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Tag: Addiction and treatment

  • Democrats: Lives could be lost due to Republican walkout in Oregon Legislature

    Democrats: Lives could be lost due to Republican walkout in Oregon Legislature

    SALEM, Ore. — Oregon Democratic lawmakers stood on the steps of the state Capitol Tuesday and implored Republicans, who have been boycotting the Senate for over a month, to return and vote on bills, saying lives are literally at stake.

    Several statehouses around the nation, including Montana and Tennessee, have been ideological battlegrounds this year. Republicans in the Oregon statehouse conducted walkouts in 2019, 2020 and 2021 to deny enough members for voting on measures. But this one is the most serious yet, threatening hundreds of bills and the approval of state budgets for the next two years.

    Neither side is budging on a bill on protections for abortion and transgender care, with Democrats saying it isn’t negotiable and minority Republicans insisting it die or be changed. Republicans reject a provision that would allow doctors to provide abortions regardless of age, with doctors not required to notify parents when doing so could endanger the child, such as in cases of incest.

    “If Democrat leaders truly prioritized bipartisan budgets and policy proposals Oregonians desperately need, they would work to resolve this impasse in a bipartisan fashion,” said Senate Republican Leader Sen. Tim Knopp. “Instead, Democrat leadership is clinging to an unlawful, extreme agenda.”

    The standoff is down to a matter of which side blinks first. If there’s no compromise well before the session is constitutionally required to end by June 25, the hundreds of bills that haven’t passed both the House and Senate will die.

    Sen. Jeff Golden, a Democrat who represents southern Oregon’s Rogue Valley, said among them are bills to improve response and protections from wildfires like ones that devastated parts of the state in 2020.

    “Like the other bills you’ve been hearing about, these are teetering on the edge. We are looking at serious damage — as in life-and-death kind of damage — if we abandon these bills now,” Golden told reporters and supporters under a hot sun, a harbinger of the coming dry season in this drought-stricken state.

    Rep. Travis Nelson, a Democrat who is a registered nurse, said also among measures frozen by the Republicans’ longest walkout in state history is a bipartisan opioid harm-reduction package that includes making overdose medication like Naloxone available in restaurants, grocery stores, police departments and schools.

    “This is going to save lives and give people a chance to recover, and we must pass this bill,” said Nelson, who wore blue nursing scrubs at the news conference and rally.

    Knopp was unmoved by the Democrats’ dire warnings.

    “Well, there are always lives at stake as it relates to policy that is being debated here in the state Capitol,” Knopp told reporters after the rally. “However, unfortunately, their ire is misplaced, and the Senate Democrats could have ended this weeks ago.”

    Rep. David Gomberg, a Democrat who represents the coast, said a bill he worked on with Democrats and Republicans would provide $70 million in support for small farmers, fishermen, small businesses and create more housing. If another bipartisan measure, aimed at attracting the semiconductor industry, dies, Oregon stands to lose billions of dollars in federal funds to other states, Gomberg said. A related bill passed before the walkout with broad support.

    Seismically vulnerable dams would be replaced by another bill that’s at stake. Without it, Oregon could lose out on $60 million in federal matching funds, Gomberg said.

    Jan Kaplan, president of the city council of the coastal town of Newport, said dams that create reservoirs for Newport’s drinking water are the most seismically vulnerable in the state.

    “Even a modest earthquake could cause the dams to fail and send water rushing through a neighborhood just downhill. People would die,” Kaplan said. “The flood would breach Highway 101, our principal coastal arterial.”

    The boycott has prevented the Senate from reaching the two-thirds quorum required to vote on bills, with all but two of the 12 Republicans and the lone Independent staying away.

    The walkout happened despite a ballot measure, approved by Oregon voters last November, that disqualifies lawmakers with 10 or more unexcused absences from being reelected in the next term. The measure, now part of the state Constitution, is expected to be challenged in court by Republican senators if the secretary of state’s office prevents them from registering as candidates.

    On June 1, Democrats in the Senate voted to fine senators $325 every time their absence denies the chamber the two-thirds quorum it needs to conduct business.

    Democratic Gov. Tina Kotek can call a special session this summer for the House and Senate to approve the state’s budgets for the next two years if they’re not all approved by June 25. But most of the bills that die because of the walkout wouldn’t be resurrected until 2025, because next year’s “short session” lasts barely one month.

    Sen. Michael Dembrow, a Democrat from Portland, grew emotional as he described the frustrating walkout.

    “This is very painful for me,” Dembrow said. “As many of you know, this is my last long session in the Legislature. I’ve been here for 15 years. I’m not running again. I was not looking to end in this way.”

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  • Maker of anti-addiction drug Suboxone reaches $102.5 million settlement over antitrust claims

    Maker of anti-addiction drug Suboxone reaches $102.5 million settlement over antitrust claims

    PHILADELPHIA — The company that makes the opioid addiction treatment drug Suboxone has agreed to pay $102.5 million to 41 states and the District of Columbia to settle claims that the company engaged in anticompetitive practices, it announced Friday.

    The agreement with Indivior, based in North Chesterfield, Virginia, averts a trial that was scheduled to start later this year.

    States, led by Wisconsin, claimed that the company, previously a subsidiary of Reckitt Benckiser Pharmaceuticals, made modest changes to Suboxone to extend patent protection and keep generic versions of the drug off the market.

    Suboxone is a branded version of buprenorphine and naloxone. The case is distinct from claims brought by governments against other opioid makers, claiming they helped cause or deepen a nationwide overdose crisis. Those have resulted in settlements totaling more than $50 billion so far.

    Under the terms of the deal, Indivior is to notify the states when it makes product modification or changes in corporate control.

    The company said in a statement that settling the lawsuit will allow it to focus on its mission.

    Reckitt Benckiser agreed in 2019 to pay the federal government $1.4 billion to resolve potential criminal and civil liability involving its Suboxone business.

    Besides Wisconsin, attorneys general involved in the settlement represent: Alabama, Alaska, Arkansas, California, Colorado, District of Columbia, Connecticut, Delaware, Florida, Georgia, Hawaii, Idaho, Illinois, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Nebraska, New Hampshire, New Mexico, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Utah, Vermont, Virginia, Washington and West Virginia

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  • In Canada, each cigarette will get a warning label: ‘poison in every puff’

    In Canada, each cigarette will get a warning label: ‘poison in every puff’

    Canada will soon become the first country in the world where warning labels must appear on individual cigarettes

    ByROB GILLIES Associated Press

    This image provided by Health Canada shows the final wording of six separate warnings that will be printed directly on individual cigarettes as Canada becomes the first in the world to take that step aimed at helping people quit the habit. The regulations take effect Aug. 1 and will be phased in. King-size cigarettes will be the first to feature the warnings and will be sold in stores by the end of July 2024, followed by regular-size cigarettes, and little cigars with tipping paper and tubes by the end of April 2025. (Health Canada/The Canadian Press via AP)

    The Associated Press

    TORONTO — Canada will soon become the first country in the world where warning labels must appear on individual cigarettes.

    The move was first announced last year by Health Canada and is aimed at helping people quit the habit. The regulations take effect Aug. 1 and will be phased in. King-size cigarettes will be the first to feature the warnings and will be sold in stores by the end of July 2024, followed by regular-size cigarettes, and little cigars with tipping paper and tubes by the end of April 2025.

    “This bold step will make health warning messages virtually unavoidable,” Mental Health and Addictions Minister Carolyn Bennett said Wednesday.

    The warnings — in English and French — include “poison in every puff,” “tobacco smoke harms children” and “cigarettes cause impotence.”

    Health Canada said the strategy aims to reduce tobacco use below 5% by 2035. New regulations also strengthen health-related graphic images displayed on packages of tobacco.

    Bennett’s statement said tobacco use kills 48,000 Canadians every year.

    Doug Roth, chief executive of the Heart & Stroke charity, said the bold measure will ensure that dangers to lung health cannot be missed.

    The Canadian Cancer Society said the measure will reduce smoking and the appeal of cigarettes, thus preventing cancer and other diseases.

    Rob Cunningham, senior policy analyst at the Canadian Cancer Society, said health messaging will be conveyed in every puff and during every smoke break. Canada, he added, will have the best tobacco health warning system in the world.

    Tobacco advertising, promotion and sponsorship are banned in Canada and warnings on cigarette packs have existed since 1972.

