AffordRx.com Makes Prescription Drugs Affordable






AffordRx.com to donate thousands of discount drug cards to those in need.


Margate, NJ (PRWEB) December 21, 2012






AffordRx, a discount prescription drug card, is currently giving away thousands of free discount cards to those in need.


Countless senior citizens and children living in the United States are not able to afford their prescriptions regularly. Many people are left with no choice but to skip doses or cut pills in half.


AffordRx representative Dylan Marc explained his company’s mission, “We are aware that millions of Americans are losing out on healthcare because prescription prices are too high. That’s why our card offers you a discount of up to 75% on thousands of prescription drugs.”


Too many people are still without prescription insurance coverage. Even those with coverage may not be able to get the medications they need. People stuck in the Medicare “donut hole” in particular can benefit from AffordRx; while the card does not work with covered prescriptions or existing copays, it can be applied to a deductible, or used to cover prescriptions that are not covered by an existing plan. Sometimes the card’s discount for a given prescription may be even cheaper than it would be under insurance.


These cards can be printed at home and used immediately, or they can be mailed directly to customers upon request. The cards do NOT require a medical examination to qualify, and can be presented to any participating pharmacy along with any qualifying prescription.


AffordRx discount prescription cards are accepted at more than 59,000 pharmacies nationwide, including large chains like CVS, Albertsons, Kmart, Walgreens, and Target as well as independent pharmacies. These cards do not expire; and there is no limitation on how many times or how often they may be used.


AffordRx has helped thousands of patients afford their medications and is ready to help thousands more. Visit AffordRx.com to find more information or to download a free prescription discount card.


Dylan Marc
AffordRx.com
(515) 992-0349
Email Information


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A somber moment for 26 victims of Sandy Hook school massacre


NEWTOWN, Conn. (AP) — The chiming of bells reverberated throughout Newtown on Friday, commemorating one week since the crackle of gunfire in a schoolhouse killed 20 children and six adults in a massacre that has shaken the community — and the nation — to its core.


Gov. Dannel P. Malloy gathered with other officials in rain and wind on the steps of the Edmond Town Hall as the bell rang 26 times in memory of each life lost at Sandy Hook Elementary School. The gunman also killed his mother before the massacre, and himself afterward.


Officials didn't plan any formal remarks Friday morning, and similar commemorations took place throughout the country.


Though the massacre does not rank as the deadliest school shooting in U.S. history — that happened at Virginia Tech — the tender age of the victims and the absence of any apparent motive has struck at Americans' hearts and minds. The gunman used a military-style assault rifle loaded with ammunition intended to inflict maximum damage, officials have said.


The White House said President Barack Obama privately observed the moment of silence.


Just a week after the attack, gun control has taken a front burner in Congress, where previous mass shootings produced only minimal legislative reaction. Vice President Joe Biden said Thursday that the Obama administration would push to tighten gun laws.


The National Rifle Association, at its first public event since the shootings, called Friday for armed police officers to be posted in American school to stop the next killer "waiting in the wings."


Wayne LaPierre, CEO of the nation's largest gun-rights lobby with 4.3 million members, said at the Washington news conference that, "The only thing that stops a bad guy with a gun is a good guy with a gun."


The briefing was interrupted twice by people carrying signs protesting the organization. The protesters were taken from the room.


Traffic stopped in the streets outside the town hall in Newtown as bells rang out to honor the dead.


Malloy, taking deep breaths with his hands folded in front of him, was joined by the Newtown superintendent of schools, lawmakers and other officials as bells rang out at the nearby Trinity Episcopal Church.


Firefighters bowed their heads around a memorial filled with teddy bears, other stuffed animals and a New York Giants pillow. Some hugged and onlookers shook their hands afterward.


"When I heard the 26 bells ring it just melted my soul," said Kerrie Glassman, of Sandy Hook, who said she knew seven of the victims. "It's just overwhelming. You just can't believe this happened in our town."


Milysa Musiel, 21, came from neighboring Monroe and said she felt helpless.


"Everybody wants to do something," she said. "It shook that false sense of security that we had. This is my backyard."


Chip Carpenter, a volunteer with the police and fire department, said he was upset to see the wind knocking down tents for memorials.


"I was so distraught this morning," he said. "I just cried for the longest time. Just seeing everything falling apart. We suffered enough here."


