Topic

healthcare

179 petitions

Update posted 3 days ago

Petition to Barack Obama, Walmart, CVS Pharmacy, Walgreens, Walmart, Kroger, Publix Super Markets, Georgia State Senate, Georgia State House, Hillary Clinton, amerian pharmacist association, General public, NPR

Retail Pharmacy, Your Pharmacists Plea for Help, Help Us Protect Our Patients

I am a pharmacist who wants to bring change to the practice of pharmacy in the retail setting. I recognize the need for a change from working in retail for 4 years for three major pharmacy chains in the United States. It makes me angry and sad at the same time that retail pharmacists are forced to work in an environment that make them put the public in danger. According to statistics, in 2017 alone, 4.1 billion prescriptions were filled by retail pharmacies in the United States. Imagine the number of lives that are affected by medication use and the number of people who are impacted by how retail pharmacists do their jobs each year. The way pharmacy is set up now, with 2 pharmacists per store and each pharmacist verify on average of over 200+ prescriptions a day. This current setup is outdated and dangerous and it is imperative that it needs to change. If retail companies do not provide the support that retail pharmacists need to do their job, your kids health are put in danger, your parents', grandparents' and all your loved ones health are put in danger. Medications can be dangerous if not used the right way. A pharmacist's job is to use their clinical judgments and work with other healthcare providers to minimize harm. However, this is impossible for pharmacist to do with how the pharmacy is set up currently. From my personal experience, I normally verify 200-300 prescriptions by myself each day. With this volume of prescriptions along with the pressure to meet the company's demands, I was forced to rush through the prescription verification process. This process is intended to protect the patients. It is where pharmacists address problems like drug-drug interactions, drug-disease interactions, major side effects, therapeutic duplication etc. that would make medications safe for use. Pharmacists are stretched way too thin to do their job right. They have to handle phone calls from patients as well as prescribers, counsel on medications, answer OTC questions, 200+ prescriptions to verify, and when short staffed, do tech works like fill prescriptions, be cashiers, and deal with insurance issues. There is no energy left to assess medications from a clinical standpoint. That's why retail pharmacy practice today is a disservice to the patients and need to change. We now have the tools and enough pharmacists for a new system to be put in place to make the drug use process safer. Retail pharmacists want 2 things:  1)  more pharmacists per store 2)  access to medical records.  Access to patients' medical records allows us to have the information, and more pharmacists per store to allow us to have the coverage that we need to do our job. Medication records give us a clearer picture of the patient's current health, which help us to: 1) Help prescribers select medications that are most effective, cheap, and with with minimal side effects 2) We can verify if the medication(s) selected is best for the diagnosis and if it is dosed correctly3) In cases where patients have multiple diseases (this is most cases in retail), we can determine if the medications prescribed will exacerbate other diseases states, if so, suggest an alternative4) We can check for the drugs-drug interactions and metabolism interactions5) We can verify if medications are compatible with the kidney function and liver function and adjust doses accordingly6) We can closely monitor the effects of the medication on their overall health and intervene early if its not the best regimen7) We can also follow-up with patients regularly, check for side effects and for compliance issues Our main goal is to make sure that the medications that each patient take home are the best regimen that their doctors and we pharmacists came up with to help them fight their disease(s). If we are allowed to do our jobs the right way, we can help cut down healthcare costs tremendously. So please help end the current broken system in retail pharmacy and help us adopt a new system that facilitates a smarter and safer way to practice pharmacy in retail.

Mai Anh Phung
264 supporters
Update posted 5 days ago

Petition to Environmental Protection Agency

Ban Asbestos in the US Now, Without Loopholes or Exemptions

My daughter was just 10 years-old when my husband, Alan, was diagnosed with a cancer caused by exposure to asbestos, a deadly material which is still being used in the U.S. today. Families like mine have fought for decades to get the Environmental Protection Agency (EPA) to ban the use of asbestos, but instead the administration allows imports and use to continue. Alan’s disease was incurable – but it was also entirely preventable. Asbestos kills an estimated 39,000 people in the US every year, yet the EPA has not banned companies from continuing to use it. They are knowingly poisoning Americans. In 2004, Doug Larkin and I co-founded the Asbestos Disease Awareness Organization to fight for families battling mesothelioma. We vowed that we would fight with all of our strength to prevent other families from going through the pain, devastation, and loss that we experienced. Emily and I were there with Alan when he took his last breaths. I lost my soulmate and my daughter lost her father because our government refused to stand up to greedy corporations.   The EPA has now spent decades of time and taxpayer dollars on asbestos research. They know it is deadly, yet hundreds of tons of raw asbestos are allowed every year to be used in our country. It’s long past time that the EPA banned this deadly material once and for all. Enough is enough.