    In 2001, Canada became the first country to require tobacco companies to include picture warnings on the outside of cigarette packages and include inserts with health messages.

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  • Takeaways of AP report on DEA probe of drug distributor accused of fueling opioid epidemic

    Takeaways of AP report on DEA probe of drug distributor accused of fueling opioid epidemic

    SHREVEPORT, La. — The U.S. Drug Enforcement Administration has allowed one of the nation’s largest wholesale drug distributors to keep shipping addictive painkillers for nearly four years despite a judge’s recommendation to strip its license for turning a blind eye to thousands of suspicious opioid orders.

    The case has drawn attention to the involvement of a high-profile consultant the company had hired to stave off punishment and who is now DEA Administrator Anne Milgram’s top deputy.

    Here are the key takeaways:

    WHAT’S AT STAKE?

    A federal administrative law judge in August 2019 found that Morris & Dickson failed to flag thousands of suspicious, high-volume orders from pharmacies and recommended that it lose its license.

    Failure to follow DEA rules by Morris & Dickson and other major distributors has been blamed for leading to more than 700,000 American overdose deaths in the past two decades..

    The company said it overhauled its compliance system, canceled suspicious orders and sent daily emails to the DEA spelling out its actions. But Judge Charles W. Dorman said it was too little, too late, and issued a ruling to deter similar actions by other companies.

    “Acceptance of responsibility and evidence of remediation are not get-out-of-jail-free cards that erase the harm caused by years of cavalier disregard,” Dorman wrote in a 159-page ruling obtained by The Associated Press.

    WHO IS MORRIS & DICKSON?

    Shreveport, Louisiana-based Morris & Dickson is the U.S.’ fourth-largest drug distributor, with annual sales of more than $4 billion. But it trails a trio of pharmaceutical distributors known as the Big Three, all of whom agreed to pay the federal government more than $1 billion in fines and penalties for similar violations.

    Morris & Dickson officials have repeatedly said in court filings that the loss of its license would be a “virtual death sentence.”

    Among the more than 12,000 suspicious orders that Dorman said Morris & Dickson should have reported to the DEA were several placed by the Wilkinson Family Pharmacy in suburban New Orleans.

    In one month, March 2014, 42% of all prescriptions filled by Wilkinson were for controlled substances such as painkillers and 38% of those were paid for in cash.

    “Anybody with half a brain could’ve seen something wasn’t right,” said Dan Schneider, a retired pharmacist whose fight to hold drug companies accountable for the opioid crisis was featured in a Netflix documentary series.

    WHO IS LOUIS MILIONE?

    Louis Milione was named DEA’s principal deputy administrator in 2021. He had previously retired from the agency in 2017 after a storied 21-year career that included two years leading the division that controls the sale of highly addictive narcotics. Among his earlier achievements was running the overseas sting that in 2008 nabbed Russia’s notorious arms trafficker Viktor Bout.

    Morris & Dickson brought Milione as part of a $3 million contract after the DEA accused the company in 2018 of failing to flag thousands of suspicious, high-volume orders.

    Testifying in 2019 before federal Administrative Law Judge Charles W. Dorman, Milione argued that Morris & Dickson deserved to keep its license because it “spared no expense” to overhaul its compliance systems.

    WHAT DOES DEA SAY?

    The DEA did not respond to repeated requests to explain its handling of the case and whether Milione recused himself from any involvement in the matter.

    But neither Milgram nor two DEA administrators who preceded her have taken any regulatory action since Dorman’s 2019 recommendation. Former DEA officials told the AP that a nearly four-year delay is highly unusual, and that most such cases are resolved in half the time.

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  • Takeaways of AP report on DEA probe of drug distributor accused of fueling opioid epidemic

    Takeaways of AP report on DEA probe of drug distributor accused of fueling opioid epidemic

    SHREVEPORT, La. — The U.S. Drug Enforcement Administration has allowed one of the nation’s largest wholesale drug distributors to keep shipping addictive painkillers for nearly four years despite a judge’s recommendation to strip its license for turning a blind eye to thousands of suspicious opioid orders.

    The case has drawn attention to the involvement of a high-profile consultant the company had hired to stave off punishment and who is now DEA Administrator Anne Milgram’s top deputy.

    Here are the key takeaways:

    WHAT’S AT STAKE?

    A federal administrative law judge in August 2019 found that Morris & Dickson failed to flag thousands of suspicious, high-volume orders from pharmacies and recommended that it lose its license.

    Failure to follow DEA rules by Morris & Dickson and other major distributors has been blamed for leading to more than 700,000 American overdose deaths in the past two decades..

    The company said it overhauled its compliance system, canceled suspicious orders and sent daily emails to the DEA spelling out its actions. But Judge Charles W. Dorman said it was too little, too late, and issued a ruling to deter similar actions by other companies.

    “Acceptance of responsibility and evidence of remediation are not get-out-of-jail-free cards that erase the harm caused by years of cavalier disregard,” Dorman wrote in a 159-page ruling obtained by The Associated Press.

    WHO IS MORRIS & DICKSON?

    Shreveport, Louisiana-based Morris & Dickson is the U.S.’ fourth-largest drug distributor, with annual sales of more than $4 billion. But it trails a trio of pharmaceutical distributors known as the Big Three, all of whom agreed to pay the federal government more than $1 billion in fines and penalties for similar violations.

    Morris & Dickson officials have repeatedly said in court filings that the loss of its license would be a “virtual death sentence.”

    Among the more than 12,000 suspicious orders that Dorman said Morris & Dickson should have reported to the DEA were several placed by the Wilkinson Family Pharmacy in suburban New Orleans.

    In one month, March 2014, 42% of all prescriptions filled by Wilkinson were for controlled substances such as painkillers and 38% of those were paid for in cash.

    “Anybody with half a brain could’ve seen something wasn’t right,” said Dan Schneider, a retired pharmacist whose fight to hold drug companies accountable for the opioid crisis was featured in a Netflix documentary series.

    WHO IS LOUIS MILIONE?

    Louis Milione was named DEA’s principal deputy administrator in 2021. He had previously retired from the agency in 2017 after a storied 21-year career that included two years leading the division that controls the sale of highly addictive narcotics. Among his earlier achievements was running the overseas sting that in 2008 nabbed Russia’s notorious arms trafficker Viktor Bout.

    Morris & Dickson brought Milione as part of a $3 million contract after the DEA accused the company in 2018 of failing to flag thousands of suspicious, high-volume orders.

    Testifying in 2019 before federal Administrative Law Judge Charles W. Dorman, Milione argued that Morris & Dickson deserved to keep its license because it “spared no expense” to overhaul its compliance systems.

    WHAT DOES DEA SAY?

    The DEA did not respond to repeated requests to explain its handling of the case and whether Milione recused himself from any involvement in the matter.

    But neither Milgram nor two DEA administrators who preceded her have taken any regulatory action since Dorman’s 2019 recommendation. Former DEA officials told the AP that a nearly four-year delay is highly unusual, and that most such cases are resolved in half the time.

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  • Alleged drunken driver charged with killing bride in crash seeks bond

    Alleged drunken driver charged with killing bride in crash seeks bond

    Defense attorneys are seeking bond for an alleged drunken driver who police say slammed into newlyweds riding along a South Carolina beach road, killing the bride

    FILE – This undated photo provided by Samantha Miller shows Miller and her groom-to-be Aric Hutchinson. The alleged drunk driver who slammed into the newlyweds riding along a South Carolina beach road now faces a wrongful death lawsuit filed Wednesday, May 17, alongside several establishments accused of over-serving her on the night of the wreck that killed the bride. (Family of Samantha Miller via AP, File)

    The Associated Press

    COLUMBIA, S.C. — Defense attorneys are seeking bond for an alleged drunken driver who police say slammed into newlyweds riding along a South Carolina beach road, killing the bride.

    Jamie Komoroski’s attorneys filed a motion last week that says she poses no flight risk or danger to the community, news outlets reported. It requested bond be set at $100,000 with conditions that include attending an inpatient rehabilitation program, remaining supervised by her mother and having no access to a vehicle or alcohol.

