP’s 2005 profession and the availability of EC are Fall Educational Conference of Drugs public. The opinions NABP has long advocated and views expressed in moving slowly on a state- in Sunny Isles Beach, FL, this publication do not by-state basis, giving many in December 2005, Edward an alternative classification necessarily reflect the public and women’s health R. Martin, Jr, JD, attorney for medications that do not official views, opinions, or advocates greater hope in and director of the Center seem entirely appropriate policies of NABP or any for OTC status, yet have board unless expressly so FDA’s consideration of an for Rights of Conscience at stated. The subscription application to allow the Americans United for Life, characteristics that present rate is $35 per year. marketing of Plan B as an and Luke Vander Bleek, compelling reasons to OTC drug. This proposal RPh, owner of Fitzgerald remove the drug from National Association of has, however, also raised and Eggleston Pharmacies, the prescription-only Boards of Pharmacy category: Create a third, 1600 Feehanville Drive great concerns among other discussed their stance on Mount Prospect, IL 60056 groups, and the prospect of current state legislation that transitional or “counseling” 847/391-4406 making Plan B available on affects pharmacists’ rights of class of drugs that could www.nabp.net an OTC basis has met with be dispensed without a [email protected] conscience. Martin, lawyer less than universal support. for Vander Bleek in his prescription, but only by licensed health care Carmen A. Catizone Based on responses lawsuit against the state of professionals authorized to Executive Director/ provided to FDA during Illinois, which has ruled that prescribe and/or dispense Secretary a recent comment period pharmacies must dispense prescription drugs. Dale J. Atkinson, JD regarding the Plan B emergency contraceptives Laurel Berger O’Connor despite their moral beliefs, NABP has been urging the Contributing Editors application, some of this resistance stems from a pointed out that 45 states adoption of this counseling Larissa Doucette have conscience laws that class of drugs since 1995, Editorial Manager basic confusion of Plan B with abortion-inducing only protect certain health when the Association passed Don Talend care professionals and st Technical Editor drugs such as mifepristone. a resolution at its 91 Annual Others object to EC on are focused on abortion, Meeting calling for its Lara R. Jackson Editor the grounds that it might and three states have no creation. In his comments protections. Shortcomings to FDA this fall, NABP Lisa Huxhold prevent implantation, and Proofreader the belief that life begins of current conscience laws Executive Director/Secretary with fertilization of the are that they often only Carmen A. Catizone wrote, ©2006 National egg, not implantation cover abortion and not “NABP believes that a Association of Boards of Pharmacy. All rights of the fertilized egg in emergency contraception, counseling class of drugs reserved. No part of the uterus. Still others cloning, or research. could significantly contribute this publication may are concerned that some Vander Bleek discussed to the overall safety of be reproduced in any women, particularly young how Illinois’ rule, which the public health as more manner without the written permission of teens, would rely on Plan states that pharmacies must drugs are transitioned from the executive director/ B as their primary means provide all contraceptives, ‘prescription drug’ status. secretary of the National of birth control and would including Plan B, or none A counseling class of drugs Association of at all. He noted that the Boards of Pharmacy. increase their sexual activity or risk-taking onus of the rule is being put (continued on page 36) 26 Association News february 2006 2006-2007 Open Executive Committee Executive Officer, Member Positions Announced Committee In accordance with NABP’s The Executive Committee meet all qualifications for Donna M. Horn Constitution and Bylaws, member representative for office shall be eligible to be Chairperson, District I the following individuals District I, John R. Dorvee, nominated from the floor. One-year term are seeking a position has declared his intent to The letter of intent should Dennis K. McAllister President, District VIII on NABP’s Executive seek the office of Treasurer include a short (no longer One-year term Committee. The election on NABP’s Executive than one page) narrative Lawrence H. Mokhiber will be held during NABP’s Committee. This creates highlighting relevant President-elect, District II 102nd Annual Meeting, April an open member position experience and attributes One-year term 8-11, 2006, at the Westin for District I for a one- that qualify the affiliated Charles R. Young St Francis Hotel in San year term. member for consideration Treasurer, District I One-year term Francisco, CA. District V to be nominated to the Charles Curtis “Curt” Barr (one-year term) Executive Committee, the Officer Positions Member, District V Open term expiration date on President-elect Serving second year of a The Executive Committee the active member board (one-year term) three-year term member representative for on which the affiliated Charles Curtis “Curt” Reginald B. “Reggie” Dilliard District V, Charles Curtis member presently serves, Member, District III Barr, Nebraska Board of “Curt” Barr, has declared his and a current résumé or Serving first year of a three- Pharmacy intent to seek the office of curriculum vitae. year term Oren M. Peacock, Jr, President-Elect on NABP’s John R. Dorvee, Jr Texas State Board of Schedule Executive Committee. This Member, District I Pharmacy During the First Business Serving first year of a two- creates an open member Treasurer (one-year term) Session on Sunday, April 9, year term position for District V for a John R.