The chiming of bells reverberated throughout the nation.


In New York City, bells at the historic Trinity Church near the World Trade Center tolled 28 times, and in Massachusetts, bells in churches around the state, including Boston's historic Old North Church, rang in honor of those killed in the attack.


When the bells tolled mournfully to honor the victims of last week's shooting rampage, they did so 26 times, for each child and staff member killed.


Rarely do residents mention the first person police said Adam Lanza killed that morning: his mother, Nancy, who was shot in the head four times while she lay in bed.


That makes 27.


A private funeral was held Thursday in New Hampshire for Nancy Lanza, according to Donald Briggs, the police chief in Kingston, N.H., where her funeral was held. About 25 family members attended the ceremony.


Newtown and environs weathered a fourth day of funerals Thursday, and five more funerals or memorials were scheduled for Friday.


Biden, who is overseeing the administration's response to last week's shooting, said he and Obama are "absolutely committed" to curbing gun violence in the United States.


"Even if we can only save one life, we have to take action," he said.


Gun-control measures have faced fierce resistance in Congress for years, but that may be changing because of the events in Connecticut, which shocked the nation.


After the shooting, Obama signaled for the first time that he's willing to spend significant political capital on the issue. Some prominent gun-rights advocates on Capitol Hill — Democrats and Republicans alike — have expressed willingness to consider new measures.


Investigators have said that Nancy Lanza, a gun enthusiast, visited shooting ranges several times and that her son also visited an area range.


Authorities say Adam Lanza shot his mother at their home and then took her car and some of her guns to the school, where he broke in and opened fire. A Connecticut official said Nancy Lanza was shot four times in the head with a .22-caliber rifle.


Adam Lanza was wearing all black, with an olive-drab utility vest, during the school attack. Investigators have found no letters or diaries that could explain the rampage.


Friends and acquaintances have described him as intelligent, but odd and quiet.


Friends said he would stare down at the floor and not speak when she brought him into a local pizzeria. They knew that he'd switched schools more than once and that she'd tried home schooling him. But while she occasionally expressed concern about his future during evenings at the bar, she never complained.


"I heard her as a parent. I always said that I wouldn't want to be in her shoes. But I thought, 'Wow. She holds it well,'" said Jon Tambascio, son of the pizzeria operator.


___


Contributing to this report were Associated Press writers Michael Melia, John Christoffersen and David Klepper in Newtown; Jim Fitzgerald in Katonah, N.Y.; and Frederic J. Frommer in Washington.


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Investors shed shares of Blackberry maker






NEW YORK (AP) — Shares of Blackberry maker Research in Motion slumped more than 16 percent Friday with future revenue coming into question and a declining number of subscribers.


RIM’s stock jumped initially Thursday when the Canadian company released better-than-expected third-quarter results and a stronger cash position.






Shares reversed course during a conference call later, when executives said that the company won’t generate as much revenue from telecommunications carriers once it releases the new BlackBerry 10.


RIM’s stock had been on a three-month rally in which the stock more than doubled from levels not previously seen since 2003.


“Despite a solid quarter, the stock is trading down due to the introduction of a lower enterprise service tier and fears that RIM will not receive monthly services revenues for consumer BB10 subscribers,” said Jefferies analyst Peter Misek. He thinks RIM has offered carriers a lower-priced option in exchange for a bigger purchase commitment for the new device. He kept his “Hold” rating.


Sterne Agee analyst Shaw Wu kept maintained a “Neutral” rating on the stock, but lowered his earnings estimates, saying he continued to be concerned about RIM’s ability to compete with Apple and Google.


Shares of Research in Motion Ltd. fell $ 2.29 to $ 11.83 in morning trading.


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A somber moment for 26 victims of Sandy Hook school massacre


NEWTOWN, Conn. (AP) — The chiming of bells reverberated throughout Newtown on Friday, commemorating one week since the crackle of gunfire in a schoolhouse killed 20 children and six adults in a massacre that has shaken the community — and the nation — to its core.


Gov. Dannel P. Malloy gathered with other officials in rain and wind on the steps of the town hall as the bell rang 26 times in memory of each life lost at Sandy Hook Elementary School. The gunman also killed his mother before the massacre, and himself afterward.


