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</o:shapelayout></xml><![endif]--></head><body bgcolor=white lang=EN-US link=blue vlink=purple><div class=WordSection1><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Thanks Sue & Donovan for bringing up this important topic. It’s been so long now since I worked in either the social services or health fields that my knowledge isn’t current & I’ve not kept up on the details of newer changes as much as I should have, so I’m glad both of you have shared current perspectives about the prescription drug challenges faced by the elderly & differently abled in our communities.<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Back in the day, though, and I can’t imagine it’s much different now, it wasn’t at <b>all</b> uncommon for doctors to prescribe needed medications my nursing & group home residents could not afford. In those instances, the patients simply do without . . . there’s no Prescription Drug Fairy I know of who goes around handing out meds to those who cannot afford them. I think PAPs are a wonderful thing, but I wonder how many people in long term care facilities, the vast majority of which are understaffed, have access through effective advocacy?<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>A few years back when stories were all over the news about our elderly taking bus trips to Canada to purchase their needed medications for affordable prices, I was horrified about the need for such extreme measures, as was anyone with a beating heart, but what really got me was thinking about our elderly & differently abled folks in care facilities who <b>didn’t</b> have that option.<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>For me, there’s something terribly, terribly wrong with our country when so many people – even those <b>with</b> insurance – don’t have access to necessary affordable health care, and that includes access to affordable prescription drugs, but by God, we’re gonna continue to give unconscionable tax breaks to very wealthy and to Big Business. Those so-called “job creators” have done a perfectly miserable job in recent years. Instead of continuing to reward them for doing such a rotten job at creating US jobs, let’s take those perks away . . . maybe that will motivate them to <b>start being productive again. </b>Isn’t that the argument the GOP & TPers use to justify cutting from those with the most need? Hit them in the wallets – that will get them off their lazy arses.<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Saundra<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Moscow, ID<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>The only thing necessary for the triumph of evil is for good people to do nothing.<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>~ Edmund Burke<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><div><div style='border:none;border-top:solid #B5C4DF 1.0pt;padding:3.0pt 0in 0in 0in'><p class=MsoNormal><b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'>From:</span></b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'> vision2020-bounces@moscow.com [mailto:vision2020-bounces@moscow.com] <b>On Behalf Of </b>Sue Hovey<br><b>Sent:</b> Wednesday, May 02, 2012 11:18 AM<br><b>To:</b> Tom Hansen; Donovan Arnold<br><b>Cc:</b> Moscow Vision2020<br><b>Subject:</b> Re: [Vision2020] Something you need to know<o:p></o:p></span></p></div></div><p class=MsoNormal><o:p> </o:p></p><div><div><div><p class=MsoNormal><span style='font-family:"Calibri","sans-serif";color:black'>Hey there. HIPPA is about more than losing ones job. Folks who work in the medical community are not only violating the law but violating the ethics of their chosen profession when they discuss medical conditions of their patients. Donovan, you are right to withhold that information, but what you have written is important nonetheless. I am my daughter’s guardian so I can release her information, and I can tell you, despite the fact she is on Medicaid and to this point has received most of her medications at no cost or with a small co-pay, she has a pharmaceutical drug bill every month. I worry each time I open the envelope she’ll have lost something else. She is uninsurable... and in the past year she has lost state support for counseling, vision, hearing aids, dental (yes, it has been restored but I can’t find a local dentist who will accept it,) and we have now been told she will be losing support for job coaching which has kept her employed for the past fifteen years. Our three legislators fought a valiant fight for her during the past session when her budget was cut by more than 30%, and were told she wouldn’t be losing any more benefits. That is proving to be not true. <o:p></o:p></span></p></div><div><p class=MsoNormal><span style='font-family:"Calibri","sans-serif";color:black'> <o:p></o:p></span></p></div><div><p class=MsoNormal><span style='font-family:"Calibri","sans-serif";color:black'>Register as a Republican? Not now, not ever. <o:p></o:p></span></p></div><div><p class=MsoNormal><span style='font-family:"Calibri","sans-serif";color:black'> <o:p></o:p></span></p></div><div><p class=MsoNormal><span style='font-family:"Calibri","sans-serif";color:black'>Sue H. <o:p></o:p></span></p></div><div><div><div><p class=MsoNormal><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black'> <o:p></o:p></span></p></div><div><div><p class=MsoNormal