    Komoroski, 25, was charged with vehicular homicide and three counts of felony DUI resulting in great bodily injury in the April 28 crash at Folly Beach that killed Samantha Miller, 34, and injured the groom, Aric Hutchinson. A toxicology report showed Komoroski had a blood alcohol level of 0.261 and authorities have said she was driving well over twice the speed limit when she slammed into the back of a golf cart as it left the wedding reception.

    “The personal characteristics of Jamie Lee Komoroski, coupled with her strong family support and ties to the community, heavily counsel in favor of her release from custody,” the motion said.

    It also stated that Komoroski has struggled for years with alcohol dependence, depression and anxiety.

    “Jamie, with the support of her family, is committed and prepared to engage in intense, inpatient substance abuse and mental health rehabilitation immediately upon her release,” the motion says.

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  • Díaz, Profar hits lead Rockies past Marlins 5-3

    Díaz, Profar hits lead Rockies past Marlins 5-3

    DENVER — Elías Díaz homered and doubled to drive in two runs and Jurickson Profar doubled twice to extend his on-base streak to 30 games and drive in another pair as the Colorado Rockies beat the Miami Marlins 5-3 on Monday night.

    Bryan De La Cruz had four hits for the Marlins, scoring twice and Jacob Stallings had two RBIs on an infield force play and a single.

    With the score tied 2-all going into the bottom of the sixth inning, Díaz connected for his fourth home run, driving an offering from Edward Cabrera (3-4) into the left field bleachers.

    Profar, whose on-base streak is the longest active streak in the majors, added a two-run double in the bottom of the seventh. “We didn’t play good baseball in Texas,” said Profar, whose Rockies were swept by the Rangers in a three-game set over the weekend. “But this team, we battle and we can turn it up. It started with (Chase) Anderson pitching really well … and we know we’re a pretty good hitting ballclub.”

    Pierce Johnson got three outs for his ninth save and Jake Bird (1-0) pitched 1 1/3 innings of hitless relief for the victory.

    Profar, Kris Bryant and Díaz hit successive doubles off Cabrera in the bottom of the first inning, giving the Rockies a 2-0 lead. But Cabrera regrouped to set down 13 of the next 14 batters, striking out four and walking one in that span before Charlie Blackmon’s two-out single in the bottom of the fifth.

    Miami chipped away to tie it at 2-2, getting an RBI single from Luis Arraez in the top of the third and a run-scoring force out by Stallings in the fourth.

    Anderson, making his second start for the Rockies since being claimed off waivers from Tampa Bay on May 12, went 5 2/3 innings and allowed two runs on eight hits in winding up with another no decision. “He pitched efficiently,” Rockies manager Bud Black said. “They were aggressive against Chase but he was making pitches. He’d like to have a couple of at-bats backs but overall I thought he threw the ball well. The game management part was solid, under control, a poised veteran pitcher.”

    The Marlins had other chances but hit into two double plays and saw a baserunner thrown out trying to advance to third.

    “We had the right guys up at the right times. We just didn’t cash in,” Marlins manager Skip Schumaker said.

    WELCOME SIGHT

    Rockies pitcher Ryan Feltner returned to the clubhouse before the game for his first visit to the park since suffering a skull fracture and concussion when he was struck in the head by a line drive off the bat of the Philadelphia Phillies’ Nick Castellanos on May 13. “That picked me up and I think it picked the guys up,” Black said. “He sat down. We chatted. It was good to see him. He’s still going through some things but he’s feeling better each and every day.” Black said Feltner told him he’s motivated to pitch again this season. However, no timetable has been outlined for his return.

    TRAINER’S ROOM

    Marlins: LHP Trevor Rogers (left biceps strain) came out of his latest rehab appearance well and is on track for another rehab outing later this week. “Everything has been positive so far, no setbacks,” said manager Skip Schumaker. Rogers was placed on the 15-day injured list retroactive to April 20.

    Rockies: RHP Noah Davis (right elbow inflammation) came out of a bullpen session Monday feeling good and the club expects to formulate a plan in the next day or two for a rehab assignment. “He’s on the way back,” manager Bud Black said. “It’s good that he hit the mound and the elbow feels great.” … 2B Brendan Rodgers, out indefinitely after undergoing surgery in early March to repair a damaged left shoulder capsule, was on the field pre-game taking infield grounders, a sign his rehab is ahead of schedule. Initially, it was thought likely Rodgers would miss this season but Black said there’s a “realistic chance” Rodgers could return before season’s end.

    UP NEXT

    Marlins rookie RHP Eury Perez (1-0, 2.79 ERA) is set to make his third career start Tuesday night against the Rockies. He earned his first major league win last time out, allowing one run in five innings in the Marlins’ 5-3 victory over the Washington Nationals. The Rockies counter with LHP Austin Gomber (3-4, 6.70 ERA).

    ___

    AP MLB: https://apnews.com/hub/mlb and https://twitter.com/AP_Sports

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  • US backs study of safe injection sites, overdose prevention

    US backs study of safe injection sites, overdose prevention

    For the first time, the U.S. government will pay for a large study measuring whether overdoses can be prevented by so-called safe injection sites, places where people can use heroin and other illegal drugs and be revived if they take too much.

    The grant provides more than $5 million over four years to New York University and Brown University to study two sites in New York City and one opening next year in Providence, Rhode Island.

    Researchers hope to enroll 1,000 adult drug users to study the sites’ effects on overdoses, to estimate their costs and to gauge potential savings for the health care and criminal justice systems.

    The universities announced the grant Monday. The money will not be used to operate the sites, the universities said.

    With U.S. drug overdose deaths reaching nearly 107,000 in 2021, supporters contend safe injection sites, also called overdose preventions centers, can save lives and connect people with addiction treatment, mental health services and medical care.

    Opponents worry the sites encourage drug use and that they will lead to the deterioration of surrounding neighborhoods.

    “There is a lot of discussion about overdose prevention centers, but ultimately, we need data to see if they are working or not, and what impact they may have on the community,” said Dr. Nora Volkow, director of the National Institute on Drug Abuse, which awarded the grant.

    Sites operate in 14 countries, including Canada, Australia and France, according to the Drug Policy Alliance, a group working for decriminalization and safe drug use policies.

    In the U.S., New York City opened the first publicly recognized safe injection site in 2021 and Rhode Island became the first state to authorize them that year.

    States including Colorado, Nevada and New Mexico have considered allowing them. The governors of California and Vermont vetoed safe injection site bills last year, and Pennsylvania’s Senate last week voted for a ban on them.

    The grant marks another move by the Biden administration toward what is known as harm reduction, a strategy focused on preventing death and illness in drug users while helping them get care, as opposed to punishment.

    The White House’s drug control strategy is the first to emphasize harm reduction, and the Justice Department has signaled it will allow safe injection sites.

    In December, the National Institutes of Health established a harm reduction research network to study programs providing services and supplies such as naloxone, a drug that can reverse overdoses, and materials to test drugs for fentanyl, a powerful opioid driving record numbers of overdoses. The new study will be part of that project.

    ___

    The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Science and Educational Media Group. The AP is solely responsible for all content.

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  • Frustration grows over wait on OxyContin maker’s settlement

    Frustration grows over wait on OxyContin maker’s settlement

    More than a year after OxyContin maker Purdue Pharma reached a tentative settlement over the toll of opioids that was accepted nearly universally by the groups suing the company — including thousands of people injured by the drug — money is still not rolling out.

    Parties waiting to finalize the deal are waiting for a court to rule on the legality of a key detail: whether members of the Sackler family who own the company can be protected from lawsuits over OxyContin in exchange for handing over up to $6 billion in cash over time plus the company itself.

    This week — days before the one-year anniversary of the April 29, 2022, appeals court arguments on the matter — lawyers told judges that the wait is causing problems.

    Lawyers on multiple sides of the case, including those representing Purdue, asked the 2nd U.S. Circuit Court of Appeals in New York to issue a ruling or provide an update soon, saying the efforts to use the funds to fight the opioid crisis can’t begin until the money can start to flow.

    While it’s not unusual for an appeals panel to take a year or more from a hearing until it releases a decision, this case was originally fast-tracked by the court. At the hearing last year, there were signs that the three-judge panel might not rule unanimously.

    A lawyer for creditors told a U.S. bankruptcy court in another filing this week that the wait is a problem for other reasons. The lawyer, Arik Preis, wrote that as long as the funds aren’t distributed, “the vast majority of more than $6 billion that could be put to use to abate the opioid crisis and compensate individual claimants continuing to accrue interest in Sackler accounts.”