Recommended publications
  • Isotretinoin (Accutane) and Pregnancy
    Isotretinoin (Accutane®) This sheet talks about exposure to isotretinoin in a pregnancy or while breastfeeding. This information should not take the place of medical care and advice from your healthcare provider. What is isotretinoin? Isotretinoin is a prescription medication taken by mouth to treat severe cystic acne that has not responded to other treatments. Isotretinoin is a form of Vitamin A. It has been sold under brand names such as Accutane®, Absorica®, Amnesteem®, Claravis®, Epuris®, Clarus®, Myorisan®, Sotret®, and Zenatane®. How long after a woman stops taking isotretinoin should she wait to become pregnant? How long does isotretinoin stay in the body? It is recommended that a woman wait one month after stopping isotretinoin before trying to become pregnant. Usually, isotretinoin is no longer found in a woman’s blood 4-5 days after the last dose and most of its by-products should be gone within 10 days after the last dose. However, the time it takes isotretinoin to be cleared from the body can be longer in some people, which is why it is recommended to wait at least one month after stopping isotretinoin before trying to become pregnant. Can isotretinoin make it more difficult to get pregnant? Women who are trying to become pregnant should not be taking isotretinoin. There have been reports of irregular menstrual periods in some women taking isotretinoin. There are no reports of problems getting pregnant while taking isotretinoin. I just found out I am pregnant. Should I stop taking isotretinoin? Stop taking the medication right away. As soon as possible, call the healthcare provider who prescribed the isotretinoin and the healthcare provider who will be taking care of you during your pregnancy.
    [Show full text]
  • Patient Introductory Brochure
    206906_Covance-Intro 10/18/07 10:39 AM Page i Effective December 2nd, 2007 The iPLEDGE Program Patient Introductory Brochure The important information you need to know about isotretinoin and the iPLEDGE program before starting treatment WARNING For your health and safety, please read this booklet carefully. Also, be sure you understand what your doctor has told you about isotretinoin before starting treatment. Do not take isotretinoin if you are pregnant, plan to become pregnant, or become pregnant during isotretinoin treatment. Isotretinoin causes severe birth defects (deformed babies), loss of a baby before birth (miscarriage), death of a baby and early (premature) births. There is no accurate means of determining whether an exposed fetus has been affected. IMPORTANT NOTICE Use only isotretinoin products approved by the US Food and Drug Administration. Fill and pick up your isotretinoin prescriptions only at pharmacies that are licensed in the United States and are registered with and activated in the iPLEDGE program. 206906_Covance-Intro 10/5/07 3:57 PM Page 1 Are you thinking about taking isotretinoin (eye-soh-tret-in-OH-in) for acne? Read this brochure to learn more about isotretinoin and the iPLEDGE program. 1 206906_Covance-Intro 10/5/07 3:57 PM Page 2 Isotretinoin treats a type of severe acne called nodular acne. It is used after other treatments, including antibiotics, have not helped. It comes in a capsule you take by mouth. Treatment usually lasts 4 to 5 months. There is a very high chance of birth defects if an unborn baby’s mother takes isotretinoin. The goal of the iPLEDGE program is to prevent pregnancies in females taking isotretinoin and to prevent pregnant females from taking isotretinoin.
