Global Update: GlaxoSmithKline Tops Access to Medicines Index


Sang Tan/Associated Press







GlaxoSmithKline hung on to its perennial top spot in the new Access to Medicines Index released last week, but its competitors are closing in.


Every two years, the index ranks the world’s top 20 pharmaceutical companies based on how readily they get medicines they hold patents on to the world’s poor, how much research they do on tropical diseases, how ethically they conduct clinical trials in poor countries, and similar issues.


Johnson & Johnson shot up to second place, while AstraZeneca fell to 16th from 7th. AstraZeneca has had major management shake-ups. It did not do less, but the industry is improving so rapidly that others outscored it, the report said.


The index was greeted with skepticism by some drugmakers when it was introduced in 2008. But now 19 of the 20 companies have a board member or subcommittee tracking how well they do at what the index measures, said David Sampson, the chief author.


The one exception was a Japanese company. As before, Japanese drugmakers ranked at or near the index’s bottom, and European companies clustered near the top. Generic companies — most of them Indian — that export to poor countries are ranked separately.


Johnson & Johnson moved up because it created an access team, disclosed more and bought Crucell, a vaccine company.


The foundation that creates the index now has enough money to continue for five more years, said its founder, Wim Leereveld, a former pharmaceutical executive.


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Text messaging celebrates 20th anniversary









You might not believe it, but text messaging is already past its teen years.


The thumb-numbing communications format that has become a favorite of teenagers and created a language of its own turned 20 on Monday.


The very first SMS was sent out on Dec. 3, 1992 when English engineer Neil Papworth, while working at the English tech company Sema, wrote "Merry Christmas" on his computer and sent it off to Vodafone director Richard Jarvis. 





Quiz: What set the Internet on fire in 2012?


You can hear a little more about the original text message from the very first person to send one in this commercial below by Best Buy, which was released earlier this year.



Since that time, of course, text messaging has changed quite a bit. We've gone from T9 predictive text messaging, to full QWERTY keyboard devices such as BlackBerrys, touchscreen smartphones and most recently, we can tell our voice-dictation services such as Siri to write our messages for us.


Text messaging has also gone mainstream, from being an activity exclusive to teens and young adults to becoming an essential way to communicate for many older adults.


According to a study by Experian, a research and analysis firm, 85% of adults 18 to 24 in the U.S. text message. On average they send and receive nearly 4,000 messages each month. That's followed by adults 25 to 34, about 80% of whom send and receive more than 2,000 messages every month. Even adults 55 and older are sending and receiving about 500 text messages on a monthly basis, though only about 20% of them text.


In recent years, alternative, free Internet-based text messaging services such as Apple's iMessage, Facebook messages and apps like WhatsApp and textPlus have also grown in popularity and dug into the number of SMS-based messages we send.


According to Chetan Sharma, a consulting firm, the 2012 third quarter was the first time text messaging in the U.S. saw a decline in both volume and revenue. Chetan Sharma's report listed free alternatives as the major reason for the decline.


But regardless of what the future may hold, hppy bday, txting :).


ALSO:


Pope Benedict XVI officially joins Twitter with live tweet event


Some new iMacs appear to have been assembled in the U.S.


Yahoo: iPhone 5 top searched gadget, second overall to 'election'





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Northridge residents stunned by multiple slayings









Shane Grady woke up "from a dead sleep" early Sunday when he heard gunshots.

He dropped to the floor and looked out his window, but the traffic on Devonshire Street blocked his view.

"If there was yelling or screaming, I couldn't hear it," he said.

Police arrived minutes later and began canvassing the neighborhood, a helicopter flying low overhead. By mid-morning, detectives were still at the house across from Grady's, where four people were found shot dead.

Investigators are still working to determine a motive and found no weapon at the scene, LAPD Cmdr. Andrew Smith said. No suspects are in custody.

L.A. Councilman Mitchell Englander, whose district includes parts of the San Fernando Valley, said the incident appeared to be isolated. He said the home was believed to be an unlicensed boarding home with multiple tenants.

Neighbors said rooms at the home were rented out and the residents appeared to be single men who primarily kept to themselves. At least four people live in an upstairs area, they said, but they did not know how many boarders in all reside there.