Linda Reinstein and the Asbestos Disease Awareness Organization
117,079 supporters
Update posted 7 days ago

Petition to FDA , NIH , MHRA , World Health Organization, European Medicines Agency

Stop the Damage and Find a Cure for Victims of MRI Contrast Toxicity

Thirty million magnetic resonance imaging (MRI) scans are performed each year in the US alone, and many more worldwide. One of every three patients undergoing an MRI scan is injected with the contrast agent, gadolinium. This helps “light up” the results more clearly for the radiologists. Gadolinium is a highly-toxic rare metal. It has no place in the human body. When gadolinium was introduced as a contrast agent, it was prepared in such a way that it was thought to leave the body naturally within 3 days of the MRI scan. Scientific research carried out in the past decade has clearly disproved this. Gadolinium is retained in the body for many years, possibly a lifetime, and concentrates specifically in brain and bones. Tens of millions of patients are exposed to this known toxic substance every year, when they undergo an MRI scan. Many of these patients are young children, whose bodies are still developing. The long-term harm of gadolinium accumulation has not yet been quantified. However, there are already many victims of gadolinium poisoning who suffer painful and crippling symptoms. Recent studies show that gadolinium contrast is used far too liberally and is not necessary in many cases.   We must voice our concerns to the FDA, the World Health Organization and the medical community. We ask the FDA, the World Health Organization and health authorities worldwide to: Warn physicians and patients about the risks of gadolinium. Restrict gadolinium use only to cases where the benefits outweigh the risks. Invest in rapid development of safe gadolinium alternatives. Sponsor large studies of gadolinium toxicity in patients who have undergone MRI scans. Promote the development of effective treatments to remove toxic gadolinium from patients affected by it.

MedInsight Research Institute
5,822 supporters
Started 2 weeks ago

Petition to Ralph T. Hudgens, Georgia State Insurance Commissioner

Tell insurance companies to cover better fibroid treatments now

My name is Dr. Soyini Hawkins, a specialty-trained gynecologist in Atlanta. Women with fibroids come to me seeking better treatment options usually after their gynecologist recommends a hysterectomy - likely the only treatment covered by their insurance company. Hysterectomy, the second most common surgery performed on reproductive-aged women, continues to be the primary treatment for uterine fibroids in the United States, while less invasive alternatives, like radiofrequency ablation, are underutilized and often not discussed with patients. A retrospective study of over 3,000 women showed nearly 1 in 5 hysterectomies are unnecessary. Hysterectomy can lead to medical issues -- not just loss of fertility. I’ve started this petition because I need your help to get insurance companies in Georgia to cover minimally-invasive fibroid treatment procedures. I know first hand how debilitating uterine fibroids can be. Mine were diagnosed when I was 26 years old. My options were limited to treatments that required hospital stays and lengthy recovery times.  Like most women, I did not have months to recover. As a result, I put off treatment for over a year and suffered from the painful, and often embarrassing, side effects of fibroids. When I had fibroids I had no other option than an extreme surgery that took 7 weeks to recover.  Women today have better, less-invasive treatment options available, yet many insurance companies do not currently cover these procedures. Uterine fibroids affect 70–80% of women under the age of 55. I urge you to sign this petition and join my fight to help get insurance companies in Georgia to cover these life-changing, minimally-invasive treatment options.   Your signature will help women get back to normal without the extreme side effects of invasive treatments or a hysterectomy. Women and their doctors, not the insurance companies, should decide which treatment option is best.

Dr. Soyini Hawkins
169 supporters