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The Movers List: 50 Inspiring People Who Are Helping Britain Be More Active

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A fundamental part of the Coach canon is that there’s an activity out there for everyone. Even if you thought PE ruined physical exertion for you for life, there’s something that will transform your life for the better. And perhaps that thing is… yoga on a paddleboard? Or hugby? (That’s rugby with hugs.) These are both things we didn’t know existed until the Movers List was released. It’s a 50-strong roll call – compiled by Lucozade Sport and judged by the likes of boxer Anthony Joshua and England footballer Nikita Parris – of people who are making a difference to people’s lives by getting them moving in new and unexpected ways.

It’s an easy way to find something new and get inspired, so scroll through to see if someone’s doing something that appeals in your area. And even if there’s not, you can visit the Movers List on the Lucozade Sport website to find opportunities to move, including fitness classes and the like, near you.

It’s the first major service we’ve seen that makes use of the OpenActive initiative, which asks sports and fitness booking platforms to share their event data, making it easier for people to find opportunities to get active in their area. As long as a website pulls together that information, of course – so hats off to Lucozade Sport for putting this new service together.

And a standing O to everyone on the list, which we’ve reproduced in full and in alphabetical order below – we’ll sure you’ll agree there’s some real sterling work going on. Give it a peruse, find something that or someone who inspires you, and get moving.

1. Al Hopkins, Edinburgh

Hopkins thought traditional sports environments could be intimidating for the LGBTI+ community so joined and is now the president of the Edinburgh Frontrunners, which is part of a global community encouraging LGBTI+ people to move, make friends and belong.

2. Alex Gibson, Brentwood

After Gibson was diagnosed with motor neurone disease he started Challenging MND, a charity dedicated to providing support to those living with MND to complete memorable activities.

3. Asa Waite, Newport

Waite set up a basketball team, the Newport Aces, to encourage local children to get moving. He now runs seven teams and has hundreds of kids taking part in a sport that inspires confidence.

4. Bella Mackie, London

The author of Jog On, a memoir about how running helped to ease her anxiety which became an instant best-seller in 2018. It has inspired thousands of people to take to the road and run to better their mental health.

5. Benjamin Wimbush, Manchester

Wimbush broke his neck in a trampolining accident eight years ago, leaving him with life-changing injuries. He started the #20isplenty movement to help disabled people, able-bodied people and those with mental health issues to connect with and motivate each other.

6. Born Barikor, London

After working at a leisure centre and realising that he could not afford to join it himself, Barikor created OurParks to change the way people exercise Hundreds of thousands of people now enjoy free group exercise classes run by fitness experts in community spaces.

7. Carl Adams, Ashford

Along with partner Steve Denby, Adams co-founded Primal Roots, a social enterprise that runs forest fitness classes helping people in recovery and those who have experienced homelessness rebuild their lives through movement and kinship.

8. Dr Catherine Walter, Oxford

An Emeritus Fellow in applied linguistics by day and captain of Oxford University’s Linacre College female powerlifting club by night, 72-year-old Walter wants to encourage other women to lift weights and believes it is never too late to find a sport that you love.

9. Charlie Dark, London

Dark founded Run Dem Crew, a community for like-minded people to meet, exchange ideas, and run. The Crew is now 500 members strong and regularly “runs” London and other cities across the world.

10. Charlotte Roach, Chester

After a near-fatal cycling accident put an end to her promising athletic career, Roach launched Rabble, a business that stages classic playground games as high-intensity exercise and has over 900 regular members across several UK cities.

11. Charmaine Daley, Nottingham

When she was made redundant for the third time, Daley attended a Zumba class and decided she wanted to do it for a living. She trained as an instructor and started organising Zumba networking events in her community. Full of positivity, Daley was chosen to inspire others through the national This Girl Can initiative.