style='background:whitesmoke'><b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black'>From:</span></b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black'> <a href="mailto:thansen@moscow.com" title="thansen@moscow.com">Tom Hansen</a> <o:p></o:p></span></p></div><div><p class=MsoNormal style='background:whitesmoke'><b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black'>Sent:</span></b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black'> Tuesday, May 01, 2012 7:45 AM<o:p></o:p></span></p></div><div><p class=MsoNormal style='background:whitesmoke'><b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black'>To:</span></b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black'> <a href="mailto:donovanjarnold2005@yahoo.com" title="donovanjarnold2005@yahoo.com">Donovan Arnold</a> <o:p></o:p></span></p></div><div><p class=MsoNormal style='background:whitesmoke'><b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black'>Cc:</span></b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black'> <a href="mailto:vision2020@moscow.com" title="vision2020@moscow.com">Moscow Vision2020</a> <o:p></o:p></span></p></div><div><p class=MsoNormal style='background:whitesmoke'><b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black'>Subject:</span></b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif";color:black'> Re: [Vision2020] Something you need to know<o:p></o:p></span></p></div></div></div><div><p class=MsoNormal><span style='font-family:"Calibri","sans-serif";color:black'> <o:p></o:p></span></p></div></div><div><div><p class=MsoNormal><span style='font-family:"Calibri","sans-serif";color:black'>Let me see if I have this right . . .<o:p></o:p></span></p></div><div><p class=MsoNormal><span style='font-family:"Calibri","sans-serif";color:black'> <o:p></o:p></span></p></div><div><p class=MsoNormal><span style='font-family:"Calibri","sans-serif";color:black'>I am being deceitful and critically crippling my integrity by voting Republican in this year's primary. But you (Donovan Arnold) are sanctified for not reporting to proper authorities, or at least the media, that you have been instructed to withhold medications from residents of hospices, nursing homes, and assisted-care facilities BECAUSE YOU ARE AFRAID OF LOSING YOUR JOB ? ?<o:p></o:p></span></p></div><div><p class=MsoNormal><span style='font-family:"Calibri","sans-serif";color:black'> <o:p></o:p></span></p></div><div><p class=MsoNormal><span style='font-family:"Calibri","sans-serif";color:black'>Here is my suggestion: Grow an EFFING pair ! !<o:p></o:p></span></p></div><div><p class=MsoNormal><span style='font-family:"Calibri","sans-serif";color:black'> <o:p></o:p></span></p></div><div><p class=MsoNormal style='margin-bottom:12.0pt'><span style='font-family:"Calibri","sans-serif";color:black'>Jeesh!<o:p></o:p></span></p><div><p class=MsoNormal><span style='font-family:"Calibri","sans-serif";color:black'>Seeya round town, Moscow.<o:p></o:p></span></p></div><div><p class=MsoNormal><span style='font-family:"Calibri","sans-serif";color:black'> <o:p></o:p></span></p></div><div><p class=MsoNormal><span style='font-family:"Calibri","sans-serif";color:black'>Tom Hansen<o:p></o:p></span></p></div><div><p class=MsoNormal><span style='font-family:"Calibri","sans-serif";color:black'>Moscow, Idaho<o:p></o:p></span></p></div><div><p class=MsoNormal><span style='font-family:"Calibri","sans-serif";color:black'> <o:p></o:p></span></p></div><div><p class=MsoNormal><span style='font-family:"Calibri","sans-serif";color:black'>"If not us, who?<o:p></o:p></span></p></div><div><p class=MsoNormal><span style='font-family:"Calibri","sans-serif";color:black'>If not now, when?"<o:p></o:p></span></p></div><div><p class=MsoNormal><span style='font-family:"Calibri","sans-serif";color:black'> <o:p></o:p></span></p></div><div><p class=MsoNormal><span style='font-family:"Calibri","sans-serif";color:black'>- Unknown<o:p></o:p></span></p></div><div><p class=MsoNormal><span style='font-family:"Calibri","sans-serif";color:black'> <o:p></o:p></span></p></div><div><p class=MsoNormal><span style='font-family:"Calibri","sans-serif";color:black'> <o:p></o:p></span></p></div></div><div><p class=MsoNormal style='margin-bottom:12.0pt'><span style='font-family:"Calibri","sans-serif";color:black'><br>On May 1, 2012, at 7:25, Donovan Arnold <<a href="mailto:donovanjarnold2005@yahoo.com">donovanjarnold2005@yahoo.com</a>> wrote:<o:p></o:p></span></p></div><blockquote style='margin-top:5.0pt;margin-bottom:5.0pt'><div><div><div><p class=MsoNormal style='background:white'><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:black'>I see it everyday at my job. We are told to HOLD medications for that reason. But sorry, <span class=mark>HIPPA</span> prevents me from sharing personal information about any person. Ask any person that assists in medication distribution at a nursing or assisted living facility. Or you can call a big pharmacy and ask a pharmacist if they ever cut medications off from people that have fallen behind on payments or their insurance agencies stop paying them. <o:p></o:p></span></p></div><div><p class=MsoNormal style='background:white'><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:black'> <o:p></o:p></span></p></div><div><p class=MsoNormal style='background:white'><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:black'>Donovan Arnold<o:p></o:p></span></p></div><div><p class=MsoNormal style='background:white'><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:black'> <o:p></o:p></span></p></div><div><div><div><p class=MsoNormal