The neighbors also said there was nothing unusual about the home, except for some occasional loud music.

One woman who lives around the block from the residence said she heard loud music and yelling from the house about 1:30 a.m. She fell asleep about an hour later but said the music was still playing.

"I just figured it was a party that was out of control," she said.

Others described the street as quiet, the kind where neighbors know one another and people walk to the Jewish temple just houses away from where the shooting occurred. There have been a few incidents — a car chase last summer, a murder 10 years back — they said, but nothing like this.

"It's usually sleepy-time America," said Richard Rutherford, 58.

Rutherford heard the shots as well. The helicopter that came next, he said, was so low it "was shaking the rooftop."

Jeff Kaye, 62, said the helicopters weren't unusual — the Devonshire police station is just a few blocks away. But the shootings were unusual, he said.

"It concerns you," he said. "You want to know what's going on."

Englander said he was "shocked" by the shootings.

"Typically, you don't have these kinds of incidents in this type of community," he said.

Grady said the same thing.

"How often in this neighborhood do you hear about four dead bodies?" Grady said.

Crime for last six months in Northridge:
Violent crimes (89)
   
Property crimes (895)
   
The violent crime rate for Northridge falls in the middle of all Los Angeles city neighborhoods, but homicide is rare in the community, according to LAPD data analyzed in The Times Crime L.A. database. In the previous six months, Northridge had one homicide among the 89 violent crimes reported. The location of the homicides discovered Sunday is on the border with Granada Hills, which typically has a much lower violent-crime rate than Northridge.

Since 2007 -- prior to Sunday's quadruple homicide -- Northridge had 11 homicides, all but one south of Nordhoff Street, according to L.A. County coroner's data compiled in The Times Homicide Report. The most recent took place Sept. 25, when Louis Villegas, 25, was fatally shot near Balboa Boulevard and Parthenia Street. Villegas was riding in a Lexus that had pulled over to the side of the road when a man approached and began shooting.

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Here’s How to Turn Nicki Minaj into Jay-Z












We realize there’s only so much time one can spend in a day watching new trailers, viral video clips, and shaky cell phone footage of people arguing on live television. This is why every day The Atlantic Wire highlights the videos that truly earn your five minutes (or less) of attention. Today:


RELATED: It’s Sort of Fun Watching Pippa Middleton Squirm












This is silly, but it’s Friday and a unicorn lair has been found in North Korea, rendering all other silliness moot. But the folks over at Reddit seem to dig the idea of slowing down Nicki Minaj’s songs so much that they sound like an over-enunciating Jay-Z. And well, it’s oddly relaxing: 


RELATED: ‘Roseanne’ Predicted Internet Addiction; A Weather Alert from Hell


RELATED: The Honey Boo Boo Nature Special; Everyone’s Favorite Sleepwalking Mom


Another week has passed by and we still haven’t figured out the Fiscal Cliff situation. Let’s fix it—and not just because we want to avoid getting downgraded (again). Because honestly, we just don’t think CNBC’s Rick Santelli can make it another two weeks: 


RELATED: Cookie Monster Takes a Bite Out of ‘Call Me Maybe’


RELATED: Paul Ryan Was In a Band Called Steak Baby


James Lipton, let’s hang out: 


Finally, it’s Friday. What are you still doing here?  Go enjoy the weekend or something or … watch this video of a husky which sort of sounds like Dame Edna at time imitating a baby until 6 p.m. rolls around: 


Wireless News Headlines – Yahoo! News


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Young down by boardwalk for benefit show

NEW YORK (AP) — Neil Young said Sunday that he couldn't see performing in the area devastated by Superstorm Sandy without doing something to help people who were affected by it.

Young and his longtime backing band, Crazy Horse, will hold a benefit concert for the American Red Cross' storm relief effort Thursday at the Borgata Hotel Casino & Spa in Atlantic City. The New Jersey coastline areas were hit hard by the storm in late October.

People in the New York area who suffered damage in the storm have been supporting him for 40 years, he said.

"I couldn't see coming back here and just playing and have it be business as usual," he said. Young is touring in the area, with concerts scheduled for Monday in Brooklyn and Tuesday in Bridgeport, Conn.