12. Dan Charlish, Hove

Charlish started Snow-Camp to teach disadvantaged young people how to ski and snowboard after hearing a group of teenagers say that Xbox snowsports games were the closest they would get to winter sports. It is the UK’s only charity inspiring inner-city young people to excel through snowsports.

13. Dan Edwardes, London

In 2005 Edwardes founded Parkour Generations, which is now the leading authority on parkour education. It’s a multi-national organisation that runs coaching certifications, school programmes, workshops and major events in more than 45 countries around the world.

14. Dave Musgrove, Leeds

Musgrove was involved in several access and conservation projects across all the Limestone crags in Yorkshire, ensuring there are safe places for people to share his passion and start climbing.

15. Dave Player, Newbury

A former serviceman with the Royal Engineers, Player suffered a spinal cord injury and started Kartforce and Team BRIT with the aim of inspiring disabled and struggling veterans to overcome their troubles by being part of a team again.

16. Dee Ripoll, Edinburgh

Ripoll set up Coldwater Surf and has taught across France and her native Scotland. After two traumatic accidents she moved to Edinburgh and re-established the school to teach people of all ages how to master the waves. She continues to surf all over the world.

17. Edwina Brocklesby, London

Brocklesby founded SilverFit in 2013 to promote lifelong fitness. The organisation runs activities in venues across London, offering exercise opportunities to OAPs from Nordic walking to tai chi.

18. Francesca Lewis, Swansea

Lewis started playing tennis aged eight and went on to play at an elite level, but has since dedicated herself to coaching disadvantaged people in Swansea, covering an age range from three to 98.

19. Gundeep Anand, London

Anand is the mind behind The Last Stand, a street football tournament created to unite communities and break down social, cultural and religious barriers through sport. It has inspired similar events to start all over the world.

20. Hannah Hawkey, Plymouth

Hawkey quit her teaching job to set up RockFit, a fitness class set to a heavy metal and rock soundtrack, a concept that has spread with classes in Bristol and Glasgow as well as Plymouth.

21. Helen Mackenzie, Ripon

Mackenzie started Ripon City Netball Club when she was recovering from breast cancer and wanted something to enjoy with her two daughters. She wants to inspire women of all ages to take up a competitive team sport and enjoy the health and social benefits it can bring.

22. Ivo Gormley, London

Fetching a newspaper for an elderly neighbour sparked an idea for Gormley, who decided to combine running with good deeds. The resulting project is called GoodGym, and it’s a community of runners who are helping combat loneliness and isolation by running (literally) errands for those who need it and by doing manual labour for community projects.

23. Jen Blackwell, Preston

Blackwell founded DanceSyndrome, a group for similar people to come together and experience happiness through dance.

24. Jess Melia, Leeds

Melia created Rollin’ With The Girls, a skating group inspiring women to hit the ramps and give skateboarding a go. Using social media to arrange meet-ups, post video clips and grow awareness, Rollin’ With The Girls now has over 1,000 members.

25. John Croot, Chesterfield

As chief executive of Chesterfield FC’s Community Trust, Croot pioneered modern Walking Football to engage the over-50s in the area. It is now played in over 50 countries around the world, and there are over 60,000 players in the UK alone.

26. Josh Landmann, Poulton-Le-Fylde

Landmann was paralysed from the chest down after an accident and has been determined to keep moving ever since. His involvement in a ToughMudder went viral and inspired people around the world. In April 2019, he broke the Guinness World Record for the fastest marathon completed in a non-racing wheelchair.

27. Kate Rew, Somerset

Author Rew’s love of swimming outdoors stems from childhood. In 2006 she discovered swimming in rivers, lakes and seas was dwindling and founded the Outdoor Swimming Society, with a mission to inspire other people to swim outdoors and give them the information to do it safely. Starting with just a handful of swimmers, the society has helped created a nationwide movement and has grown to over 70,000 members.

