The market may infect open a 22,000 this morning. Take a look at the euro zone indices this morning. Ft 100 up two thirds of a percent in the dax index of two thirds as well. Gains across the board to report. The hang seng in hong kong and the kospi in korea. On to the white house another major shakeout. Anthony scaramucci has been taking out his medications director less than two weeks after taking a job. The issue reportedly coming from the white house chief is not, general john kelly during his first day. The administration looking to move forward in policy as the holds a meaningless mall Business Owners this afternoon. Look at tax reform and prospects as well. New developments in the investigation into the congressional base all shooting in the Capitol Police went to the wrong location first. They went to the home of House Minority leader nance nicolosi instead of going to the baseball field. What we know coming up this morning. Chaos in venezuela. Opposition leaders taken from the
Association of the association of american medical colleges issued a report calling for much stronger conflict of interest standards, leaders standards, leaders with individual schools saying we just cannot keep going. All of all of those things came together, and the law passed in 2010. But the other piece of context that i think is not proximal to the laws passage but is important to understanding how it fits is this sort of much wider recognition that we really need to understand in this country that drivers of Health Care Costs and where the dollars go, and if you go back to 2,007 it would be close to unimaginable that cms would be publishing individual physician payment records. And so we now have the 1st report from the sunshine act 3. 7 Million Dollars in payments. Thats around nine billion a year, funds that that are either going to research and Product Development which is important and important for the public to understand are going to drive uptake of particular products whi
Weeds here, to maintain a practicing license has to get a certain amount of continuing medical education every year. And whats happened over the past decade and a half is more and more of that continuing medical education has been funded by the Drug Companies or the companies that make certain products. And the challenge is as the questioner pointed out, the funding passes through and its technically an unrestricted grant and there are various fire walls in place. Everybody who has looked at this from the Senate Investigations to the institute of medicine to the american medical colleges report have all expressed deep concern about the potential of cme funding to influence prescribing. But its been a tricky issue of how do you capture it. What cme has come down on it is if a Company Finds out within the year that their funds were used to went to a particular doctor then thats a reportable payment and thats consistent with how other indirect payments through an intermediary are treated
Journal articles to providers out there and whether or not that should be reported. Its one that you and i spent time on and thats a challenging one absolutely but ultimately i am comfortable with sitting down with my provider and asking about a payment showing up in the database and having her tell me that this is related to learning more about this condition, which you dont have but another patient may have and that is why that was there. There are choices. Its to not take it, to take it and report it, or to purchase it on your own. Those are legitimate choices and providers have the opportunity to make those and then the reports go to the database and the patients can ask. We continue to believe thats totally legitimate and legal and attaching we are not rushing to attach judgment here and i hope i can continue to make that case successfully here. Can you wait for the mic please . The idea that a physician should never talk to a pharmaceutical rep or a device rep is like saying plea
Salmonthompson amendment. Daca protects a large number of unlawfully resident aliens from deportation. In addition to constitutional concerns and National Security implications madam chair, the action poses a range of unintended consequences. Case in point the president s policy creates a incentive to hire Illegal Immigrants over lawfully present workers. Illegal aliens who are granted deferred action are exempt from being counted under the 2010 Health Care Laws employer mandate. Which requires employers with 50 or more employees to offer Health Insurance or pay a penalty. Essentially the president s create add situation where employers face a penalty for hiring americans over illegal aliens. Madam chairman, the president s current deferred action expansion promotes the hiring of individuals who have broken the law. Over the men and women who have come through legal channels worked hard, and played by the rules. Congressman salmon and i are proud to offer this commonsense amendment. Th