    While most of Purdue’s creditors have signed onto the settlement, the U.S. Bankruptcy Trustee is objecting.

    With the case stretching out, the legal costs continue to mount, too. Purdue reported in a court filing that as of March 31, it had spent about $900 million on nonrecurring legal fees since it filed for bankruptcy in 2019 as part of an effort to settle its lawsuits.

    Purdue’s proposed settlement is not the biggest in a series of opioid-related settlements in recent years that totals over $50 billion, but it is large and closely watched because of the blame many have given the company for its role in sparking the crisis with its marketing of OxyContin starting in the 1990s.

    The settlement also is the only one so far where some of the money is to go directly to people who lost loved ones or years of their own lives to opioids. About 149,000 individuals made claims and could receive between about $3,500 and $48,000 each from the settlement.

    One of them, Lindsey Arrington, does not know how much she’ll qualify to be paid. The Everett, Washington, woman whose substance abuse disorder began with OxyContin she used as a teenager, said money would be helpful.

    “I’m 12 years into my recovery from addiction and I’m still cleaning up the financial wreckage,” she said.

    There were debts, including paying back the Washington state government for assistance she should not have received because her son, now 14, was not living with her at the time.

    And some money could help her relationship with him. “I owe it to him to use some of the money to do something for him or with him as a symbolic gesture of the time that we lost, that we could have had together had it not been what I was going through,” she said.

    Stephanie Lubinski, one of about two dozen victims who testified at a hearing last year that Sackler family members attended by Zoom, doesn’t know how much she might be granted under the settlement either. In the grips of an opioid addiction, her husband, a former Minneapolis firefighter, killed himself in 2020.

    Lubinski, who has cancer, hopes to have the settlement in hand while she’s alive so she can pass it to her adult children.

    “It’s like by keeping it going and going,” she said, “we’re replaying all the emotions and suffering.”

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  • Frustration grows over wait on OxyContin maker’s settlement

    Frustration grows over wait on OxyContin maker’s settlement

    More than a year after OxyContin maker Purdue Pharma reached a tentative settlement over the toll of opioids that was accepted nearly universally by the groups suing the company — including thousands of people injured by the drug — money is still not rolling out.

    Parties waiting to finalize the deal are waiting for a court to rule on the legality of a key detail: whether members of the Sackler family who own the company can be protected from lawsuits over OxyContin in exchange for handing over up to $6 billion in cash over time plus the company itself.

    This week — days before the one-year anniversary of the April 29, 2022, appeals court arguments on the matter — lawyers told judges that the wait is causing problems.

    Lawyers on multiple sides of the case, including those representing Purdue, asked the 2nd U.S. Circuit Court of Appeals in New York to issue a ruling or provide an update soon, saying the efforts to use the funds to fight the opioid crisis can’t begin until the money can start to flow.

    While it’s not unusual for an appeals panel to take a year or more from a hearing until it releases a decision, this case was originally fast-tracked by the court. At the hearing last year, there were signs that the three-judge panel might not rule unanimously.

    A lawyer for creditors told a U.S. bankruptcy court in another filing this week that the wait is a problem for other reasons. The lawyer, Arik Preis, wrote that as long as the funds aren’t distributed, “the vast majority of more than $6 billion that could be put to use to abate the opioid crisis and compensate individual claimants continuing to accrue interest in Sackler accounts.”

    While most of Purdue’s creditors have signed onto the settlement, the U.S. Bankruptcy Trustee is objecting.

    With the case stretching out, the legal costs continue to mount, too. Purdue reported in a court filing that as of March 31, it had spent about $900 million on nonrecurring legal fees since it filed for bankruptcy in 2019 as part of an effort to settle its lawsuits.

    Purdue’s proposed settlement is not the biggest in a series of opioid-related settlements in recent years that totals over $50 billion, but it is large and closely watched because of the blame many have given the company for its role in sparking the crisis with its marketing of OxyContin starting in the 1990s.

    The settlement also is the only one so far where some of the money is to go directly to people who lost loved ones or years of their own lives to opioids. About 149,000 individuals made claims and could receive between about $3,500 and $48,000 each from the settlement.

    One of them, Lindsey Arrington, does not know how much she’ll qualify to be paid. The Everett, Washington, woman whose substance abuse disorder began with OxyContin she used as a teenager, said money would be helpful.

    “I’m 12 years into my recovery from addiction and I’m still cleaning up the financial wreckage,” she said.

    There were debts, including paying back the Washington state government for assistance she should not have received because her son, now 14, was not living with her at the time.

    And some money could help her relationship with him. “I owe it to him to use some of the money to do something for him or with him as a symbolic gesture of the time that we lost, that we could have had together had it not been what I was going through,” she said.

    Stephanie Lubinski, one of about two dozen victims who testified at a hearing last year that Sackler family members attended by Zoom, doesn’t know how much she might be granted under the settlement either. In the grips of an opioid addiction, her husband, a former Minneapolis firefighter, killed himself in 2020.

    Lubinski, who has cancer, hopes to have the settlement in hand while she’s alive so she can pass it to her adult children.

    “It’s like by keeping it going and going,” she said, “we’re replaying all the emotions and suffering.”

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  • Tech-rooted groups seek to shake up San Francisco politics

    Tech-rooted groups seek to shake up San Francisco politics

    SAN FRANCISCO — The tech entrepreneurs who flocked to San Francisco two decades ago bringing jobs and wealth, and also soaring housing prices and gentrification, are becoming a rising political force in a city they say is woefully off track.

    They are forming advocacy organizations — among them TogetherSF Action, Abundant SF and Grow SF — to pressure officials to tackle soaring housing costs, public drug dealing and other woes exacerbated by the COVID-19 pandemic.

    While the organizations differ in their priorities, they all say a small group of power brokers, many of them progressives, have prevented the city from solving some of its most pressing issues. The groups are highlighting fissures among Democrats in this liberal stronghold that has struggled to rebound from the pandemic.

    “In San Francisco there’s a lot of political ideology that holds people back from working together for the things that they actually agree on,” said Kanishka Cheng, who co-founded TogetherSF Action in 2020 with billionaire venture capitalist Michael Moritz, a former journalist who also started the San Francisco Standard news website and was among the initial investors in Google.

    This year TogetherSF Action is educating people about the city’s drug problem and pushing for an increased police presence to hold dealers accountable, and also for treatment options to get addicted people off the streets. Like many cities, San Francisco is battling the fentanyl crisis and sees about two deaths a day from overdoses.

    Another tech entrepreneur seeking to influence change is Zack Rosen, who is co-founder and CEO of the website platform Pantheon and helped launch YIMBY California, a pro-development group that fights for state-level zoning reforms.

    Rosen said he is motivated by his and his wife’s desire to raise their family in San Francisco. He grew frustrated at the lack of affordable housing after workers at a bike shop he owns were displaced, and he wants to cut through the red tape and bureaucracy that have hampered new construction.

    Now Rosen, his wife and other couples working in tech are the force behind Abundant SF, which plans to spend millions to back ballot measures and candidates that would create safe, accessible public spaces and increase the housing stock for all income levels.

    “There is a lot of complaining on Twitter and not a lot of action,” Rosen said. “We want to be part of the solution.”

    Tech has had a huge presence in San Francisco since the early 2000s, when major companies including Google, Twitter and Uber began renting office space downtown as the Silicon Valley expanded north.

    But only recently have industry leaders sought to so publicly attempt to influence policy and elections. Some of them were encouraged last year after their efforts promoting moderate candidates led to ballot-box defeats for multiple progressive officials: A supervisor, three school board members and District Attorney Chesa Boudin.

    They range from activists with a track record of influencing city and state policy to higher-profile, brash figures like Elon Musk who turn to social media to criticize officials.

    Earlier this month Musk joined in an outcry on Twitter, which he purchased last year for $44 billion, that sought to characterize the killing of Cash App founder Bob Lee, who was stabbed repeatedly on a street, as an example of out-of-control crime in a declining San Francisco.

    In fact, San Francisco has some of the lowest violent crime rates among the country’s 23 largest cities, according to FBI data. And ultimately an acquaintance was arrested in Lee’s death, and authorities said the attack was not a case of random street violence but the result of a dispute between the men.

