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Step therapy hurts America's sickest patients — reasonable parameters are needed now David R. Karp and Ann M. Palmer, opinion contributors © iStock Step therapy hurts America's sickest patients — reasonable parameters are needed now When he was just seven years old, Lorenzo started to experience frequent pain and swelling in his joints that grew worse until it was an everyday occurrence. When the swelling in his knees and ankles became so severe that he was unable to walk, Lorenzo was referred to a pediatric rheumatologist and diagnosed with juvenile arthritis -a condit...

Put up 40, i gather and democrats defeated every one. >> greta: we talked to senator grassley, i thought this would be an ive to -- people who work here up on capitol hill are going to be in the exchange except the leadership in which case people who work on those taff they get the existing one. of course it doesn't apply to the president voluntarily going into it. why any of -- >> the staffers who wrote the bill are exempted from it. all of the other staffers are included. it is inexplicable. they didn't have a defense for it. they voted stock step in a partisan way. -- voted step in a partis...

Put up 40, i gather and democrats defeated every one. >> greta: we talked to senator grassley, i thought this would be an ive to -- people who work here up on capitol hill are going to be in the exchange except the leadership in which case people who work on those taff they get the existing one. of course it doesn't apply to the president voluntarily going into it. why any of -- >> the staffers who wrote the bill are exempted from it. all of the other staffers are included. it is inexplicable. they didn't have a defense for it. they voted stock step in a partisan way. -- voted step in a partis...