Officials didn't plan any formal remarks Friday morning, and similar commemorations took place throughout the country.


Though the massacre does not rank as the deadliest school shooting in U.S. history — that happened at Virginia Tech — the tender age of the victims and the absence of any apparent motive has struck at Americans' hearts and minds. The gunman used a military-style assault rifle loaded with ammunition intended to inflict maximum damage, officials have said.


The White House said President Barack Obama privately observed the moment of silence.


Just a week after the attack, gun control has taken a front burner in Congress, where previous mass shootings produced only minimal legislative reaction. Vice President Joe Biden said Thursday that the Obama administration would push to tighten gun laws.


The National Rifle Association plans a Friday morning news conference, its first public event since the shootings. The nation's largest gun-rights lobby with 4.3 million members has said it will offer "meaningful contributions to help make sure this never happens again."


Traffic stopped in the streets outside the town hall in Newtown as bells rang out to honor the dead.


Malloy, taking deep breaths with his hands folded in front of him, was joined by the Newtown superintendent of schools, lawmakers and other officials as bells rang out at the nearby Trinity Episcopal Church.


Among those who came out to observe the ceremony was Edie Hardwick, 66, of Middlebury, Conn.


"It's such a horrific thing. Such a horrible thing. Everybody wants to do what they can," she said.


Pat Papuga, 60, came from Branford with a box full of candy canes tied with ribbons that said 'sandy hook angels,' which she dropped off at a coffee shop to give away to town's children.


"We just wanted to be here where everything happened to pay our respects. We just wanted to bring a little something to show that we care."


When the bells tolled mournfully to honor the victims of last week's shooting rampage, they did so 26 times, for each child and staff member killed.


Rarely do residents mention the first person police said Adam Lanza killed that morning: his mother, Nancy, who was shot in the head four times while she lay in bed.


That makes 27.


A private funeral was held Thursday in New Hampshire for Nancy Lanza, according to Donald Briggs, the police chief in Kingston, N.H., where her funeral was held. About 25 family members attended the ceremony.


In Newtown, where makeshift memorials of stuffed animals, angels, candles, flowers and balloons have blossomed on patches of grass throughout town, there is only one noticeable tribute to Nancy Lanza. It's a letter written by a friend on yellow paper affixed, screwed and shellacked onto a red piece of wood.


"Others now share pain for choices you faced alone; May the blameless among us throw the first stone," it reads in part.


No one outwardly blames Nancy Lanza for the rampage. But authorities have said the gunman, her 20-year-old son Adam, used the guns she kept at their home to carry out a massacre that became the second-deadliest school shooting in U.S. history and has stirred lawmakers to call for gun control laws.


Nationwide, churches were to ring their bells Friday morning. Two gold balloons, one a 2, the other a 6, are tied to a bridge. Handwritten tributes mention 26 snowflakes. "26 angels will guide us," reads one.


The dearth of tributes to Nancy Lanza underscores the complicated mix of emotions surrounding her after the shooting.


In a small town where multiple funerals are taking place each day, where black-clad mourners stand in lines waiting to say goodbye to another child, many are incredibly angry at Nancy Lanza for not keeping her guns away from her son.


Some view her as a victim, but one whose guns were used to kill first-graders. And others think Nancy Lanza was an innocent victim, one who should be counted and included at memorials.


"It's a loss of life and, yes, her life mattered," said Christine Lombardi. "Yes, I do believe she should be included."


Others in Newtown are weary of the crush of media and have become reluctant to answer questions after a difficult week. But the subject of marking Nancy Lanza's death, along with those of the children and teachers killed by her son, seemed mainly to surprise two moms who stopped to place flowers at the memorial at Main and Sugar streets with their two grammar-school aged girls.


They paused, appeared bewildered, and looked at each other for a moment. Then one quietly said, "No, no," and they each took a girl's hand and led them away.


Newtown and environs weathered a fourth day of funerals Thursday as mourners laid to rest Catherine Hubbard, Benjamin Wheeler, Jesse Lewis and Allison Wyatt, all 6 years old; and Grace McDonnell, 7.


U.S. Attorney General Eric Holder was one of the people to visit Newtown on Thursday, stopping by a firehouse.


Biden, who is overseeing the administration's response to last week's shooting, said he and Obama are "absolutely committed" to curbing gun violence in the United States.