    [Show full text]
  • Parents Fear Using Epipen on Their Kids No Mercy for MRSA Hold The
    DRUG NEWS SEVERE FOOD ALLERGIES Parents fear using ACCUTANE AND BIRTH DEFECTS EpiPen on their kids More restrictions announced for acne drug Many parents of children with se- Under a new FDA program, everyone prescribing, taking, selling, or dispensing the vere food allergies are reluctant to acne drug isotretinoin (Accutane) will be required to enroll in a national registry by use the EpiPen autoinjector to ad- the end of the year. The iPLEDGE program is intended to ensure that health care pro- fessionals and patients understand the drug’s serious risks—miscarriage, severe minister epinephrine to their child. birth defects, depression, and suicidal thoughts—and take appropriate precautions, Of 165 parents responding to a writ- including avoiding pregnancy. Notorious for causing birth defects, isotretinoin has ten survey, 45% said they’d feel un- long been under fire by the March of Dimes and other advocacy groups who want comfortable using the EpiPen in an it tightly controlled or taken off the market altogether. emergency. They cited three reasons: Beginning on December 31, all patients, prescribers, pharmacies, and whole- • lack of confidence in their ability salers involved in use, sale, or distribution of isotretinoin must join the registry, to recognize signs and symptoms of which requires that pregnancies linked to isotretinoin be reported. The registry anaphylaxis opened in August to allow patients and health care professionals to become famil- • fear of hurting the child iar with its provisions before year’s end. For more information, go to http://www. • fear that they’d forget how to use ipledgeprogram.com or call 1-866-495-0654.
    [Show full text]
  • Isotretinoin Educational Kit for Male Patients and Female Patients Who Cannot Get Pregnant
    Most Recent Modification: NOVEMBER 2016 The iPLEDGE Program Isotretinoin Educational Kit for Male Patients and Female Patients Who Cannot Get Pregnant The tools you need to help you prepare and plan treatments during the course of isotretinoin treatment WARNING For your health and safety, please read this booklet carefully. Also, be sure you understand what your doctor has told you about isotretinoin before starting treatment. Do not take isotretinoin if you are pregnant, plan to become pregnant, or become pregnant during isotretinoin treatment. Isotretinoin causes severe birth defects (deformed babies), loss of a baby before birth (miscarriage), death of a baby and early (premature) births. There is no accurate means of determining whether an exposed fetus has been affected. IMPORTANT NOTICE Use only isotretinoin products approved by the US Food and Drug Administration. Obtain your isotretinoin prescriptions only from pharmacies that are licensed in the United States and are registered with and activated in the iPLEDGE Program. CAUSES BIRTH DEFECTS DO NOT GET PREGNANT Please see accompanying complete product information, including CONTRAINDICATIONS, 2 WARNINGS, PRECAUTIONS, and ADVERSE REACTIONS. TABLE OF CONTENTS Guide for Male Patients and Female Patients Who Cannot Get Pregnant ........4 iPLEDGE® Program Checklist .........................................................................7 Patient Information/Informed Consent (for all patients) .............................. 11* Safety Information About Isotretinoin ........................................................ 11* Patient Identification Cards ....................................................................... 11* *Located inside back cover pocket. 3 What Is Isotretinoin? Isotretinoin (eye-soh-tret-in-OH-in) is a prescription medication that treats a type of severe acne called nodular acne that other treatments, including antibiotics, have not helped. It comes in a capsule you take by mouth.
    [Show full text]
  • Treating Acne with Isotretinoin
    #5: ISOTRETINOIN FOR ACNE PATIENT PERSPECTIVES INITIATING ISOTRETINOIN & THE iPLEDGE PROGRAM Treating acne with The iPLEDGE Program is a strict, government-required program to prevent females from becoming isotretinoin pregnant while on isotretinoin. All females and males must participate. Note: Your provider must follow Isotretinoin is a retinoid medication that is taken by mouth to treat severe this program and cannot change nodular acne. Typically, it is used once other acne treatments have any of the requirements. not worked, such as oral antibiotics. Usually isotretinoin is taken for 4 to 6 months, although the length of treatment can vary from person to Before starting isotretinoin, your person. While most patient’s acne improves and may even clear with provider will talk to you about the this medication, in 20% of patients acne can come back. This requires safe use of this medication and you additional acne treatment or even a second cycle of isotretinoin. will need to sign consent forms in order to receive treatment. HOW SHOULD I TAKE ISOTRETINOIN? If you fail to keep appointments, you will » Isotretinoin dosing is weight-based and should be taken be unable to get your prescription filled. exactly as prescribed. FOR MALE PATIENTS AND WOMEN » If you miss a dose, skip that dose. Do not take two doses at OF NON-CHILDBEARING AGE: There the same time. is no waiting period. Once laboratory » Take with food to help with absorption. tests are done, treatment can start. Prescriptions must be filled within 30 » All instructions in the iPLEDGE program packet days of being sent by the physician.
