Decision Maker

Cory A. Booker

  • NJ
  • Senator

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Victory
Petitioning U.S. Senate, John Barrasso, James Inhofe, Shelley Capito, John Boozman, Roger Wicker, Deb Fischer, Jeff Sessions, Jerry Moran, Mike Rounds, Joni Ernst, Dan Sullivan, Tom Carper, Ben Cardin, Bernie ...

Demand A Strong EPA For Our Bays

Let’s not trash the EPA. Reject Scott Pruitt as its new chief. Members of the U.S. Senate Committee on Environment and Public Works recently boycotted the vote for Oklahoma Attorney General Scott Pruitt’s nomination to lead the U.S. Environmental Protection Agency.  This comes as widespread, bipartisan concerns are being raised about Pruitt's record of challenging the core mission of the agency he’s been asked to lead. Many question Pruitt’s future commitment to protect public health, enforce the law, and hold corporations accountable to maintain healthy water, air, and land in their business practices. Pruitt has sued the EPA on behalf of regulated industries more than a dozen times in an attempt to weaken regulations such as the federal Clean Water Act. These regulations form the bedrock of our work at Heal the Bay and our sister organizations across the nation. They are hard-fought gains that were direct responses to past disasters. We cannot go back. A silenced, weakened EPA is a threat to our Bays. The U.S. Senate will vote on the appointment of Pruitt as EPA chief in the coming hours amid growing concerns about a broad directive from the new administration to censor EPA research, indefinitely. As a trusted ocean and watershed advocate, Heal the Bay is guided by the best science, not emotion. Over the last 30 years, we have seen first-hand how the EPA and its partner organizations can improve public health for Angelenos through environmental policies and regulations. A weakened EPA means turning back the clock on our critical programs in Greater Los Angeles that monitor beach water quality, prevent unsafe consumption of locally caught fish, protect our dwindling wetlands, and keep our streams and watersheds healthy to buffer communities from climate change. Scott Pruitt won’t do it. Our vital work is far from over. Sea level rise poses a real and immediate threat to many U.S. cities that are unprepared to adapt to the impacts of climate change. We need strong EPA leadership and funding now more than ever. These issues affect us all.  Sign this petition urging the U.S. Senate to reject Pruitt’s nomination for EPA chief. Tell our elected officials to maintain strong EPA funding for programs that affect our Bays nationwide. Call your local senators directly in the next 24 hours to make sure your voice is heard.  

Heal the Bay
94,227 supporters
Petitioning Jill Schupp, Terry Kilgore, U.S. Senate, Roy Blunt, Dan Brown, Kathy J. Byron, Lee Ware, Mike Cunningham, Timothy Hugo, Bill Eigel, Jason Holsman, Daniel Marshall, III, Jacob W Hummel, Robert B. Be...