28. Katee Hui, London

When keen footballer Hui moved from Canada to London she could not find enough opportunities for women to play football. So she started her own and founded the Hackney Laces, which now runs as a social franchise in three London boroughs, and as an off-the-pitch programme designed to inspire and support participants beyond football.

29. Keith Whitton, Doncaster

Whitton goes the extra mile inspiring newcomers to try the sport he has loved for over 50 years, Rink Hockey. He saved his local club, Sheffield Wildcats, from disbanding in 2015 and it has since gone from strength to strength with multiple teams competing on a weekly basis.

30. Khadijah Safari, Milton Keynes

Safari started the first women-only martial arts club, Safari Kickboxing, as a safe space for Muslim and non-Muslim women to come together, train in self-defence and keep fit.

31. Lauren Gregory, Leamington

Gregory founded Run Like A Girl after gaining confidence from a charity ultramarathon that she took part in. What started as a social media post to local mums became a running club with over 30,000 members throughout Warwickshire and beyond, with the organisation having expanded to Australia as well.

32. Leanne Davies, Leatherhead

Davies set up a small Facebook group after struggling to keep to structured running times after having a second baby. It began as three women, and six years later Run Mummy Run has reached over 62,000 members.

33. Leanne Pero, London

In 2001, at the age of just 15, Pero set up The Movement Factory to create lasting community impact through her love of dance, which has inspired over 500,000 young people to move.

34. Linda Hesselden, Plymouth

Hesselden is a licensee of Silver Swans, a Royal Academy of Dance initiative that enables students aged 55 and over to learn ballet. She has been active in the community for over 20 years and taught everyone from pre-school children to men and women in their 80s.

35. Louisa Chatwin, Selston

Over the last decade, Chatwin has taught hundreds of adults and children how to improve their skills on the ice. In the 2017 World Winter Games, she was selected as Team GB head coach for the Special Olympics following her work with para-skate star Meg McFarlane.

36. Mac Ferrari, London

The founder of Bikestormz and the unofficial godfather to the UK #BikeLifeMovement, former gang member Ferrari has encouraged thousands to take part in mass rides and promotes the message of “Bikes Up, Knives Down”.

37. Melanie Timberlake, Aylesbury

Timberlake overcame post-natal depression and brain surgery to inspire others through a shared love of sport. She is the manager of three disability football teams and runs martial arts classes for the disabled, earning the prestigious Disability Coach of the Year award.

38. Michaella Robb, Angus

Robb was one of the first paddleboard yoga instructors in the UK. After discovering the sport while travelling, she brought the concept home to Scotland to inspire others and motivate them to enjoy the sport in the great outdoors.

39. Oliur Rahman, London

Rahman started the Active Communities Network to engage young people living in areas of high deprivation to develop an interest and build careers in sport and exercise. The programme supports members in a range of weekly sessions from boxing to basketball.

40. Paul Sinton-Hewitt, London

In 2004 Sinton-Hewitt started parkrun, the free 5K run, with 13 people in Bushy Park, west London. It now has five million registered runners worldwide with over 280,000 people regularly running each week in 1,500 global events.

41. Phil and Shaun Webb, Glasgow

The brothers founded Glasgow Ultimate Frisbee Club and are credited with helping establish and expand the sport throughout Scotland in universities, parks and communities.

42. Philip Collins, London

Collins is chair of Out To Swim, an aquatics club for LGBTI+ adults in London, Brighton and Bristol. Founded 25 years ago by a small band of swimmers, it is now the biggest LGBTI+ swimming club in Europe.

43. Sarah Javaid, London

Javaid set up Cycle Sisters to help Muslim women connect and exercise through cycling. It started with a friend and her two sisters-in-law and has since grown to over 50 members.

44. Shannia Richardson-Gordon, London

Richardson-Gordon became a coach with Boxing Futures and the Limehouse Boxing Academy aged just 19. Passionate about how the sport can help others, she travels all over London to teach mental health patients, people with disabilities and young offenders.