    Still, many residents feel unsafe with property crimes on the rise, including catalytic converter theft, shoplifting at convenience and grocery stores and home break-ins. Many are also fed up with scenes of drug dealers doing brisk business in public spaces and people in mental distress or passed out on trash-strewn sidewalks in central neighborhoods.

    Only about a third of San Franciscans said in an April city survey that they feel safe walking at night, down from 53% in 2019, the last time officials conducted the poll. Asked to grade the government and police department, residents gave them a C and C+, respectively.

    With such concerns in mind, GrowSF, an advocacy group started in 2020 by two software engineers who left tech jobs to launch it, focuses on public safety and helping elect officials who will crack down on things like property crime and open-air drug bazaars.

    “This has been something people have been frustrated by for years,” said co-founder Sachin Agarwal, who worked at Twitter and then Lyft.

    With a following of more than 15,000 on Twitter, GrowSF also publishes voter guides supporting what it calls “common sense” candidates and has backed efforts to defeat Dean Preston, a progressive supervisor who is up for re-election next year. It is also pushing against resistance to a plan to convert the iconic Castro Theater, a 100-year-old cinema in the heart of the historically gay Castro District, into an event venue.

    “There is a very small minority of folks with an aversion to change that want to freeze the city and keep it in the past,” Agarwal said. “But the vast majority of folks here want to see growth, and they want to see progress.”

    Preston, who won his seat in 2019 after running as a democratic socialist, rejects that kind of talk, saying he, too, wants progress — but it should include the working class and poor.

    The supervisor said he has become a target of many of the groups created by tech entrepreneurs because of his support for things like tenants’ rights, affordable housing for low-income residents, anti-displacement initiatives and taxing the rich. In 2020 he sponsored a ballot measure raising taxes on real estate sales topping $10 million that was approved by voters.

    Preston takes a dim view of the new political movers and shakers from the tech world, saying he doesn’t see them as true champions for regular San Franciscans.

    “I don’t think they’re interested in coming together to solve problems,” he said. “They’d rather have public fights and try to exploit those wedge issues for electoral gains.”

    Emily Lee, co-director of the nonprofit San Francisco Rising, also is skeptical of the tech-backed groups, saying they do not work with those most affected by homelessness and addiction to understand the root causes. The city’s failure to make real progress, she said, stems from a lack of compromise between feuding elected officials.

    “The mayor and the supervisors have a longstanding inability to work together,” Lee said. “What we need is for all these politicians to stop being petty and stop fighting with each other and actually do something to address the community’s problems.”

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  • Tech-rooted groups seek to shake up San Francisco politics

    Tech-rooted groups seek to shake up San Francisco politics

    SAN FRANCISCO — The tech entrepreneurs who flocked to San Francisco two decades ago bringing jobs and wealth, and also soaring housing prices and gentrification, are becoming a rising political force in a city they say is woefully off track.

    They are forming advocacy organizations — among them TogetherSF Action, Abundant SF and Grow SF — to pressure officials to tackle soaring housing costs, public drug dealing and other woes exacerbated by the COVID-19 pandemic.

    While the organizations differ in their priorities, they all say a small group of power brokers, many of them progressives, have prevented the city from solving some of its most pressing issues. The groups are highlighting fissures among Democrats in this liberal stronghold that has struggled to rebound from the pandemic.

    “In San Francisco there’s a lot of political ideology that holds people back from working together for the things that they actually agree on,” said Kanishka Cheng, who co-founded TogetherSF Action in 2020 with billionaire venture capitalist Michael Moritz, a former journalist who also started the San Francisco Standard news website and was among the initial investors in Google.

    This year TogetherSF Action is educating people about the city’s drug problem and pushing for an increased police presence to hold dealers accountable, and also for treatment options to get addicted people off the streets. Like many cities, San Francisco is battling the fentanyl crisis and sees about two deaths a day from overdoses.

    Another tech entrepreneur seeking to influence change is Zack Rosen, who is co-founder and CEO of the website platform Pantheon and helped launch YIMBY California, a pro-development group that fights for state-level zoning reforms.

    Rosen said he is motivated by his and his wife’s desire to raise their family in San Francisco. He grew frustrated at the lack of affordable housing after workers at a bike shop he owns were displaced, and he wants to cut through the red tape and bureaucracy that have hampered new construction.

    Now Rosen, his wife and other couples working in tech are the force behind Abundant SF, which plans to spend millions to back ballot measures and candidates that would create safe, accessible public spaces and increase the housing stock for all income levels.

    “There is a lot of complaining on Twitter and not a lot of action,” Rosen said. “We want to be part of the solution.”

    Tech has had a huge presence in San Francisco since the early 2000s, when major companies including Google, Twitter and Uber began renting office space downtown as the Silicon Valley expanded north.

    But only recently have industry leaders sought to so publicly attempt to influence policy and elections. Some of them were encouraged last year after their efforts promoting moderate candidates led to ballot-box defeats for multiple progressive officials: A supervisor, three school board members and District Attorney Chesa Boudin.

    They range from activists with a track record of influencing city and state policy to higher-profile, brash figures like Elon Musk who turn to social media to criticize officials.

    Earlier this month Musk joined in an outcry on Twitter, which he purchased last year for $44 billion, that sought to characterize the killing of Cash App founder Bob Lee, who was stabbed repeatedly on a street, as an example of out-of-control crime in a declining San Francisco.

    In fact, San Francisco has some of the lowest violent crime rates among the country’s 23 largest cities, according to FBI data. And ultimately an acquaintance was arrested in Lee’s death, and authorities said the attack was not a case of random street violence but the result of a dispute between the men.

    Still, many residents feel unsafe with property crimes on the rise, including catalytic converter theft, shoplifting at convenience and grocery stores and home break-ins. Many are also fed up with scenes of drug dealers doing brisk business in public spaces and people in mental distress or passed out on trash-strewn sidewalks in central neighborhoods.

    Only about a third of San Franciscans said in an April city survey that they feel safe walking at night, down from 53% in 2019, the last time officials conducted the poll. Asked to grade the government and police department, residents gave them a C and C+, respectively.

    With such concerns in mind, GrowSF, an advocacy group started in 2020 by two software engineers who left tech jobs to launch it, focuses on public safety and helping elect officials who will crack down on things like property crime and open-air drug bazaars.

    “This has been something people have been frustrated by for years,” said co-founder Sachin Agarwal, who worked at Twitter and then Lyft.

    With a following of more than 15,000 on Twitter, GrowSF also publishes voter guides supporting what it calls “common sense” candidates and has backed efforts to defeat Dean Preston, a progressive supervisor who is up for re-election next year. It is also pushing against resistance to a plan to convert the iconic Castro Theater, a 100-year-old cinema in the heart of the historically gay Castro District, into an event venue.

    “There is a very small minority of folks with an aversion to change that want to freeze the city and keep it in the past,” Agarwal said. “But the vast majority of folks here want to see growth, and they want to see progress.”

    Preston, who won his seat in 2019 after running as a democratic socialist, rejects that kind of talk, saying he, too, wants progress — but it should include the working class and poor.

    The supervisor said he has become a target of many of the groups created by tech entrepreneurs because of his support for things like tenants’ rights, affordable housing for low-income residents, anti-displacement initiatives and taxing the rich. In 2020 he sponsored a ballot measure raising taxes on real estate sales topping $10 million that was approved by voters.

    Preston takes a dim view of the new political movers and shakers from the tech world, saying he doesn’t see them as true champions for regular San Franciscans.

    “I don’t think they’re interested in coming together to solve problems,” he said. “They’d rather have public fights and try to exploit those wedge issues for electoral gains.”

    Emily Lee, co-director of the nonprofit San Francisco Rising, also is skeptical of the tech-backed groups, saying they do not work with those most affected by homelessness and addiction to understand the root causes. The city’s failure to make real progress, she said, stems from a lack of compromise between feuding elected officials.

    “The mayor and the supervisors have a longstanding inability to work together,” Lee said. “What we need is for all these politicians to stop being petty and stop fighting with each other and actually do something to address the community’s problems.”

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  • US adult cigarette smoking rate hits new all-time low

    US adult cigarette smoking rate hits new all-time low

    NEW YORK — U.S. cigarette smoking dropped to another all-time low last year, with 1 in 9 adults saying they were current smokers, according to government survey data released Thursday. Meanwhile, electronic cigarette use rose, to about 1 in 17 adults.