Minimum ticket prices for the standing-room show in Atlantic City will be $75 and $150, although Young notes there's no maximum. He hopes to raise several hundred thousand dollars for the Red Cross.

Young said he was invited to join the Dec. 12 benefit at New York's Madison Square Garden that will feature Bruce Springsteen, Paul McCartney, the Who, Kanye West and others, but had other obligations. Besides, there's enough star power there, he said.

"It wasn't going to make much difference whether I was there or not, so I decided to go someplace where I could make a difference," he said.

Young performed at a televised benefit in 2001 following the Sept. 11 terrorist attacks, memorably covering John Lennon's "Imagine."

Fans can expect a two-hour plus rock show on Thursday with opening band Everest. No special guests are planned, although Young issued an invitation to "anyone who wants to come in and play with us that we know and we know can play."

It's hard to resist wondering whether Young's epic "Like a Hurricane" will make it onto the set list, given the occasion.

"Anything's possible," Young said. "We have the equipment."

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Unboxed: Stand-Up Desks Gaining Favor in the Workplace





THE health studies that conclude that people should sit less, and get up and move around more, have always struck me as fitting into the “well, duh” category.




But a closer look at the accumulating research on sitting reveals something more intriguing, and disturbing: the health hazards of sitting for long stretches are significant even for people who are quite active when they’re not sitting down. That point was reiterated recently in two studies, published in The British Journal of Sports Medicine and in Diabetologia, a journal of the European Association for the Study of Diabetes.


Suppose you stick to a five-times-a-week gym regimen, as I do, and have put in a lifetime of hard cardio exercise, and have a resting heart rate that’s a significant fraction below the norm. That doesn’t inoculate you, apparently, from the perils of sitting.


The research comes more from observing the health results of people’s behavior than from discovering the biological and genetic triggers that may be associated with extended sitting. Still, scientists have determined that after an hour or more of sitting, the production of enzymes that burn fat in the body declines by as much as 90 percent. Extended sitting, they add, slows the body’s metabolism of glucose and lowers the levels of good (HDL) cholesterol in the blood. Those are risk factors toward developing heart disease and Type 2 diabetes.


“The science is still evolving, but we believe that sitting is harmful in itself,” says Dr. Toni Yancey, a professor of health services at the University of California, Los Angeles.


Yet many of us still spend long hours each day sitting in front of a computer.


The good news is that when creative capitalism is working as it should, problems open the door to opportunity. New knowledge spreads, attitudes shift, consumer demand emerges and companies and entrepreneurs develop new products. That process is under way, addressing what might be called the sitting crisis. The results have been workstations that allow modern information workers to stand, even walk, while toiling at a keyboard.


Dr. Yancey goes further. She has a treadmill desk in the office and works on her recumbent bike at home.


If there is a movement toward ergonomic diversity and upright work in the information age, it will also be a return to the past. Today, the diligent worker tends to be defined as a person who puts in long hours crouched in front of a screen. But in the 19th and early 20th centuries, office workers, like clerks, accountants and managers, mostly stood. Sitting was slacking. And if you stand at work today, you join a distinguished lineage — Leonardo da Vinci, Ben Franklin, Winston Churchill, Vladimir Nabokov and, according to a recent profile in The New York Times, Philip Roth.


DR. JAMES A. LEVINE of the Mayo Clinic is a leading researcher in the field of inactivity studies. When he began his research 15 years ago, he says, it was seen as a novelty.


“But it’s totally mainstream now,” he says. “There’s been an explosion of research in this area, because the health care cost implications are so enormous.”


Steelcase, the big maker of office furniture, has seen a similar trend in the emerging marketplace for adjustable workstations, which allow workers to sit or stand during the day, and for workstations with a treadmill underneath for walking. (Its treadmill model was inspired by Dr. Levine, who built his own and shared his research with Steelcase.)


The company offered its first models of height-adjustable desks in 2004. In the last five years, sales of its lines of adjustable desks and the treadmill desk have surged fivefold, to more than $40 million. Its models for stand-up work range from about $1,600 to more than $4,000 for a desk that includes an actual treadmill. Corporate customers include Chevron, Intel, Allstate, Boeing, Apple and Google.