45. Simon Northcott, Worcester

Worcester Warriors rugby coach Northcott developed a passion for creating more inclusive forms of sport and invented “Hugby”, in which scrums, line-outs and tackling are done by hugging the opponent.

46. Skye Stewart, Wolverhampton

Stewart is the founder of Black Country Fusion FC, the first LGBTI+ inclusive team to enter a non-gay league in the West Midlands. The open-minded club has gone on to establish a female team and a veteran’s team for men over 35.

47. Sophia Warner, Ockley

Born with cerebral palsy, WArner became a Paralympic track and field athlete. She founded the Superhero Series in 2016 to allow disabled people to take part in sport alongside their friends and families.

48. Tanayah Sam, Birmingham

Sam is an ex-convict working with young people in schools and prisons who are at risk of joining gang culture. His 12-week programme uses cricket to encourage social cohesion and steer young people away from crime and anti-social behaviour.

49. Wendy Rumble, Maidenhead

Rumble leads a buggy running movement with an educational website, online community and a running club, Buggy Squad, to inspire parents and families to find freedom in exercise.

50. Wendy Russell, Brighton & Hove

Russell set up the first deaf hockey session in the country at Brighton & Hove Hockey Club, and developed 40 new sign language signs for hearing-impaired players of all ages.



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Microsoft and SilverCloud collaboration to leverage AI for mental health

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The treatment of mental health conditions appears to have received a boost with a recently announced research collaboration between digital mental health company SilverCloud Health and Microsoft Research. The partnership was designed to further step up the former’s online offering with artificial intelligence.

A little background: During the past 18 months, the two have worked in tandem on research that marries Microsoft’s machine learning and AI technologies with SilverCloud, which specializes in the digital delivery of evidence-based mental healthcare to improve outcomes.

Ken Cahill, CEO of Boston based SilverCloud, said the technology enables “very tailored support” to each patient; meaning “more responsive and reactive care.” He called that process a “big departure” from existing digital delivery that’s generic or a one-size-fits-all approach and doesn’t accommodate for factors such as behavior, engagement, and effectiveness.

SilverCloud’s digital mental health platform is globally deployed in routine clinical care providing coverage to 65 million people, Cahill noted. Since 2012, more than one million hours of therapy have been delivered.

“Our (model) encourages patients to be more active (in the care) instead of a backseat spectator. We’re all individuals with unique challenges and underlying issues,” noted Cahill. He added that the goal of the AI collaboration with Microsoft is to provide personalized mental health care which will hopfeully improve mental healthcare outcomes globally.

Artificial intelligence necessarily evokes the feeling of machines doing the work that humans did, so Cahill emphasized that SilverCloud views itself as “an extender – not a clinician replacer.”

In other words, “we’re working with Microsoft on ensuring what we deliver is responsive, in context and appropriate for that end user.” He said that if you contemplate a user’s journey today, they’re accessing what’s often “generic care, that might be at the wrong intensity or severity level.” Conversely, “we’re delivering care much more in context and appropriate for each user.”

It seems abundantly important to contemplate the impact of the condition on the population. In a given year, around one in five adults in the U.S. — or 18.5 percent — experiences mental illness, according to the National Alliance of Mental Health.

The National Institute of Mental Health estimates that there were 11.2 million adults at least 18 years of age in the U.S. with serious mental illness in 2017 – accounting for 4.5 percent of all adults in the country.

NAMI showed that broken down by demographic group, the annual prevalence of the condition among U.S. adults looks like this:

  • Non-Hispanic Asian: 14.7 percent
  • Non-Hispanic white: 20.4 percent
  • Non-Hispanic black or African-American: 16.2 percent
  • Non-Hispanic mixed/multiracial: 26.8 percent
  • Hispanic or Latino: 16.9 percent
  • Lesbian, Gay or Bisexual: 37.4 percent

Even in the glare of all that, however, NPR.org, reported that mental health coverage was being short-shifted by health insurers. In 2015, behavioral care was several times more likely to be provided out-of-network than medical or surgical care. Statistics vary significantly from state to state, the report showed. Forty-five percent of office visits for behavioral health care were out of network in New Jersey; 63 percent in Washington D.C., Milliman stated. Alarmingly, a study published in 2016, at $201 billion, mental disorders paced the list of the costliest conditions in the U.S. in 2013.