Stop Forcing Mail-Order Pharmacy as the Only Option of Coverage

Patients' lives depend on choice. **Since starting the petition, I have realized that there are many issues other than temperatures with forced mail-order pharmacy.  Mail-order pharmacy is very loosely regulated. There are life-threatening delays, lack of face-to-face relationship with pharmacists for people with chronic conditions, and rapid closures of our independent pharmacies; although, a recent study showed people prefer independent pharmacy (2018, Gill).    *************Our Story************* Our son, received a life-saving liver transplant at the age of 2 from a 3-year-old little girl. His life depends on the potency and effectiveness of chemotherapy/immune suppression medications every 12 hours to prevent his body's immune system from fighting off his transplanted liver. In the past mail-order delivered his liquid oral medications in nothing but a plastic envelope on a 102-degree day on a hot enclosed not temperature controlled UPS truck. Shortly after, he went into liver rejection which could have resulted in complete liver failure or death. I speculated that the medication could have been too weak after the delivery of medications in high heat. I vowed to never again risk his life with mail order pharmacy. Recently, we were mandated/forced to only use mail-order pharmacy in order to receive coverage for his life-saving medications.  The package arrived in only a bag on a hot day without an ice pack. The hot non-temperature controlled enclosed delivery truck can reach temperatures up to 170 degrees. His labs elevated again afterward. My son wants to know, "Why would they do that?" I contacted the manufacturer, who performs the testing stated that both of my son's medications should be discarded and considered less potent once stored above 86 degrees as higher temperatures and freezing could both result in lower potency. Liquid medication is the most harmed by the mishandling of medications outside of the manufactures temperature storage guidelines.  I contacted the mail-order pharmacy who refused to replace or take back the medication. They said the law & USP Pharmacopoeia allows them to ship up to 104 degrees, although the manufacturer states it is not proven safe at these temperatures. However, I have received communication from USP Pharmacopoeia who writes guidelines for storage, and they also said that the mail order pharmacy should follow the manufacturer's guidelines of 59-86 degrees for storage. Again, the trucks reach up to 170 degrees which is much hotter than 104.  I contacted the FDA, who states that the mail order pharmacy should be using the manufacturer's guidelines that have been proven safe..However, since the mail-order pharmacies are regulated loosely by the State Board of Pharmacy, not the FDA there was nothing that the FDA could do.  I made over 30 calls to the insurance company begging for them to please let us pick my son's medications up at the local pharmacy at which they are filled. My son's physician wrote a note/appeal as his transplant team has stated that they have tried to voice their concerns about this issue with their pediatric/child patients and no one is listening! The insurance company still denied the doctor's appeal for us to pick up my son's medications in the safest way. It was not until the Media became evolved that the insurance company budged.  I felt helpless and have united with many other pharmacists, physicians, patients, mothers and fathers, and caregivers who feel the same way. Helpless. Mail-order of prescription drugs should be a choice, not the only option of coverage.  Mail-order pharmacies may appear to save money, but when my son ended up in the hospital after taking medications that could have been compromised by having lower potency, the cost of the rejection was thousands of dollars. If his liver would have fully failed, the cost of his liver transplant for just 5 days (he was in the hospital for 5 weeks) was over $1,000,000. The lax regulation and oversight may save money on prescription drug plans but may come at an increased cost to the health plan itself. Also, keep in mind the endless waste of medications that automatically are sent regardless of whether or not patients need them. Also, people with chronic, complex conditions, should always have the option of face to face interaction with a pharmacist who knows their complex needs and medical history. The pharmacist and patient relationship is crucial to the successful outcome of the patient's overall health. Taking this away is harmful to patients and be more costly to our already stressed healthcare system. Another important fact. Mandatory mail-order programs are discriminatory. It is estimated that 40% of the homeless are disabled. How is mandatory mail order fair and working for them as they may not have an address and not even know where they will be from day to day? Only allowing mail-order pharmacy for coverage is unethical and irresponsible. I share stories on my social media sites every day of patients who are suffering from lack of choice.  We need your help to make mandatory mail-order an option, not a mandate.  YOUR URGENT SUPPORT WILL SAVE LIVES! THANK YOU!! WE APPRECIATE ALL OF THE SUPPORTERS, CAREGIVERS, & PATIENTS.  Thank you,  Loretta Boesing, Founder of Unite for Safe Medications You may make a tax-deductible contribution to support our advocacy here Email: loretta@uniteforsafemeds.com Facebook Page: Issues with Mail Order Pharmacy @justamomwholovesherson Twitter: @BoesingLoretta The greatest way that you can help is by sharing this petition & gathering 2-3 people in your community who are having issues and speak to your legislatures.                  Reference: Gill, Lisa L. “Consumers Still Prefer Independent Pharmacies, CR's Ratings Show.” Product Reviews and Ratings - Consumer Reports, 7 Dec. 2018, www.consumerreports.org/pharmacies/consumers-still-prefer-independent-pharmacies-consumer-reports-ratings-show/

Loretta Boesing
86,466 supporters
Closed
Petitioning Dianne Feinstein, Kamala Harris, U.S. Senate, U.S. House of Representatives, John Barrasso, Tom Carper, James Inhofe, Shelley Capito, John Boozman, Roger Wicker, Deb Fischer, Jerry Moran, Mike Roun...