    The preliminary findings from the Centers for Disease Control and Prevention are based on survey responses from more than 27,000 adults.

    Cigarette smoking is a risk factor for lung cancer, heart disease and stroke, and it’s long been considered the leading cause of preventable death.

    In the mid-1960s, 42% of U.S. adults were smokers. The rate has been gradually dropping for decades, due to cigarette taxes, tobacco product price hikes, smoking bans and changes in the social acceptability of lighting up in public.

    Last year, the percentage of adult smokers dropped to about 11%, down from about 12.5% in 2020 and 2021. The survey findings sometimes are revised after further analysis, and CDC is expected to release final 2021 data soon.

    E-cigarette use rose to nearly 6% last year, from about 4.5% the year before, according to survey data.

    The rise in e-cigarette use concerns Dr. Jonathan Samet, dean of the Colorado School of Public Health. Nicotine addiction has its own health implications, including risk of high blood pressure and a narrowing of the arteries, according to the American Heart Association.

    “I think that smoking will continue to ebb downwards, but whether the prevalence of nicotine addiction will drop, given the rise of electronic products, is not clear,” said Samet, who has been a contributing author to U.S. Surgeon General reports on smoking and health for almost four decades.

    Smoking and vaping rates are almost reversed for teens. Only about 2% of high school students were smoking traditional cigarettes last year, but about 14% were using e-cigarettes, according to other CDC data.

    ___

    The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Science and Educational Media Group. The AP is solely responsible for all content.

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  • LA mayor wants $1.3B for homeless crisis, hotels for housing

    LA mayor wants $1.3B for homeless crisis, hotels for housing

    LOS ANGELES — Democratic Mayor Karen Bass, who was elected in November after promising to take on the city’s out-of-control homeless crisis, announced Monday she would recommend spending what she called a record $1.3 billion next year to get unhoused people into shelter and treatment programs.

    The funding to be included in the mayor’s upcoming budget could be used in part to buy hotels or motels that would be converted to housing, while the city combs through its inventory of properties for those that could be used for sheltering homeless people. The former congresswoman’s remarks, in an annual address to City Council on the state of the city, came roughly four months into her first term.

    Bass added that the budget also would include funds for substance abuse treatment beds for the unhoused, but she did not specify how many. And her signature program, dubbed Inside Safe that offers homeless people motel rooms and a path to permanent housing with services, has over 1,000 enrollees so far, she said.

    Meanwhile, Democratic Gov. Gavin Newsom has promised to deliver 500 units of temporary housing to the city, while the Biden administration has sent the city and county more than $200 million for homeless programs, she added.

    “After years of frustration … we can see a clearer path to a new Los Angeles,” Bass said, speaking inside the ornate City Council chambers. And “we have finally dispelled the myth that people do not want to come inside. They do.”

    However, Bass added that much work needed to be done. “I cannot declare that the state of our city is where it needs to be,” she said.

    Bass’ overall optimism would be expected for a mayor in the early months of a first term, but it also belies looming challenges that could reshape her time in office.

    The city has expanded spending on homeless programs for years — then-Mayor Eric Garcetti signed a budget in 2021 with nearly $1 billion in homeless spending — but the unhoused population has continued to increase. Bass’ challenge is in plain sight in just about any neighborhood: homeless people living in trash-strewn encampments or rusty RVs along streets, below underpasses and clustered around freeway exits.

    About half the homeless population — totaling over 40,000 citywide — struggles with drug or alcohol addiction, and about a third have serious mental illnesses. Homeless deaths average five a day.

    Some economists see a recession coming that could slash city tax revenue at a time when Bass is expanding homeless spending, though opinions are divided on the direction of the economy. A recent report from city Controller Kenneth Mejia outlined a series of other concerns, including the need to investment more in repairing crumbling streets and sidewalks and higher pension costs for retirees that “already consume fully 15% of the city’s general fund budget.” Meanwhile, crime rates have been climbing, including for car thefts and shootings, while the police department has seen its staffing levels drop. Bass warned the number of police officers could drop below 9,000 – a tally not seen since 2002.

    Bass said her budget for the year that begins July 1 recommends hiring hundreds of officers, along with a recruitment campaign and incentives for new hires. It also funnels new dollars into a team of social workers and clinical psychologists who could respond to emergency calls when a police officer is not required.

    “We know safety goes far beyond lights and sirens,” she said.

    Bass, the first Black woman to serve as LA’s mayor who was on President Joe Biden’s short list for vice president, defeated billionaire businessman Rick Caruso in the November election. She anchored her campaign to getting homeless people off the streets and into shelters, reversing spiking crime rates and developing housing that working-class families can afford.

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  • Man charged with kidnapping mother and child goes on trial

    Man charged with kidnapping mother and child goes on trial

    BURLINGTON, Vt. — A man charged with kidnapping a woman and her 4-year-old son and sexually assaulting the mother after he escaped from a substance abuse treatment center went on trial for some of the charges Tuesday.

    Everett Simpson, 45, is charged in federal court with two counts of kidnapping and two counts of interstate car theft. He is representing himself in the trial, which is expected to last four days. If convicted of the kidnapping charge, he could be sentenced to life in prison. Simpson was charged separately in state court with sexually assaulting the woman. He has not yet entered a plea on that charge.

    The start of the federal trial was delayed several times, at least in part because of the coronavirus pandemic.

    Before the jury entered the courtroom Tuesday, Simpson, who is being assisted by a federal public defender, told U.S. District Court Judge William Sessions he objected to the wording of the indictment. Sessions told him he was obligated to read the indictment to the jury.

    Police say Simpson left a Vermont drug abuse treatment center on Jan. 4, 2019, stole a vehicle, and traveled the next day to a shopping mall in Manchester, New Hampshire, where he is accused of pushing the woman and child into their car and driving them to Vermont.

    Once back in Vermont, Simpson traveled back roads along the Connecticut River about 30 miles (48 kilometers) southeast of the capital of Montpelier looking for his estranged wife, Assistant United States Attorney Matthew Lasher said in opening statements. Simpson then went to a hotel in White River Junction, where he eventually released the woman and child, and drove the woman’s car to Pennsylvania, where he was arrested, Lasher said.

    The prosecutor told jurors that witnesses will describe how Simpson stole two vehicles, and that the woman will testify about being “subjected to sexual acts” in front of her son.

    In a brief opening statement, Simpson said that none of the witnesses would be able to corroborate the woman’s story or the case presented by prosecutors. “There is no evidence to suggest she was seized against her will,” he said. “I did not do these things.”

    In 2020, the woman received $400,000 in the settlement of a lawsuit accusing the state of Vermont of not doing enough to find Simpson after he left the addiction treatment center.

    She also filed suit against the center. The status of that case is unclear.

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  • Bottle battle: Boston talks of banning tiny bottles of booze

    Bottle battle: Boston talks of banning tiny bottles of booze

    BOSTON — The little bottles of booze at Huntington Wine and Liquor are displayed prominently at the front counter of the Boston store, some stacked neatly in display cases, others tossed haphazardly in trays.

    Steven Rubin, whose family has owned the store since 1970, estimates that they account for up to 15% of his sales.

    “They are a major part of our business, and have a high profit margin,” he said.

    But he might be on the verge of losing those sales.

    Boston City Councilor Ricardo Arroyo has proposed banning city liquor stores from selling the bottles that hold from 50 to 100 milliliters (1.7 to 3.4 fluid ounces), which he says would address both alcohol abuse and excessive litter.

    “The fact that this handled even one of these two issues would have been enough for me,” Arroyo said at city hall hearing on the issue on Monday. “The fact that it plays in both of these issues I think is an overwhelming reason to move forward with something like this.”

    The little bottles are favored by people who want to drink in their vehicles because they are easy to hide from police and the empties can just be tossed out the window, Arroyo said.

    Parents have told him that they are also preferred by underage drinkers because they’re easy to hide.

    The ultimate decision on a ban on minis rests with the city’s Licensing Board, which regulates the city’s roughly 280 liquor stores. Board Chair Kathleen Joyce said Monday that applicants for new licenses or license transfers are already asked to voluntarily agree not to sell the little bottles.

    Other Massachusetts communities that have banned the sale of the tiny bottles have seen benefits, Arroyo said.