“It started out very small, but it’s not a niche market anymore,” says Allan Smith, vice president for product marketing at Steelcase.


The Steelcase offerings are the Mercedes-Benzes and Cadillacs of upright workstations, but there are plenty of Chevys as well, especially from small, entrepreneurial companies.


In 2009, Daniel Sharkey was laid off as a plant manager of a tool-and-die factory, after nearly 30 years with the company. A garage tinkerer, Mr. Sharkey had designed his own adjustable desk for standing. On a whim, he called it the kangaroo desk, because “it holds things, and goes up and down.” He says that when he lost his job, his wife, Kathy, told him, “People think that kangaroo thing is pretty neat.”


Today, Mr. Sharkey’s company, Ergo Desktop, employs 16 people at its 8,000-square-foot assembly factory in Celina, Ohio. Sales of its several models, priced from $260 to $600, have quadrupled in the last year, and it now ships tens of thousands of workstations a year.


Steve Bordley of Scottsdale, Ariz., also designed a solution for himself that became a full-time business. After a leg injury left him unable to run, he gained weight. So he fixed up a desktop that could be mounted on a treadmill he already owned. He walked slowly on the treadmill while making phone calls and working on a computer. In six weeks, Mr. Bordley says, he lost 25 pounds and his nagging back pain vanished.


He quit the commercial real estate business and founded TrekDesk in 2007. He began shipping his desk the next year. (The treadmill must be supplied by the user.) Sales have grown tenfold from 2008, with several thousand of the desks, priced at $479, now sold annually.


“It’s gone from being treated as a laughingstock to a product that many people find genuinely interesting,” Mr. Bordley says.


There is also a growing collection of do-it-yourself solutions for stand-up work. Many are posted on Web sites like howtogeek.com, and freely shared like recipes. For example, Colin Nederkoorn, chief executive of an e-mail marketing start-up, Customer.io, has posted one such design on his blog. Such setups can cost as little as $30 or even less, if cobbled together with available materials.


UPRIGHT workstations were hailed recently by no less a trend spotter of modern work habits and gadgetry than Wired magazine. In its October issue, it chose “Get a Standing Desk” as one of its “18 Data-Driven Ways to Be Happier, Healthier and Even a Little Smarter.”


The magazine has kept tabs on the evolving standing-desk research and marketplace, and several staff members have become converts themselves in the last few months.


“And we’re all universally happy about it,” Thomas Goetz, Wired’s executive editor, wrote in an e-mail — sent from his new standing desk.


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Port-strike talks continue even on Sunday, but stalemate goes on









At least they are talking, even on Sunday.


Labor contract negotiations are set to resume today in the now six-day-old strike at the ports of Los Angeles and Long Beach. Talks had continued past 9 p.m. Saturday night.


The strike, by the 800-member International Longshore and Warehouse Union Local 63 Office Clerical Unit, has shut down 10 of the 14 cargo container terminals at the nation's busiest seaport complex.

The labor fight pits the union against a group of shipping lines and cargo terminal operators calling themselves the Los Angeles/Long Beach Harbor Employers Assn.





The strike is considered a potentially disastrous event for the Southern California economy because the ports of Los Angeles and Long Beach are the leading contributors to the region's goods movement industry that employs about 595,000 people.


Last year, the two ports handled 39.5% of the total value of all cargo container imports entering the U.S. from origins worldwide, according to Jock O'Connell, international trade economist and adviser to Beacon Economics.


The union, which handles the vast amount of paperwork associated with the ports' container cargo, has been working without a contract since June 30, 2010.


The strike has crippled the port because of support from the ILWU dockworkers, who have 50,000 members on the U.S. West Coast, in Canada and in Hawaii. The dockworkers negotiate their contracts separately, but the 10,000 members who work at the Los Angeles and Long Beach ports have honored the smaller union's picket lines.


As a result, seven of the eight cargo container terminals at the Port of Los Angeles remain closed. Three of the six cargo container terminals at the Port of Long Beach are also closed.


The union says that its main issue is what it claims is the outsourcing of its jobs, which are being lost through attrition, retirements, illnesses or other reasons.