    [Show full text]
  • Guide to Isotretinoin for Female Patients Who Can Get Pregnant the Importance of Avoiding Pregnancy on Isotretinoin
    Most Recent Modification: JUNE 2016 The iPLEDGE Program Guide to Isotretinoin For Female Patients Who Can Get Pregnant The Importance of Avoiding Pregnancy on Isotretinoin The tools you need to help you prepare, plan treatments, and prevent pregnancies during the course of isotretinoin treatment – Patient ID Cards and Informed Consent forms located inside back cover pocket WARNING For your health and safety, please read this booklet carefully. Also, be sure you understand what your doctor has told you about isotretinoin before starting treatment. Do not take isotretinoin if you are pregnant, plan to become pregnant, or become pregnant during isotretinoin treatment. Isotretinoin causes severe birth defects (deformed babies), loss of a baby before birth (miscarriage), death of a baby and early (premature) births. There is no accurate means of determining whether an exposed fetus has been affected. IMPORTANT NOTICE Use only isotretinoin products approved by the US Food and Drug Administration. Obtain your isotretinoin prescriptions only from pharmacies that are licensed in the United States and are registered with and activated in the iPLEDGE Program. CAUSES BIRTH DEFECTS DO NOT GET PREGNANT Please see accompanying complete product information, including CONTRAINDICATIONS, 2 WARNINGS, PRECAUTIONS, and ADVERSE REACTIONS. TABLE OF CONTENTS Guide to Isotretinoin for Female Patients Who Can Get Pregnant ....................4 Effective Methods of Birth Control .................................................................7 iPLEDGE® Program
    [Show full text]
  • Mechanisms for Regulating Off-Label Uses of Drugs and Devices
    ABBOTT AYRES IN PRINTER (DO NOT DELETE) 11/17/2014 8:34 PM Duke Law Journal VOLUME 64 DECEMBER 2014 NUMBER 3 EVIDENCE AND EXTRAPOLATION: MECHANISMS FOR REGULATING OFF-LABEL USES OF DRUGS AND DEVICES RYAN ABBOTT† & IAN AYRES†† ABSTRACT A recurring, foundational issue for evidence-based regulation is deciding whether to extend governmental approval from an existing use with sufficient current evidence of safety and efficacy to a novel use for which such evidence is currently lacking. This “extrapolation” issue arises in the medicines context when an approved drug or device that is already being marketed is being considered (1) for new conditions (such as off-label diagnostic categories), (2) for new patients (such as new subpopulations), (3) for new dosages or durations, or (4) as the basis for approving a related drug or device (such as a generic or biosimilar drug). Although the logic of preapproval testing and the precautionary principle—first, do no harm—would counsel in favor of prohibiting extrapolation approvals until after traditional safety and efficacy evidence exists, such delays would unreasonably sacrifice beneficial uses. The harm of accessing unsafe products must be balanced against the harm of restricting access to effective products. In fact, the Food and Drug Administration’s (FDA’s) current regulations in many ways reject the precautionary principle because they largely permit individual Copyright © 2014 Ryan Abbott and Ian Ayres. † Associate Professor, Southwestern Law School and Visiting Assistant Professor, David Geffen School of Medicine at the University of California, Los Angeles. †† William K. Townsend Professor, Yale Law School. The authors would like to thank Richard Epstein, Hank Greely, Jennifer Herbst, Allison Hoffman, Jerome Reichman, William Sage, Jacob Sherkow, and Patti Zettler for their insightful comments.