Against this backdrop, there are several digital health efforts being addressed toward mental health, among which is the Microsoft-SilverCloud collaboration. Artificial intelligence can help to speed up the understanding and delivery of more personalized mental healthcare. This, in turn, can lead to early interventions that can then improve clinical outcomes.

Cahill, however, was very careful to explain that patient privacy would be safeguarded.

“We’re only looking to utilizing machine learning and the content to ensure the right support for the clinician and coaches by giving them better access to appropriate tools at the right time, while always ensuring privacy.”

Picture: Benjavisa, Getty Images

 

 

 

 

 

 



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Reata to seek approval for Friedreich’s ataxia drug on positive Phase II results

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Paper made silhouettes with one of them of orange color to stand out from the rest


Shares of a small biotech company skyrocketed Tuesday following the release of positive data from its registration-directed Phase II study of a fatal genetic disorder that causes muscle weakness.

Irving, Texas-based Reata Pharmaceuticals rose 60 percent on the Nasdaq Tuesday morning and remained up 57.5 percent through the afternoon after the company announced positive results from the registrational second part of its Phase II MOXIe trial of the drug omaveloxolone in patients with Friedreich’s ataxia.

The company said that patients treated with the drug at 150mg per day showed a statistically significant, placebo-corrected 2.40-point improvement on the modified Friedreich’s Ataxia Rating Scale, or mFARS after 48 weeks of treatment. The company plans to submit regulatory filings to seek approval in the U.S. and in other countries.

FA, also abbreviated FRDA, affects about 1-in-40,000 people and is the most common inherited ataxia – or loss of control of the limbs – in Europe, the Middle East, South Asia and North Africa, according to the National Organization for Rare Disorders. Ataxia results in an unsteady gait and poor control of fine movements of the limbs, along with slurred speech and difficulty swallowing. Patients with FA ultimately progress from needing walking aids to requiring a wheelchair. Most patients are diagnosed before the age of 25, though late-onset FA can affect people between the ages of 26 and 39, and very late-onset FA can appear after age 40.

“Based on the results reported today for omaveloxolone, we are hopeful that our community will finally have its first approved therapy that can slow this relentlessly progressive disease,” Friedreich’s Ataxia Research Alliance President Ronald Bartek said in a statement. “We are extremely proud of, and grateful for, the FA community, including all those who have participated in this clinical trial and in the natural history study important in designing the trial.”

The news comes five days after Reata said it had reacquired from Chicago-based drugmaker AbbVie worldwide rights to omaveloxolone and other drugs belonging to its class, known as Nrf2 activators, along with ex-U.S. rights to the drug bardoxolone. Reata is paying AbbVie $330 million to the rights for bardoxolone, which includes a $75 million upfront payment this year and installments paid next year and in 2021, plus low single-digit tiered royalties from worldwide sales of omaveloxolone and other Nrf2 activators. The ClinicalTrials.gov page for MOXIe lists AbbVie and the Friedreich’s Ataxia Research Alliance as collaborators.

Another company, Barcelona, Spain-based Minoryx Therapeutics, is running a 36-patient, placebo-controlled Phase II study of its own drug for FA, MIN-102, which it launched in March of this year and which is scheduled to reach initial completion next March.

Photo: FotografiaBasica, Getty Images



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Think ‘Medicare For All’ is the only Democratic health plan? Think Again

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Sen. Elizabeth Warren (D-MA) speaks to the media in the spin room following the first night of the Democratic presidential debate on June 26, 2019 in Miami, Florida. 