"Even if we can only save one life, we have to take action," he said.


Gun-control measures have faced fierce resistance in Congress for years, but that may be changing because of the events in Connecticut, which shocked the nation.


After the shooting, Obama signaled for the first time that he's willing to spend significant political capital on the issue. Some prominent gun-rights advocates on Capitol Hill — Democrats and Republicans alike — have expressed willingness to consider new measures.


Investigators have said that Nancy Lanza, a gun enthusiast, visited shooting ranges several times and that her son also visited an area range.


Authorities say Adam Lanza shot his mother at their home and then took her car and some of her guns to the school, where he broke in and opened fire. A Connecticut official said Nancy Lanza was shot four times in the head with a .22-caliber rifle.


Adam Lanza was wearing all black, with an olive-drab utility vest, during the school attack. Investigators have found no letters or diaries that could explain the rampage.


Friends and acquaintances have described him as intelligent, but odd and quiet.


Friends said he would stare down at the floor and not speak when she brought him into a local pizzeria. They knew that he'd switched schools more than once and that she'd tried home schooling him. But while she occasionally expressed concern about his future during evenings at the bar, she never complained.


"I heard her as a parent. I always said that I wouldn't want to be in her shoes. But I thought, 'Wow. She holds it well,'" said Jon Tambascio, son of the pizzeria operator.


___


Contributing to this report were Associated Press writers Michael Melia, John Christoffersen and David Klepper in Newtown; Jim Fitzgerald in Katonah, N.Y.; and Frederic J. Frommer in Washington.


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‘Zero Dark Thirty’ One of Biggest Mid-Week Limited Debuts Ever






LOS ANGELES (TheWrap.com) – “Zero Dark Thirty” has been slammed by several senators for its depiction of torture, but the issue only appears to have helped it at the box office.


Director Kathryn Bigelow‘s dramatization of the hunt for Osama Bin Laden racked up an estimated $ 124,848 in five theaters in New York City and Los Angeles on Wednesday. That’s an average of $ 24,969, making it one of the biggest limited mid-week openings in history.






Other Oscar-bait films in limited release scored far less in their debuts. “American Beauty” grossed $ 73,000 in 6 theaters and “Little Miss Sunshine” grossed $ 66,000 in 7 showings on their opening days.


The film arrives in theaters boasting four Golden Globe nods, including a nomination for Best Motion Picture – Drama, and a boatload of strong reviews.


In Slate, Dana Stevens praised the film for its unflinching depiction of the global manhunt.


“Zero Dark Thirty, as single-minded and emotionally remote as its heroine, plays its cards so close to its vest that it’s impossible to tell,” Stevens wrote. “But this is a vital, disturbing, and necessary film precisely because it wades straight into the swamp of our national trauma about the war on terror and our prosecution of it, and no one – either on the screen or seated in front of it – comes out clean.”


Not everyone has loved “Zero Dark Thirty”s’ moral ambiguity, however. Senators John McCain, Dianne Feinstein and Carl Levin have criticized the film for seeming to argue that torture helped the CIA locate bin Laden.


In a letter to Sony Pictures chairman and CEO Michael Lynton, the senators said that the studio should state that the film is a work of fiction and its depiction of torture’s role in the operation to find bin Laden is fictitious.


In a statement provided to TheWrap, Bigelow and screenwriter Mark Boal said critics were taking the torture scene out context.


“This was a 10-year intelligence operation brought to the screen in a two-and-a-half-hour film. We depicted a variety of controversial practices and intelligence methods that were used in the name of finding bin Laden,” the statement reads. “The film shows that no single method was necessarily responsible for solving the manhunt, nor can any single scene taken in isolation fairly capture the totality of efforts the film dramatizes.”


“Zero Dark Thirty” stars Jessica Chastain, Joel Edgerton and Chris Pine. It opens in wide release on January 11.


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Kenya police: 28 people killed in clashes






NAIROBI, Kenya (AP) — A police official says 28 people have been killed in clashes between farmers and herders in south-eastern Kenya.


Anthony Kamitu, who is leading police operations to prevent the attacks, said Friday that the Pokomo tribe of farmers raided a village of the Orma herding community, called Kipao, at dawn in the Tana River Delta.






