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Sixteen States, DOJ Join Whistle-Blower Lawsuits Alleging Wyeth Defrauded Medicaid Programs
The U.S. Department of Justice and 16 states have joined two whistle-blower lawsuits filed in federal District Court in Massachusetts alleging that Wyeth defrauded the government by not offering the same discounts on two medications to Medicaid that it offered to hospitals, the Wall Street Journal reports. The lawsuits were initiated following a grand-jury investigation by the U.S. Attorney"s Office in Massachusetts (Johnson, Wall Street Journal, 5/19). The other states included in the lawsuits are California, Delaware, Florida, Illinois, Indiana, Louisiana, New York, Michigan, Nevada, New Hampshire, Tennessee, Texas, Virginia, Wisconsin and the District of Columbia (Barrett, AP/Austin American-Statesman, 5/18).According to the lawsuits, Wyeth from 2000 to 2006 sold hospitals a bundled package called the Protonix Performance Agreement, which included its acid-reflux drugs Protonix Oral and Protonix IV. The suits allege that Wyeth gave hospitals up to a 94% discount for the oral version under the deal, with the understanding that when patients were released from hospitals they would be switched from the intravenous version of the drug to the oral version. According to the complaint, Wyeth hoped to gain an edge in a competitive market for acid-reflux pills by taking advantage of its standing as the only company offering an IV acid-reflux drug. The Journal reports that Wyeth charged hospitals $20 per vial for the IV version of Protonix and $3 for the oral version.Medicaid rules stipulate that the program is entitled to the lowest price on prescription drugs, and drugmakers are required to pay states rebates if they offer discounts to any other entities. The lawsuits state that Wyeth avoided paying hundreds of millions of dollars to state Medicaid programs because it did not offer the programs the same discounts or provide rebates (Wall Street Journal, 5/19).The lawsuits are seeking financial penalties against Wyeth of up to three times the amount lost by Medicaid. Assistant Attorney General Tony West said, "By offering massive discounts to hospitals, but then hiding that information from the Medicaid program, we believe Wyeth caused Medicaid programs throughout the country to pay much more for these drugs than they should have." Wyeth spokesperson Doug Petkus said that Wyeth "believes that its pricing calculations were correct and intends to defend itself vigorously in these actions" (AP/Austin American-Statesman, 5/18).
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Democratic Female Senators Praise Supreme Court Nominee Sotomayor
Several Democratic female senators on Wednesday took to the floor in a series of speeches praising Supreme Court nominee Sonia Sotomayor and highlighting her judicial qualifications, the Boston Globe"s "Political Intelligence" reports. Sen. Amy Klobuchar (Minn.) -- a member of the Senate Judiciary Committee -- was joined by Sens. Mary Landrieu (La.), Claire McCaskill (Mo.) and Jeanne Shaheen (N.H.).In her address, Klobuchar said that Sotomayor"s experience "particularly resonated with me," adding that Sotomayor "understands the law is not just some dusty book in your basement" and that its interpretation has consequences. McCaskill said that Sotomayor is a nominee with "integrity, grit, intellect and the ability to pass judgment in the most difficult intellectual challenges that face a Supreme Court justice."According to "Political Intelligence," the floor speeches came after Klobuchar and others praised Sotomayor"s nomination at Monday"s annual convention of the left-leaning legal organization the American Constitution Society. In her speech, Klobuchar defended Sotomayor against conservative critics who have questioned the nominee"s temperament, citing complaints that Sotomayor was impatient with unprepared lawyers. Klobuchar said that she is "hoping that we would get to a point in this country where we could be appointing and confirming as many as rough and to-the-point female judges as we have appointed male judges" ("Political Intelligence," Boston Globe, 6/24).
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Chain Restaurants Making Americans Fatter And Sicker Says Consumer Watchdog
America"s chain restaurants are making Americans fatter and sicker say consumer watchdog Center for Science in the Public Interest (CSPI) who
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Dystonia: Isolated Through Ignorance

A survey among Britain"s 40,000 sufferers from dystonia - a serious neurological movement disorder causing painful muscle spasms - has shown a widespread ignorance about their condition among healthcare professionals and a lack of understanding amongst the public. The Dystonia Society has revealed that 74% of members who responded were either "very worried" or "concerned" by the lack of awareness amongst medics. "The next area of concern among our members (64%) was an alarming lack of understanding shown by the general public," said Philip Eckstein, Chief Executive of the Dystonia Society. "It"s is shocking that a condition that affects so many people can be so little understood and poorly recognised by healthcare professionals on the frontline. This combined with the lack of understanding amongst the public only exacerbates the pain and difficulties of living with dystonia. People are left to struggle for years, often without even a diagnosis. And when it has been diagnosed, they can rarely find a medical professional who is well-informed about the condition. As for treatment - which consists of injections of botulinum toxin to counter painful muscle spasms - it is patchy across the whole country." Labour MP and former Minister for Disabled People, the Rt Hon Anne McGuire, has today agreed to table an adjournment debate in Parliament as a matter of urgency in order to seek a response from the Department of Health as to how this movement disorder can be better addressed by the medical service, especially in the "front line service" of primary care. Lord Macdonald of Tradeston, a patron of the Dystonia Society, said: "It is gratifying to see that awareness amongst general medical professionals has clearly grown significantly over the past decade. However for those suffering spasms of pain due to their dystonia, any delay in diagnosis and treatment is an ordeal. Members of the Society will be very heartened to know that the prospect of an Adjournment Debate and new engagement with the heath providers will improve the position for the 40,000 with dystonia". Dr Tom Warner, Royal Free Hospital and Medical Adviser to the Dystonia Society, said: "Dystonia is a common neurological movement disorder and yet it is often unrecognised by healthcare professionals as well as the general public. The involuntary muscle spasms can be very debilitating, painful as well as embarrassing and stigmatising. For these reasons it can have a very negative effect on the quality of life of an individual. In one recent study of people with dystonia, the deleterious effect on quality of life was found to be as severe as that seen in people with multiple sclerosis and Parkinson"s disease". Although there is no cure for dystonia, many dystonic conditions can be successfully managed with the right treatment. Botulinum toxin injections, commonly known as BOTOX(R) or Dysport(R), provide an effective treatment in 75% cases of focal dystonia. Anyone requiring further information on this condition should contact the Dystonia Society Helpline Support Service on 0845-458-6322 or website http://www.dystonia.org.uk About Dystonia Dystonia is a neurological movement disorder characterised by involuntary and sustained muscle spasms. It is estimated that there are up to 40,000 people in the UK affected by the condition. There are two main types of dystonia: "generalised dystonia" which affects many parts of the body including the legs, torso and head, and "focal" dystonias that affects only one part of the body. Common focal dystonia"s include the neck (cervical dystonia), eyes (blepharospasm or chronic blinking), hands (writer"s cramp), among others. Dystonia can affect people of all ages, although focal dystonias tend to onset in middle age. The Dystonia Society


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