    Chelsea, the city just to the north of Boston in 2018 became the first municipality in the state to ban liquor stores from selling the bottles that cost as little as 99 cents.

    The city’s ambulance service responded to 742 calls for alcohol-related issues in 2017 — and then 556 in 2018, when the ban was in place for about half the year, Arroyo said in his proposal.

    The number of people taken into protective custody dropped by 20% the first two years of the ban and alcohol-related hospitalizations plummeted, Chelsea police Chief Keith Houghton said in a recent interview.

    “It wasn’t just the aesthetic problems, with bottles everywhere, we were dealing with public intoxication, we were taking people into protective custody and transporting them to the hospital,” he said.

    A ban would also benefit the environment, Arroyo said.

    The discarded bottles, found clustered by the side of the road, in parks, and in waterways, are not biodegradable or recyclable. In the Hyde Park neighborhood that Arroyo represents, a community volunteer cleanup crew collected 10,000 of the bottles in two months, he said.

    Banning the sale of miniature bottles had a measurable effect on reducing litter in Falmouth, Alan Robinson, chair of the Falmouth Solid Waste Advisory Committee, said in a recent telephone interview.

    Before the Cape Cod community banned their sale in 2021, 32% of the items picked up during roadside community trash collections were the small bottles, he said. Since then, roughly 6% of the litter items are minis.

    “It has made such a difference,” said Robinson, adding that “everyone he speaks with” reports fewer of these tiny bottles.

    Liquor stores are pushing back.

    When the bottles are banned, locally owned businesses suffer financially, and the underlying problems of litter and alcohol abuse aren’t adequately addressed, Robert Mellion, the executive director of the Massachusetts Package Store Association, said in a recent telephone interview.

    When Chelsea banned the sale of the bottles, the local stores saw a collective $6 million loss in business in several months, while stores in neighboring communities like East Boston and Everett experienced higher sales.

    “So people were still buying them, they just moved over the next community,” he said.

    Or, Rubin said, they simply buy a larger bottle of alcohol.

    “If you eliminate the 50 milliliter and 100 milliliter bottles, all you do is create a market for the larger bottles, and how does that address alcoholism?” he said. “People just buy the next size up and drink more.”

    Rubin and Mellion acknowledge that the little bottles are a trash problem, but a sales ban is not the answer.

    The 800-member Massachusetts Package Store Association supports an expanded bottle bill that would include a deposit on the miniature bottles, Mellion said.

    “I think there we have a statewide solution to the trash problem,” he said

    Jim Rossi, a Huntington Wine and Liquor customer who stopped in the store on a recent afternoon for some beer and tiny bottles of cinnamon whisky, agreed.

    “If they’re worried about the litter, why don’t they put a deposit on them?” he said. “People would be snapping them up from the streets for the deposit just like they do with the discarded cans.”

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  • Senate Republican leader Mitch McConnell leaves rehab facility after therapy for concussion

    Senate Republican leader Mitch McConnell leaves rehab facility after therapy for concussion

    Senate Republican leader Mitch McConnell leaves rehab facility after therapy for concussion

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  • DEA overseas review barely mentions corruption scandals

    DEA overseas review barely mentions corruption scandals

    NEW YORK — After nearly two years and at least $1.4 million spent, the U.S. Drug Enforcement Administration on Friday released an external review of its overseas operations that barely mentions recent corruption scandals and offers recommendations that critics dismissed as overly vague.

    Much of the 50-page report outlines the DEA’s sprawling, 69-country “foreign footprint,” while lauding its efforts to plug gaping holes in the oversight of undercover money laundering operations and special vetted units overseas.

    “This report is stunningly vague in its actual evaluation of known problems at the DEA and remedies to fix them,” said Sen. Chuck Grassley, an Iowa Republican on the Senate Judiciary Committee. “This speaks to the agency’s broader effort to evade oversight. The agency has attempted to dodge my oversight inquiries but I intend to push forward.”

    The external probe was announced in 2021 following reporting by The Associated Press on the crimes of José Irizarry, a disgraced former DEA agent now serving a 12-year federal prison sentence after confessing to laundering money for Colombian drug cartels and skimming millions from seizures and informants to fund an international joyride of fine dining, parties and prostitutes.

    Irizarry told the AP last year that DEA agents have come to accept that there’s nothing they can do to make a dent in the flow of illegal cocaine and opioids into the United States that has driven more than 100,000 overdose deaths a year.

    “The drug war is a game,” Irizarry said. “It was a very fun game that we were playing.”

    Irizarry’s case got one paragraph in the external review. An ongoing federal grand jury inquiry into some of his jet-setting former DEA colleagues was mentioned in a footnote. Also, Irizarry’s lawyer told AP he offered to make his client available for an interview for the review but was never contacted.

    “Interviews and documents demonstrated that the DEA has already largely implemented the recommendations from the DOJ OIG to enhance the oversight of compliance risks arising out of the agency’s foreign operations,” the review concluded, referring to the U.S. Justice Department’s Office of Inspector General.

    The probe found fault with the bureaucracy it said bogs down the assignment of agents to foreign divisions and recommended putting incentives in place to attract “top talent to hard-to-fill offices.” It also blamed the “corrupting influence” of cartels for instances of “individual misconduct by DEA personnel.”

    “DEA also could do more to ensure supervisors are effectively evaluated and ultimately held accountable for compliance-related issues,” the review found.

    Other recommendations included more regular audits of foreign offices and vetted police units, and stricter controls on expenses.

    The external review was conducted by former DEA administrator Jack Lawn and Boyd Johnson, a former federal prosecutor who handled international drug cases. Public records show the no-bid contract was awarded to the law firm WilmerHale, where Johnson works, at a cost of $1.4 million. Johnson did not respond to emails seeking comment.

    The report made little mention of the turmoil that has roiled DEA operations in Mexico, where law enforcement cooperation collapsed amid the tenure of a regional director who was quietly ousted from his post for having improper contact with lawyers for narcotraffickers.

    AP reported earlier this year that Nicholas Palmeri served just 14 months in the post and retired before an Office of Inspector General report found he sought government reimbursement to pay for his own birthday party.

    “For a report that cost the government over $1.4 million, it does not seem to recommend the types of changes that would actually prevent another Irizarry or other misconduct,” said Bonnie Klapper, a former federal prosecutor in New York. “While the report is very thorough in laying out DEA’s role and responsibilities, it mentions only a very few examples of misconduct, and its recommendations don’t go far enough.”

    Palmeri arrived to Mexico in the wake of one of the biggest setbacks in recent years in the U.S.-led drug war: the botched arrest of former Mexican Defense Secretary Salvador Cienfuegos. The retired general was nabbed on a sealed U.S. drug warrant upon arrival at the Los Angeles airport in 2020 only to be released a few weeks later under pressure from Mexico’s leftist president, who retaliated by disbanding an elite police unit that was a key DEA ally.

    Neither the Cienfuegos incident nor the arrest of another prominent U.S. ally in Mexico — ex-security chief Genaro Garcia Luna — are mentioned in the report.

    “The report’s key takeaway about improving information sharing and breaking down internal silos couldn’t be more commendable,” said John Feeley, a retired U.S. diplomat who worked alongside the DEA in numerous postings overseas. “But the biggest silo that needs to be dismantled from an operations perspective is the DEA’s failure to communicate to front offices and ambassadors when it’s investigating senior officials of host nations.”

    DEA Administrator Anne Milgram, who has declined repeated interview requests, said in a statement that the agency would implement all 17 of the report’s recommendations.

    “DEA is committed to meeting the challenges presented by today’s global drug threats and ensuring that our work is conducted at the highest level possible,” she said.

    __

    Goodman reported from Miami. Contact AP’s global investigative team at Investigative@ap.org.

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  • With overdoses up, states look at harsher fentanyl penalties

    With overdoses up, states look at harsher fentanyl penalties

    RENO, Nev. — State lawmakers nationwide are responding to the deadliest overdose crisis in U.S. history by pushing harsher penalties for possessing fentanyl and other powerful lab-made opioids that are connected to about 70,000 deaths a year.

    Imposing longer prison sentences for possessing smaller amounts of drugs represents a shift in states that in recent years have rolled back drug possession penalties. Proponents of tougher penalties say this crisis is different and that, in most places, the stiffer sentences are intended to punish drug dealers, not just users.