The latest deaths in a tit-for-tat cycle of killings may be related to a redrawing of political boundaries and next year’s general elections, according to the U.N.


At least 110 people were killed in clashes between the Pokomo and Orma in September and October.


Animosity between the two communities over land and water resources has existed for decades.


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European watchdog starts safety review of Merck cholesterol drug






LONDON (Reuters) – The European Medicines Agency said it has launched a review of Merck & Co Inc‘s cholesterol drug Tredaptive after the medicine failed a U.S. trial assessing its effectiveness and safety.


Although the commercial fallout from any decision to pull the drug from the market in Europe would be limited, it would be a blow to Merck‘s reputation.






Bernstein analyst Tim Anderson estimates that Tredaptive sales in Europe and other non-U.S. markets are running at only around $ 50 million a year, compared to Merck’s overall revenue of $ 47 billion.


The drug is designed to raise “good” HDL cholesterol but the 25,000 patient study found it didn’t do better at preventing heart attacks, deaths or strokes than traditional statin drugs that lower “bad” LDL cholesterol.


The large-scale trial also found that patients taking the drug suffered more non-fatal but serious side effects than those only taking statins.


The medicine was approved for use in Europe in 2008, but U.S. regulators were unwilling to approve it until Merck conducted the costly long-term study to better assess its safety and effectiveness.


Merck said on Thursday that it no longer planned to seek regulatory approval for the drug in the United States and recommended that doctors did not start new patients on Tredaptive in countries where it is already available.


The regulator backed that advice on Friday, but added that patients currently using the drug should speak a doctor at their next appointment but not stop their treatment.


Tredaptive is sold under the brand name Pelzont in Italy and Trevaclyn in both Italy and Portugal. A decision on the future of the drug in Europe is expected in January.


(Reporting by Chris Wickham; Editing by Elaine Hardcastle)


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State Department security chief leaves post over Benghazi






WASHINGTON (Reuters) – The U.S. State Department said on Wednesday its security chief had resigned from his post and three other officials had been relieved of their duties following a scathing official inquiry into the September 11 attack on the U.S. mission in Benghazi.


Eric Boswell has resigned effective immediately as assistant secretary of state for diplomatic security, State Department spokeswoman Victoria Nuland said in a terse statement. A second official, speaking on condition of anonymity, said Boswell had not left the department entirely and remained a career official.






Nuland said that Boswell, and the three other officials, had all been put on administrative leave “pending further action.”


An official panel that investigated the incident concluded that the Benghazi mission was completely unprepared to deal with the attack, which killed U.S. Ambassador Christopher Stevens and three other Americans.


The unclassified version of the report, which was released on Tuesday, cited “leadership and management” deficiencies, poor coordination among officials and “real confusion” in Washington and in the field over who had the authority to make decisions on policy and security concerns.


“The ARB identified the performance of four officials, three in the Bureau of the Diplomatic Security and one in the Bureau of (Near Eastern) Affairs,” Nuland said in her statement, referring to the panel known as an Accountability Review Board.


Secretary of State Hillary Clinton accepted Boswell’s decision to resign effective immediately, the spokeswoman said.


Earlier, a U.S. official who spoke on condition of anonymity said Boswell, one of his deputies, Charlene Lamb, and a third unnamed official has been asked to resign. The Associated Press first reported that three officials had resigned.


PANEL STOPS SHORT OF BLAMING CLINTON


The Benghazi incident appeared likely to tarnish Clinton’s four-year tenure as secretary of state but the report did not fault her specifically and the officials who led the review stopped short of blaming her.


“We did conclude that certain State Department bureau-level senior officials in critical positions of authority and responsibility in Washington demonstrated a lack of leadership and management ability appropriate for senior ranks,” retired Admiral Michael Mullen, one of the leaders of the inquiry, told reporters on Wednesday.


The panel’s chair, retired Ambassador Thomas Pickering, said it had determined that responsibility for security shortcomings in Benghazi belonged at levels lower than Clinton’s office.


“We fixed (responsibility) at the assistant secretary level, which is, in our view, the appropriate place to look for where the decision-making in fact takes place, where – if you like – the rubber hits the road,” Pickering said after closed-door meetings with congressional committees.


The panel’s report and the comments by its two lead authors suggested that Clinton, who accepted responsibility for the incident in a television interview about a month after the Benghazi attack, would not be held personally culpable.