The shipping lines and terminal operators say the union's outsourcing claims are bogus and say they have offered "absolute job security."


The employers have repeatedly said the union members are the highest-paid clerical workers in the U.S., having a total compensation package of $165,000 a year, including wages, benefits, pension contributions and paid vacation. That package would be worth $195,000 a year under management's new offer, the employers have said.


On Saturday, the union offered a rebuttal, saying that the employers' claims were misleading. Wages reached $40 to $41 an hour, for an annual pay level of $80,000 to $82,200 a year, not counting overtime, retirement or benefits. The union has asked for a 2.5% raise, said union spokesman Craig Merrilees.


Merrilees added that the union has had one pay increase in the past four years.


Since the strike started, nine ships have either diverted at sea or briefly anchored outside the ports before leaving to unload at another harbor.


There were no new ship diversions reported on Sunday, said Capt. Dick McKenna, executive director of the Marine Exchange of Southern California, which tracks vessel movements.


Other than the lightly manned picket lines, the ships were the biggest evidence of the strike on Sunday.


Nine cargo container ships were anchored offshore Sunday: the APL London; the Hanjin ships Constantza, Algeciras and Chongqing; the Hyundai Hong Kong; the Ital Contessa; the Kota Wangsa; the Maersk Merlion; and the Liberian-flagged Talassa.


Normally, those ships would have gone straight to dock for unloading, but there is no room for them yet because of the strike.


Three more container ships are due to arrive today and 11 more container ships are scheduled to arrive on Monday.


ALSO:


New airline fees discussed


Warehouse workers slam Wal-Mart


Port talks shift into higher gear, but strike continues






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Pete's Harbor live-aboards fight for their way of life









REDWOOD CITY, Calif. — Pete Uccelli took 20 acres of swampland and transformed it into a boatyard and marina, welcoming visitors and residents of his beloved town to stroll the docks and feed the ducks.


His restaurant on the southern edge of San Francisco Bay became a gathering spot — hosting Rotary Club meetings, business lunches and quinceaƱeras.


"Pete's Harbor" also was a haven for "live-aboards," who rejoiced in the riches of the wildlife refuge a stone's throw away and often shared their unique lifestyle over barbecue and beers.





But after nearly six decades, it looks like it's all coming to an end.


Boaters and motor home owners — well over 100 of them full-time residents — were told by Uccelli's widow, Paula, that they'd have to clear out by Jan. 15.


Her husband had started talking about selling the land for development more than a decade ago. After several starts and stops, planning commissioners late last month approved a Colorado builder's plan to raze the restaurant, construct more than 400 condos and apartments and restrict the marina's slips to use by the new residents.


Although many boaters gave up and pulled out — their slips have been cordoned off with yellow tape to ensure that they stay vacant — a dedicated group of residents is calling for compromise.


"It's not really about us," said Roger Smith, 68, who used to dine at Pete's restaurant when it was a thatch-roofed hamburger shack. He parked his motor home here for good seven years ago. "It's about Redwood City and the rest of the region — and what it's going to lose."


Just up Redwood Creek from Pete's, the same developer demolished hundreds of live-aboard boat slips a few years back. At marinas with slips directly on San Francisco Bay waters — as some of Pete's are — a state conservation commission limits live-aboards to 10% of the total, and waiting lists for larger vessels tend to be long. Marinas without adequate parking, bathrooms or pump-out facilities don't allow live-aboards at all.


The current residents of Pete's Harbor have appealed the city Planning Commission's decision and suggested that an alternative plan could allow for some development while still preserving a commercial marina that would let them stay. After all, they noted, the city's General Plan pays plenty of lip service to the value of "floating communities" here — both culturally and as affordable housing.


Behind the grass-roots offensive is a history of opposition to bayfront development in Redwood City — a community of 80,000 on the outskirts of Silicon Valley. In fact, voters eight years ago rejected a zoning change that would have allowed a much larger project to be built on the same land.


This time, opponents asserted, the plan was jammed through without adequate public scrutiny at a time when the city is reassessing its vision for its inner harbor area.


"It was a done deal," said Buckley Stone, 54, a boisterous veteran who has lived here for 20 years with his wife, Wendy.