    “There is no other drug — no other illicit drug — that has the same type of effects on our communities,” said Mark Jackson, the district attorney for Douglas County, Nevada, and president of the Nevada District Attorneys Association, which is pushing for stricter penalties for fentanyl-related crimes.

    But the strategy is alarming recovery advocates who say focusing on the criminal angle of drugs has historically backfired, including when lawmakers elevated crack cocaine penalties in the 1980s.

    “Every time we treat drugs as a law enforcement problem and push stricter laws, we find that we punish people in ways that destroy their lives and make it harder for them to recover later on,” said Adam Wandt, an assistant professor of public policy at John Jay College of Criminal Justice in New York. He said people behind bars often continue getting drugs — often without receiving quality addiction treatment — then emerge to find it’s harder to get work.

    Since 2020, drug overdoses are now linked to more than 100,000 deaths a year nationally, with about two-thirds of them fentanyl-related. That’s more than 10 times as many drug deaths as in 1988, at the height of the crack epidemic.

    Fentanyl mostly arrives in the U.S. from Mexico and is mixed into supplies of other drugs, including cocaine, heroin, methamphetamine and counterfeit oxycodone pills. Some users seek it out. Others don’t know they’re taking it.

    Ingesting 2 milligrams of fentanyl can be fatal, meaning 1 gram — about the same as a paper clip — could contain 500 lethal doses.

    That’s what’s driving some lawmakers to crack down with harsh penalties, along with adopting measures such as legalizing materials to test drug supplies for fentanyl and distributing naloxone, a drug that can reverse overdoses.

    Before this year’s legislative sessions began, a dozen states had already adopted fentanyl possession measures, according to tracking by the National Conference of State Legislatures.

    And in this year, in one legislative chamber of liberal Oregon and one chamber of conservative West Virginia, lawmakers have agreed upon tougher penalties. In her State of the State speech this March, Alabama Gov. Kay Ivey, a Republican, called on lawmakers to adopt a drug trafficking bill that includes tougher fentanyl sentences.

    In Nevada, where Democrats control the Legislature, a bill backed by Democratic Attorney General Aaron Ford would give one to 20 years in prison for selling, possessing, manufacturing or transporting 4 grams or more of fentanyl into the state, depending on the amount. It’s a change for Ford, who has supported criminal justice reforms including a sweeping 2019 law that, among other provisions, raised the threshold for such penalties to 100 grams. It would also remove fentanyl from the state’s “Good Samaritan” law, which exempts people from criminal drug possession charges while reporting an overdose.

    “What we’ve learned is that lowering the thresholds for all drugs was overinclusive,” Ford said.

    Harm reduction advocates are pushing Ford and others to rethink their support, arguing the thresholds for longer penalties can sweep up low-level users — not just the dealers the law is aimed at — as well as some who may not even know they are taking fentanyl. They warn that the state’s crime labs test only for the presence of fentanyl, not the exact amount in a mixture of drugs. Thus, people with over 4 grams of drugs containing a few milligrams of fentanyl could be subject to trafficking penalties, they say.

    Rosa Johnson runs a needle exchange where she meets people who could face consequences should the stricter fentanyl bill pass. For the dozens of people that show up each day, it is rare for them to cite fentanyl as their “drug of choice.” But it’s also rare that fentanyl test strips come back negative, with the drug being “laced in a lot of things,” Johnson said.

    Other lawmakers introduced two bills to create penalties for fentanyl with lower thresholds, though much of the internal debate surrounds the Ford-backed bill. Meanwhile, Nevada’s Republican Gov. Joe Lombardo, a former sheriff, has vowed to introduce tougher legislation that would make possession of any amount of fentanyl the same felony threshold as fentanyl trafficking.

    Both Republican-led chambers in South Carolina have passed fentanyl trafficking measures with bipartisan support, although lawmakers haven’t agreed on which version to send the governor. Senators also unanimously approved a bill allowing alleged drug dealers to be charged with homicide in overdose deaths.

    House Minority Leader Todd Rutherford slammed colleagues for selling a “false bill of goods.” While Republican Rep. Doug Gilliam said he understood concerns about ambiguity, he said lawmakers had to send a “strong message” to drug dealers.

    A Senate subcommittee heard emotional testimony from family members of people who died of a fentanyl overdose. Among them was Holly Alsobrooks, co-founder of an advocacy group that also supports more fentanyl test strips, opioid antidotes and rehabilitation centers. While Alsobrooks said there is no “perfect” solution, she said the fentanyl trafficking measures are the “best” answers she has heard.

    “We are fully behind this bill,” she said. “And if people go to jail, they’re going to go to jail.”

    Marc Burrows, who leads a Greenville-based harm reduction program that reports it has reversed 700 overdoses through the provision of opioid antidotes, said these bills could increase deaths by creating hesitancy among drug users to report overdoses.

    “I just don’t know if a policy like this is the way to do it,” Burrows said.

    ___

    Pollard reported from Columbia, South Carolina, and Mulvihill from Cherry Hill, New Jersey. Pollard and Stern are members for the Associated Press/Report for America Statehouse News Initiative. Report for America is a nonprofit service program that places journalists in newsrooms to report on undercovered issues.

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  • California to seek beds for mental health, drug treatment

    California to seek beds for mental health, drug treatment

    SAN DIEGO — California voters would decide whether to fund a major expansion of housing and treatment for residents suffering from mental illness and addiction, under the latest proposal by Gov. Gavin Newsom to address the state’s homelessness crisis.

    Newsom announced Sunday that he will ask allies in the Democratic-controlled Legislature for a measure on the 2024 ballot to authorize funding to build residential facilities where up to 12,000 people a year could live and be treated. The plan is the latest by the governor who took office in 2019 vowing to own the issue of homelessness in a state where an estimated 171,000 were unhoused last year.

    The governor called the plan the next step in how California expands services for unhoused people, especially those with psychological and substance use disorders.

    “We have to address and come to grips with the reality of mental health in this state and our nation. The question is, what can we do more and do better?” Newsom said at a news conference.

    California, home to nearly 40 million people, has nearly one-third of the nation’s homeless population, and their numbers are growing much faster than in other states, according to an analysis of federal data by the Public Policy Institute of California. Tent encampments have popped up on sidewalks and under freeway overpasses, and people in clear mental health crisis are a common sight on city streets.

    The initiative would be partially funded by general obligation bonds that would raise between $3 billion and $5 billion to go toward construction of “campus-style” facilities along with smaller homes and long-term residential settings, Newsom said.

    In addition, it would overhaul California’s Mental Health Services Act, an initiative approved by voters in 2004 that charges a 1% tax on incomes greater than $1 million to fund mental health services. Some lawmakers complained that money from the initiative bypassed those who needed it the most, and Newsom’s office said the new version would improve oversight for counties.

    “Modernizing it will lead to $1 billion every year for housing, treating substance abuse disorders, and more,” said a statement from the governor’s office.

    The California State Association of Counties, representing all 58 counties in California, said in a statement Sunday that it would work with the governor and lawmakers to establish “clear responsibilities, accountability and funding for all levels of government” to address the homelessness problem.

    State Sen. Susan Talamantes Eggman, D-Stockton, will introduce the measure, which would also earmark money to house more than 10,000 homeless veterans across the state, according to the statement.

    Newsom unveiled details of the plan during a stop Sunday afternoon in San Diego. The governor is in the midst of a five-day statewide tour that he’s using to highlight his major policy goals. The tour replaced a traditional State of the State address.

    On Thursday, Newsom announced a plan to spend about $30 million to build 1,200 small homes across the state to help house people living on the streets. The homes can be assembled quickly and cost a fraction of what it takes to build permanent housing. Federal courts have ruled cities can’t clear homeless encampments if there are no shelter beds available.

    Newsom will travel Monday to Imperial County to discuss how California is poised to become a global leader in electric vehicles and clean energy, his office said.

    The governor’s swing through California comes amid challenging times for the state. After several flush years in Sacramento, California has an estimated $22.5 billion deficit, with state revenues falling as the stock market slows.

    Recent polling shows half of California voters believe the heavily Democratic state is headed in the wrong direction, including a majority of independents. And after years of growth, the state’s population has been dropping as people look elsewhere for more affordable homes and a better quality of life.

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