Tell Congress to Maintain EPA & NOAA Funding

Protect Our Oceans. Protect Our Health. Protect Our EPA & NOAA. The White House recently proposed debilitating budget and workforce cuts for the U.S. Environmental Protection Agency (EPA) and the National Oceanic and Atmospheric Administration (NOAA) starting this October when the 2018 fiscal year begins. Every department seems to be affected; from environmental justice programs and science education, to research and monitoring. In the new administration’s plan, many critical ocean grants, programs, and services will be completely eliminated unless our representatives and legislators vote against the cuts in Congress. This comes at a critical time when America’s coastal infrastructure is failing in the face of intensifying storms and rising seas associated with climate change. We should be doubling down on efforts to prepare and defend our coastlines. We should be empowering scientists, researchers, and youth in America to become stewards for our ocean and environment. We should be investing our hard-earned tax dollars into the next generation of ocean innovation. Instead, the proposals drastically reduce fundamental resources to prepare and respond to environmental emergencies. The White House’s plan includes slashing the EPA budget by 31 percent — to the tune of $2.6 billion — and reducing staff by more than 3,200 people. The EPA is already operating on a lean budget – federal funding has been decreased by over $2 billion since 2010. Nearly three-quarters of the EPA’s annual budget goes toward funding grants for states, tribes, and contractors. These grants aid crucial environmental cleanup, monitoring, and preparedness efforts. Commonly known for its weather forecasting services, NOAA also leads the nation on climate monitoring, fisheries, and ocean services. NOAA’s annual budget is $5.6 billion, a small fraction of the overall federal budget. The administration proposed a stiff 17% cut to NOAA’s overall budget. And, a 22% reduction in funding for NOAA’s National Environmental Satellite, Data and Information Service, which creates and operates weather satellites. This program also houses the National Centers for Environmental Information – an essential environmental science research center and repository of climate data.  Additionally, climate protection programs would suffer a nearly 70% cut, which would thwart efforts to prepare for sea level rise, adapt to hotter urban areas, and buffer our communities for increased storm intensity and flooding. This is particularly important as previous worst case scenario projections for sea level rise in Southern California – 5.5 feet by 2100 – are now being revised to predict even more extreme impacts as ice sheets at our planet’s poles are melting faster than expected. Beach tourism and the coast recreation economy are valued at close to $90 billion, so EPA’s investment of $10 million annually in beach water quality monitoring makes fiscal and public health sense to ensure that beachgoers are healthy and safe. However, the Beach Grant Program would suffer complete elimination. This vital program supports weekly water quality sampling at beaches across the country, and, helps to sustain thriving marine life and public awareness of pollution for the 90 million people visiting our nation’s beaches annually. Environmental education through the EPA would be cut by over 90% - a disservice to preparing and educating our youth, who are the future stewards of our nation. And, communities who are already the most under-served would be disproportionately impacted by the planned 78% cuts to environmental justice programs. Funding would be completely zeroed out for several targeted programs, including the national estuary program – long-term management planning to improve water quality and living conditions for 28 critical estuaries located along the Atlantic, Gulf, and Pacific coasts and in Puerto Rico, and Sea Grant – a well-leveraged scientific research partnership with top universities throughout the nation. Removing the Sea Grant program would cut funding for important fisheries, wetlands, wildlife, and public health research at 33 universities across the country – this is hands-on and applied research that informs management and protection of our economically and environmentally beneficial coastal and ocean resources. The new administration’s proposals would cripple our efforts to safeguard marine habitats, threatened animals, and coastal resilience – placing entire communities and ecosystems at a further disadvantage. The White House has said it is committed to promoting clean water and clean air, but these proposed actions demonstrate otherwise. It seems virtually impossible to maintain basic environmental and public health protections, given such deep cuts and job losses. Please help Heal the Bay and many other trusted environmental groups nationwide in our effort to keep the EPA and NOAA from being disabled. Tell your State Senators, Congressional Representatives and Legislators that funding for the EPA and NOAA is important to you, your family, your business and community.

Heal the Bay
75,791 supporters