style='background:white'><b><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:black'>From:</span></b><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:black'> Tom Hansen <<a href="mailto:thansen@moscow.com">thansen@moscow.com</a>><br><b>To:</b> Donovan Arnold <<a href="mailto:donovanjarnold2005@yahoo.com">donovanjarnold2005@yahoo.com</a>> <br><b>Cc:</b> Moscow Vision2020 <<a href="mailto:vision2020@moscow.com">vision2020@moscow.com</a>> <br><b>Sent:</b> Tuesday, May 1, 2012 8:02 AM<br><b>Subject:</b> Re: [Vision2020] Something you need to know</span><span style='color:black'><o:p></o:p></span></p></div><div><p class=MsoNormal style='background:white'><span style='color:black'> <o:p></o:p></span></p></div><div id=yiv395286076><div><div><p class=MsoNormal style='background:white'><span style='color:black'>Mr. Arnold - <o:p></o:p></span></p></div><div><p class=MsoNormal style='background:white'><span style='color:black'> <o:p></o:p></span></p></div><div><p class=MsoNormal style='margin-bottom:12.0pt;background:white'><span style='color:black'>Do you have ANY evidence to support your claim? <o:p></o:p></span></p><div><p class=MsoNormal style='background:white'><span class=mark><span style='color:black'>Seeya</span></span><span style='color:black'> round town, Moscow.<o:p></o:p></span></p></div><div><p class=MsoNormal style='background:white'><span style='color:black'> <o:p></o:p></span></p></div><div><p class=MsoNormal style='background:white'><span style='color:black'>Tom Hansen<o:p></o:p></span></p></div><div><p class=MsoNormal style='background:white'><span style='color:black'>Moscow, Idaho<o:p></o:p></span></p></div><div><p class=MsoNormal style='background:white'><span style='color:black'> <o:p></o:p></span></p></div><div><p class=MsoNormal style='background:white'><span style='color:black'>"If not us, who?<o:p></o:p></span></p></div><div><p class=MsoNormal style='background:white'><span style='color:black'>If not now, when?"<o:p></o:p></span></p></div><div><p class=MsoNormal style='background:white'><span style='color:black'> <o:p></o:p></span></p></div><div><p class=MsoNormal style='background:white'><span style='color:black'>- Unknown<o:p></o:p></span></p></div><div><p class=MsoNormal style='background:white'><span style='color:black'> <o:p></o:p></span></p></div><div><p class=MsoNormal style='background:white'><span style='color:black'> <o:p></o:p></span></p></div></div><div><p class=MsoNormal style='margin-bottom:12.0pt;background:white'><span style='color:black'><br>On May 1, 2012, at 6:43, Donovan Arnold <<a href="mailto:donovanjarnold2005@yahoo.com">donovanjarnold2005@yahoo.com</a>> wrote:<o:p></o:p></span></p></div><blockquote style='margin-top:5.0pt;margin-bottom:5.0pt'><div><div><div><p class=MsoNormal style='background:white'><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:black'>I just thought I would let you all know, if you didn't know already, that people living in nursing and assisted living homes are cut off from medications they need to live or have a normal life because they don't have the money to pay. It is really f**king barbaric. But are government allows it. To me there could be nothing Christian about a country that cuts off medications needed by little 90 year old ladies and men that costs only a few cents to manufacture. Don't count on having your needs met when you are old and unable to take care of yourself anymore if our health care system doesn't change drastically and soon. There is a good possibility that you will be treated as trash once your productive years are gone and you don't put crisp $100 bills in some greedy bastard's pockets. <o:p></o:p></span></p></div><div><p class=MsoNormal style='background:white'><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:black'> <o:p></o:p></span></p></div><div><p class=MsoNormal style='background:white'><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:black'> <o:p></o:p></span></p></div><div><p class=MsoNormal style='background:white'><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:black'>Donovan Arnold<o:p></o:p></span></p></div></div></div></blockquote><blockquote style='margin-top:5.0pt;margin-bottom:5.0pt'><div><p class=MsoNormal style='background:white'><span style='color:black'>=======================================================<br>List services made available by First Step Internet,<br>serving the communities of the <span class=mark>Palouse</span> since 1994.<br> <a href="http://www.fsr.net">http://www.fsr.net</a><br> <a href="mailto:Vision2020@moscow.com">mailto:Vision2020@moscow.com</a><br>=======================================================<o:p></o:p></span></p></div></blockquote></div></div><p class=MsoNormal style='margin-bottom:12.0pt;background:white'><span style='color:black'><o:p> </o:p></span></p></div></div></div></div></blockquote><div class=MsoNormal align=center style='text-align:center'><span style='font-family:"Calibri","sans-serif";color:black'><hr size=2 width="100%" align=center></span></div><p class=MsoNormal><span style='font-family:"Calibri","sans-serif";color:black'>=======================================================<br>List services made available by First Step Internet,<br>serving the communities of the Palouse since 1994.<br> <a href="http://www.fsr.net">http://www.fsr.net</a><br> <a href="mailto:Vision2020@moscow.com">mailto:Vision2020@moscow.com</a><br>=======================================================<o:p></o:p></span></p></div></div></div></div></body></html>