If you tuned in for the first five nights of the Democratic presidential debates, you might think “Medicare for All” and providing universal care are the only health care ideas Democrats have.

With four months to go before the Feb. 3 Iowa caucuses, proposals on issues like the opioid epidemic have attracted less attention.

That is because big-ticket policy ideas ? like enrolling all U.S. residents into a Medicare-style program and eliminating private insurance ? can help candidates stand out in the eyes of voters during a primary, said Robert Blendon, a professor of health policy and political analysis at Harvard University and director of the Harvard Opinion Research Program.

But Blendon said he has not seen polling suggesting voters have an appetite for another major health care debate. Voters are more concerned with how much they have to pay for medical care, like prescription drugs ? “very practical, pocketbook issues,” he said.

“So it’s just my belief that whoever wins is going to have to switch back to pocketbook issues,” Blendon said of the eventual Democratic nominee.

A new poll echoes that. Democratic voters are eager to hear more from the candidates about other health care issues, according to a Kaiser Family Foundation poll released Tuesday. The results show 58 percent of Democrats and Democratic-leaning independents believe the candidates are not spending enough time talking about women’s health, including access to reproductive health services, for instance. And more than half said the candidates were spending too little time discussing surprise medical bills and ways to lower the costs people pay for care. (KHN is an editorially independent program of the foundation.)

The next Democratic presidential debate on Oct. 15 will give 12 of the candidates a fresh chance to talk about their ideas beyond sprawling health care reform. Let us walk you through a few proposals they have championed, plus what President Donald Trump is offering.

Sanders’ Plan To Cancel Medical Debt

Sen. Bernie Sanders of Vermont rolled out a sweeping proposal last month to overhaul medical debt collection with a headline-catching promise: to wipe clean the roughly $81 billion Americans owe in past-due medical debt.

And the issue is ubiquitous since polls show voters are deeply concerned about their out-of-pocket costs. Raymond Kluender, an assistant professor at Harvard Business School who researches medical debt, said about 20 percent of households have medical bills in collections.

Kluender said Sanders’ plan targets debt that is rarely repaid anyway, noting that only about 8 percent of what is sent to collection agencies is ever repaid. Although some limited research suggests debt forgiveness may have mental health benefits, Kluender said, the effect Sanders’ move would have “is hard to know.”

Here are highlights of Sanders’ proposal:

Empower the federal government to negotiate, then pay off past-due medical bills that have been reported to the credit agencies. To calculate how much that debt is, the Sanders campaign points to a 2018 study that showed 1 in every 6 Americans has a past-due medical bill on their credit report, with debt totaling about $81 billion.
Curb “abusive and harassing” debt collection tactics, including enforcing statutes of limitation that generally run from three to six years, depending on the state; limiting how often debt collectors can contact those who owe; requiring debt collectors to verify whether the information they have is accurate before attempting to collect; restricting the seizures of assets and garnishing of wages.
Task the Internal Revenue Service with examining nonprofit hospitals to ensure they meet the “charitable care standards” for facilities with nonprofit tax status.
Reform the bankruptcy court system to help those in debt.

Biden’s Plan To Curb Gun Violence

Former Vice President Joe Biden announced a plan this month to reduce gun violence, an issue that has become a must for most Democratic voters.

In addition to outlining his proposal to ban the manufacture and sale of assault weapons and require universal background checks, Biden took the opportunity to talk about his legislative history on guns: In 1993, he helped pass the law that established the background check system, and in 1994, he helped secure the 10-year assault weapons ban that has since lapsed.

He also drew attention to his newer ideas to change the system, including a push toward transitioning to “smart guns.”

But Biden’s plan does not go as far as that of some of his opponents ? including Sen. Cory Booker (N.J.), who would require a license to own a firearm.