Pickering and Mullen spoke to the media after briefing members of the House of Representatives Foreign Affairs Committee and Senate Foreign Relations Committee behind closed doors on classified elements of their report.


Clinton had been expected to appear at an open hearing on Benghazi on Thursday, but is recuperating after suffering a concussion, dehydration and a stomach bug last week. She will instead be represented by her two top deputies.


Clinton, who intends to step down in January, said in a letter accompanying the review that she would adopt all of its recommendations, which include stepping up security staffing and requesting more money to fortify U.S. facilities.


The National Defense Authorization Act for 2013, which is expected to go to Congress for final approval this week, includes a measure directing the Pentagon to increase the Marine Corps presence at diplomatic facilities by up to 1,000 Marines.


Some Capitol Hill Republicans who had criticized the Obama administration’s handling of the Benghazi attacks said they were impressed by the report.


“It was very thorough,” said Senator Johnny Isakson. Senator John Barrasso said: “It was very, very critical of major failures at the State Department at very high levels.” Both spoke after the closed-door briefing.


Others, however, took a harsher line and called for Clinton to testify as soon as she is able.


“The report makes clear the massive failure of the State Department at all levels, including senior leadership, to take action to protect our government employees abroad,” Representative Mike Rogers, the Republican chairman of the House Intelligence Committee, said in a statement.


Senator Bob Corker, who will be the top Republican on the Senate Foreign Relations Committee when the new Congress is seated early next year, said Clinton should testify about Benghazi before her replacement is confirmed by the Senate.


Republicans have focused much of their firepower on U.S. Ambassador to the United Nations Susan Rice, who appeared on TV talk shows after the attack and suggested it was the result of a spontaneous protest rather than a premeditated attack.


The report concluded that there was no such protest.


Rice, widely seen as President Barack Obama’s top pick to succeed Clinton, withdrew her name from consideration last week.


(Additional reporting by Tabassum Zakaria and Susan Cornwell; Editing by Christopher Wilson)


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Thousands mourn U.S.-Mexican singer Jenni Rivera






LOS ANGELES (Reuters) – Thousands of mourners on Wednesday packed a Los Angeles theater to pay their final respects to Mexican-American singer Jenni Rivera more than a week after her death in a plane crash.


Rivera, 43, best known for her work in the Mexican folk Nortena and Banda genres, died after the small jet she was traveling in crashed in northern Mexico on December 9.






Rivera’s family, dressed in white, led the memorial service eulogizing the singer. A bank of white roses was displayed in front of Rivera’s bright red coffin and a brass band performed musical interludes.


More than 6,000 people crowded into the theater about 30 miles north of her childhood home in Long Beach, California. Tickets for the service at the Gibson Amphitheatre sold out within minutes, organizers said.


The daughter of Mexican immigrants, Rivera was called the “Diva de la Banda.” She sold about 15 million albums and earned a slew of Latin Grammy nominations during her 17-year career.


“Jenni made it OK for women to be who they are,” her manager Pete Salgado said at the service. “Jenni also made it OK to be from nothing, with the hopes of being something.”


Rivera had five children, the first at age 15, and was married three times. Her third husband was baseball pitcher Esteban Loaiza. Rivera’s private life influenced her songs, which often referenced living through hardship.


“She’s a fighter and she knows it’s in all of us,” Rivera’s son Michael said between video tributes.


In recent years, Rivera branched out into television, appearing on a reality television show and serving as a judge on the Mexican version of the singing competition “The Voice.” Television broadcaster ABC was reported to be developing a comedy pilot for the singer.


Rivera’s plane crashed in mountains south of Monterrey killing all seven on board.


The singer was to perform in the city of Toluca, 40 miles southwest of Mexico City, in central Mexico after a concert in Monterrey. It is not clear what caused the crash.


(Reporting by Eric Kelsey; Editing by Stacey Joyce)


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FCA releases two new reports on important role of family caregivers in reducing negative outcomes for patients






Increased training, support and recognition are needed by families as healthcare increasingly moves into home settings


SAN FRANCISCO, Dec. 20, 2012 /PRNewswire-USNewswire/ – The National Center on Caregiving at Family Caregiver Alliance has released two new reports that shine a light on the important roles of family caregivers in U.S. healthcare—and how those caregivers are often unrecognized and unsupported within medical and long-term service systems.