    [Show full text]
  • The Pharmacist Guide for the Ipledge Program the Resource to Help the Pharmacist Understand and Comply with the Ipledge Program for Isotretinoin Therapy
    Current as of 6/1/2013. This document may not be part of the latest approved REMS. Most Recent Modification: April 2012 The iPLEDGE Program The Pharmacist Guide For the iPLEDGE Program The resource to help the pharmacist understand and comply with the iPLEDGE program for isotretinoin therapy Isotretinoin must not be used by female patients who are or may become pregnant. There is an extremely high risk that severe birth defects will result if pregnancy occurs while taking isotretinoin in any amount, even for a short period of time. Potentially any fetus exposed during pregnancy can be affected. There are no accurate means of determining whether an exposed fetus has been affected. IMPORTANT NOTICE Use only isotretinoin products approved by the US Food and Drug Administration. Fill isotretinoin prescriptions only at pharmacies that are licensed in the United States and are registered with and activated in the iPLEDGE program. Reference ID: 3136456 Current as of 6/1/2013. This document may not be part of the latest approved REMS. The Pharmacist Guide For the iPLEDGE Program TABLE OF CONTENTS About isotretinoin . 3 The iPLEDGE program . 5 Pharmacies and the iPLEDGE program . 6 The iPLEDGE web site and phone system . 8 The Responsible Site Pharmacist . 10 Procedure for filling and dispensing prescriptions . 14 iPLEDGE program general information . 16 Additional contraception information . 21 For more information about isotretinoin . 22 For iPLEDGE Program Information Call Center hours: Monday through Saturday, 9AM–12AM (midnight) EST 1-866-495-0654 www.ipledgeprogram.com 1 Reference ID: 3136456 Current as of 6/1/2013. This document may not be part of the latest approved REMS.
    [Show full text]
  • Toward Coherent Federal Oversight of Medicine
    ZETTLER FINAL (DO NOT DELETE) 7/27/2015 1:55 PM Toward Coherent Federal Oversight of Medicine PATRICIA J. ZETTLER* ABSTRACT The conventional wisdom in U.S. health law and policy holds that states regulate medical practice—the activities of physicians and other health care professionals—while the federal government regulates medical products. But relying on states as the principal regulators of medical practice has, at times, driven law and policy in directions that are problematic from a public health perspective, as demonstrated by a deadly 2012 outbreak of fungal meningitis that was linked to a primarily state- regulated practice known as drug compounding. This Article argues that the federalism concerns underlying the conventional wisdom are misplaced. It demonstrates that, contrary to conventional wisdom, the federal government is deeply entangled in regulating medical practice, and such federal regulation is lawful. After examining the goals of federalism within the context of medicine, this Article proposes an alternate paradigm for guiding decisions about when the federal government should be involved in overseeing medicine: Congress and administrative agencies * © 2015 Patricia J. Zettler. The author is a an Associate Professor at Georgia State University College of Law. She served as an attorney in the U.S. Food and Drug Administration’s Office of Chief Counsel from 2009 to 2013. The author would like to thank Jonathan Abel, Hank Greely, Daniel Ho, Cathy Hwang, Matthew Jordan, Dmitry Karshtedt, Bernard Lo, Paul Lombardo, Eleanor Mayer, Michelle Mello, Seema Shah, Jacob Sherkow, Kayte Spector-Bagdaddy, David Studdert, and the Stanford Law School Fellows for their helpful comments and critiques.
    [Show full text]
  • Pregnancyoptions.Info: a Workbook of Options Including Abortion
    Pregnant? Need Help? Pregnancy Options Workbook Click here for the printable version or the downloadable PDF version Letter to Readers 1. Deciding What to Do About a Pregnancy A) Am I pregnant? B) How Pregnanct Am I? 2. Getting Ready to Make the Decision A) Is this the right time for me to bring life into the world? B) Other Questions C) Giving yourself time and space to think D) Understanding Shock E) "What Are You Feeling?" F) Write Your Story G) Getting Support 3. Deciding What To Do How we make decisions in our families Heartsick? Comments from Women Pregnancy Experience Other Women's Pregnancy Stories Special Tear Out Section for Parents Are You in an Abusive Relationship? What If?...What Then?... Draw a picture of your life The Pie Exercise Pros and Cons What If I Make the Wrong Choice? What If I Think I Made the Wrong Choice? Guided "Day Dreams" 4. Having a Baby/Being a Parent A) Some Common Questions B) Support Exercises Resources: Parenting 5. Abortion A) Some Common questions B) Feelings About Abortion Exercises C) "Which Method is Right for Me?" Comparisons Between The Abortion Pill and the Abortion Procedure D) The Abortion Exerience Emotional Health E) Forgiveness F) Resources: Abortion 6. Adoption A) Some Common Questions B) Adoption Planning Comments from women C) Adoption Letters Resources: Adoption 7. Stages of Pregnancy A) Fetal Development How Far Along Am I? Exercise Conception Implantation Growth 8. What Can Hurt the Pregnancy? A) Birth Defects B) Exposure C) Harmful Substances Resources:Harmful Substances Special Tear Out Section for Male Partners 9.