Here is what Biden has said he would do on gun control:

Ban the manufacture and sale of assault weapons and high-capacity magazines, and otherwise regulate and buy back existing weapons.
Require background checks for all sales, and close certain loopholes, including those that allow people with mental health issues and hate crime convictions to have firearms.
Reward states that set up firearm licensing programs, require owners to safely store their weapons, and crack down on “straw purchasers” who buy firearms for those who cannot pass a background check.

Buttigieg’s Plan To Strengthen Mental Health Care

Mayor Pete Buttigieg of South Bend, Ind., introduced a wide-ranging, $300 billion proposal in August to improve treatment for mental health and substance abuse.

Few disagree on the need to increase access to mental health care in the United States, making the issue one that is unlikely to move voters on its own, Blendon said. But Buttigieg’s plan stands out for tripling the investments proposed by other Democratic candidates, including Massachusetts Sen. Elizabeth Warren.

True to his mayoral roots, Buttigieg adopts a locally driven approach. Among other strategies in his 19-page plan, he would give communities “most affected” by mental illness and addiction $10 billion annually for 10 years to address prevention and care.

His campaign claims the plan would enable about 10 million more people to access care over the first four years of the program. Here are some ways Buttigieg said he would do that:

Enforce mental health parity in coverage, including under Medicare and Medicaid.
Expand access to addiction treatments, including by deregulating buprenorphine, a medication-assisted treatment proven effective for opioid use disorder.
Reduce related incarceration, in part by decriminalizing all drug possession and expunging past convictions.
Hold drug companies “accountable” for their role in the opioid epidemic, including by supporting state-level lawsuits.
“Combat the epidemic of social isolation and loneliness,” including through a national service program that would pair older and younger Americans.

Warren’s Plan To End The Opioid Crisis

Warren unveiled an aggressive plan to combat the nationwide opioid epidemic last spring, proposing to spread $100 billion across the country to help state, local and tribal governments respond to the crisis.

And unlike Buttigieg and his $300 billion mental health and addiction plan, Warren outlined how she would pay for it ? with a tax on the richest 75,000 families.

“This crisis has been driven by greed, pure and simple,” she wrote in a Medium post detailing her plan.

Here is some of what her plan would do:

Prioritize and allocate money for public health departments, first responders and others in “front-line” communities.
Give states incentives to cover addiction services through state Medicaid programs.
Expand surveillance, research and access to treatment, including naloxone, the overdose reversal drug.

Trump’s Efforts On Medicare, Public Health And Drug Price

President Donald Trump caused a stir this year when he declared the Republican Party would become “the party of health care” and suggested he was working on another proposal to replace the Affordable Care Act.

But he has said little on the subject since then, and a Washington Post report last month said the White House has abandoned that effort in favor of damage control should the 5th Circuit Court of Appeals strike down the Affordable Care Act.

Instead, the Trump administration has picked up on a series of often disparate health issues, including changes to how the government pays for care, investments in public health crises and steps intended to pressure drugmakers to lower prices.

One of his latest moves came on Oct. 3, when Trump signed an executive order making a variety of changes to Medicare, including expanding the private Medicare Advantage plans available to seniors and changing the enrollment process. He took the opportunity to pan the progressive push toward a single-payer health care system as “socialist,” framing his changes as protections for seniors.

In addition to an ambitious plan to end HIV/AIDS introduced in February, the Trump administration unveiled a kidney care initiative in July that adjusts payment incentives to encourage preventive care, home dialysis and transplants. And last month, the administration said it was preparing to ban the sale of flavored e-cigarettes amid a public health scare over vaping and concerns about widespread use among teens.

And after promising to lower drug prices, Trump has struggled to make changes amid disagreements with the pharmaceutical industry and even fellow Republicans.

The administration has tasked the Department of Health and Human Services to work on other policies, including requiring hospitals to disclose prices and laying out a framework to allow, for the first time, the legal importation of prescription drugs from overseas.

Photo: Drew Angerer, Getty Images



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