Family Caregiving and Transitional Care: A Critical Review is an examination of the often ignored — yet absolutely essential — role of caregiving families as patients transition from one healthcare setting to another, for example discharge from hospital to home or hospital to rehab facility.


The report notes that although family caregivers are usually the individuals who will actually implement care plans following release from the hospital, they are rarely actively included in discharge planning; worse, their training, even for complex medical procedures, is often insufficient. The all-too-common result: preventable negative outcomes for patients.


The report looks at ways family caregivers characterize their experiences when a transition occurs and they are expected to take on challenging care tasks such as direct medical treatments (e.g., monitoring ventilators or home dialysis), managing medications, and coordinating essential medical services. Transition decisions made hurriedly at the point of discharge can change patient outcomes, and can be implicated in costly hospital readmissions, serious medication errors and omissions in follow-up treatment.


The authors state, “As the US continues its pressing search for ways to contain healthcare costs and improve quality, the one group whose role has been largely ignored is the nation’s 41 million family caregivers… Family caregivers are a critical missing link in improving transitional care for frail older adults with disabilities.”


The report also examines the relatively few model transitional care programs that do support family caregivers, and concludes with recommendations on improvements needed for practice, research and public policy.


Authors: Mary Jo Gibson, MA, whose career spans 30 years of work on family caregiving, health and long-term services and supports (LTSS) policy; Kathleen Kelly, MPA, Executive Director of Family Caregiver Alliance, the National Center on Caregiving and the Bay Area Caregiver Resource Center; and Alan K. Kaplan, MSc, JD, who has more than 30 years of experience on patients’ rights, medical peer review and Medicare quality assurance issues. The report is available at: http://caregiver.org/caregiver/jsp/content/pdfs/FamCGing_TransCare_CritRvw_FINAL10.31.2012.pdf


A second report, Selected Caregiver Assessment Measures: A Resource Inventory for Practitioners, was developed for researchers and program developers to accurately assess the knowledge and well-being of family caregivers as they perform the tasks necessary to maintain the health of their ill or elderly relatives. It is the second edition and follow-up for the first Resource Inventory, published by Family Caregiver Alliance’s National Center on Caregiving in 2002.


Many family caregivers have multiple, varied and serious unmet financial, physical, emotional and social needs which require attention. As healthcare continues to move into home settings, it is important not only to assess the skills and capacity of caregivers to provide care, but also to address caregiver well-being and health in order to prevent more serious health problems for families in the long-term. Valid, reliable assessment tools are necessary to gauge families’ abilities to continue providing care.


The Resource Inventory provides a compendium of caregiver assessment measures that are practice-oriented, practical and applicable, and which address the multidimensional aspects of the caregiving experience.


“As the population ages and caregiving needs increase throughout the country, the essential role families play in the healthcare system is undeniable,” said FCA’s Kathleen Kelly. “At the same time, healthcare budgets are severely stressed and resources strained. Whether family caregivers provide transportation, food preparation, help with personal care or complex medical care such as dealing with wound care or feeding tubes, they are involved at every level. Unfortunately, caregivers’ needs are often unassessed, unrecognized, or even worse, ignored.”


The Resource Inventory was developed by Family Caregiver Alliance’s National Center on Caregiving in collaboration with the Margaret Blenkner Research Institute of the Benjamin Rose Institute on Aging. It was compiled by Sarah Schwartz, MSSA and Laura Darlak, BA, under supervision of Carol J. Whitlatch, PhD, with oversight by Kathleen Kelly, MPA. David M. Bass, PhD, was the reviewer. The report is available at: http://caregiver.org/caregiver/jsp/content/pdfs/SelCGAssmtMeas_ResInv_FINAL_12.10.12.pdf


Family Caregiver Alliance and its National Center on Caregiving offer local and national programs to support and sustain the important work of families and friends caring for loved ones with chronic, disabling health conditions. A wealth of caregiving advice, resource listings, newsletters, fact sheets, research reports, policy updates, discussion groups, and the Family Care Navigator are available free on the FCA website. Visit http://www.caregiver.org or call (800) 445-8106 for more information.


SOURCE Family Caregiver Alliance


Seniors/Aging News Headlines – Yahoo! News





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