    [Show full text]
  • Health Care Refusals
    Health Care Refusals: Undermining Quality Care for Women The National Health Law Program is a national public interest law firm that seeks to improve health care for America’s working and unemployed poor, minorities, the elderly and people with disabilities. NHeLP serves legal services programs, community- based organizations, the private bar, providers and individuals who work to preserve a health care safety net for the millions of uninsured or underinsured low-income people. Health Care Refusals: Undermining Quality Care for Women National Health Law Program Standards of Care Project Standards of Care Project ADVISORY BOARD JudyAnn Bigby, M.D. Robyn Shapiro, J.D. Secretary of Health and Human Services Director Commonwealth of Massachusetts Center for Study of Bioethics Medical College of Wisconsin Marcelle Ivonne Cedars, M.D. Gardner, Carton & Douglas University of California, San Francisco Professor and Director, R. William Soller, Ph.D. Division of Reproductive Endocrinology Executive Director, Center for Consumer Director, Center for Reproductive Health Self Care Clinical Professor, Department of Don Downing, R.Ph. Clinical Pharmacy Clinical Associate Professor UCSF School of Pharmacy University of Washington Department of Pharmacy Nada L. Stotland, M.D., M.P.H. Professor, Department of Psychiatry Timothy RB Johnson, M.D., F.A.C.O.G. Professor, Department of Obstetrics Arthur F. Thurnau Professor & Gynecology Bates Professor of the Diseases of Rush Medical College of Rush University, Women and Children Chicago, Illinois Chair, Department of Obstetrics and Gynecology Carol S. Weisman, Ph.D. Professor, Women’s Studies Associate Dean for Faculty Affairs Research Professor, Center for Human Distinguished Professor of Growth and Development Public Health Sciences & University of Michigan Obstetrics and Gynecology Penn State College of Medicine Panna Lossy, M.D.
    [Show full text]
  • Self-Regulation in the US Pharmaceutical Market By
    Self-Regulation in the US Pharmaceutical Market by Raymond J. March B.S. A Dissertation In AGRICULTURAL & APPLIED ECONOMICS Submitted to the Graduate Faculty of Texas Tech University in Partial Fulfillment of the Requirements for the Degree of DOCTOR OF PHILOSOPHY Adam G. Martin Co-Chair of Committee Conrad P. Lyford Co-Chair of Committee Eduardo Segarra Gilbert Berdine Mark Sheridan Dean of the Graduate School May 2017 Copyright 2017, Raymond J. March Raymond J. March, Texas Tech University, May 2017 Acknowledgements Writing a dissertation on self-regulation in the market for pharmaceuticals has been an eye-opening, challenging, and very fruitful experience in my development as an applied economist. One thing this work has not been, however, is a solo effort. I have received support, criticism, inspiration, and guidance from countless individuals while pursuing this project. Let this be my attempt to acknowledge as many of them as possible. I have to begin by thanking my parents whose love and support provided me an environment to think independently and develop an interest in the workings of the medical industry from a young age. I will always be grateful for the efforts of my undergraduate professors to instill a conviction for using the economic way of thinking to understand the pressing problems of the world around me. Thank you Carrie Kerekes, Brad Hobbs, Nikolai Wenzel, and Dean Stansel for the inspiration, encouragement, and for listening. The Free Market Institute, in addition to funding my graduate studies, provided an incredible intellectual environment. I owe a tremendous thank you to Ben Powell who took a chance on me by offering me a fellowship.
    [Show full text]