But the city planning manager, Blake Lyon, said the project fit the area's zoning designation and did not warrant greater input because the environmental impact report conducted years ago for the larger project needed only to be amended, not redone.


Still, the appeal will give live-aboard tenants a chance to air their concerns before the City Council in late January.


According to Ted Hannig, a longtime friend and attorney of the Uccellis, the current residents have had month-to-month leases since 2002 and knew the harbor would one day change hands. Ninety percent of them, he added, even signed a lease addendum that noted the marina was up for sale and agreed to leave their slips when asked.


"Pete's Harbor has no obligation to have live-aboards there," said Hannig, who has considered himself a boater since he built his first raft out of bamboo and bedsheets at age 11. "What they don't want to say is that they're not keeping their word to a dead man or to Paula, his widow."


Even some who sympathize with the Pete's Harbor residents said they should have known their paradise wouldn't last forever.


"It's like a hurricane in the Gulf," said Mark Sanders, who recently opened the nearby Westpoint Harbor Marina — the Bay Area's first new facility in decades. "If you're living in Jacksonville, Fla., you know you're going to get whacked with a hurricane. You just don't know when."


When Paula Uccelli told her boating and RV tenants in September that they'd have to be out after the New Year's holidays, they started mobilizing.


Alison Madden — a technology attorney who moved here in an Airstream trailer in May with her two kids while she searched for a boat — kicked into research mode. Leslie Webster, a freelance writer and communications consultant, helped start a blog. Brenda Hattery — who with her husband has cruised the West Coast and parts of Mexico in a pre-World War II schooner and settled here a year ago — put together a video to set the record straight on the kind of people live-aboards are — and aren't.


They gathered 1,600 signatures in one frenzied week and showed up in force at the Planning Commission hearing Oct. 30. But commissioners were unanimous: The project complied with the area's zoning, and the owner had a right to sell.


Still, the live-aboards are not giving up.


They are lobbying the California State Lands Commission and the San Francisco Bay Conservation and Development Commission, both of which have jurisdiction over some of the land and still must sign off on the development as in the public interest.


"I think what they fail to understand," said Webster, "is that even if we move, we're still going to be pursuing this."


But every day now, said resident Wendy Stone, someone else floats off, making the marina "a little less beautiful."


lee.romney@latimes.com





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Ricky Martin finds new home on small screen

NEW YORK (AP) — Ricky Martin is saying goodbye to Broadway's "Evita." But don't cry for him.

The Latin superstar has a slew of new projects in the works, including two television series and a children's book.

"It's about growing," said Martin in an interview Friday. "It's a moment in my life where I just need to absorb and be surrounded by amazing actors and musicians and grow as an entertainer. I think this is going to be an amazing year for that."

Martin takes his final bow in the Andrew Lloyd Webber revival on Jan. 26. Then he heads down under to join the second season of the Australian edition of "The Voice." But the Grammy winner says not to expect any biting, Simon Cowellesque critiques.

"I don't believe in tough love. I believe in love, and I believe in being nurturing to new talented men and women," he said at an M.A.C. Viva Glam event for Saturday's World AIDS Day. Martin partnered with the cosmetics brand to raise awareness and funding for HIV/AIDS programs worldwide.

The "Livin' la Vida Loca" singer is developing a new series for NBC, expected in 2013. He's producing, writing and will star in the currently untitled dramedy, where he hopes to tackle social issues with humor.

He's also writing his second book and admitted he didn't have to look far for inspiration.

"I think it's time to write about things that I've been through with my kids that I'm sure many daddys out there will understand," said the father of 4-year-old twins Matteo and Valentino.

The family-friendly story about self-esteem is slated for release next summer.

___

AP writer Sigal Ratner-Arias contributed to this story.

___

Follow Nicole Evatt on Twitter at http://twitter.com/NicoleEvatt

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Opinion: A Health Insurance Detective Story





I’VE had a long career as a business journalist, beginning at Forbes and including eight years as the editor of Money, a personal finance magazine. But I’ve never faced a more confounding reporting challenge than the one I’m engaged in now: What will I pay next year for the pill that controls my blood cancer?




After making more than 70 phone calls to 16 organizations over the past few weeks, I’m still not totally sure what I will owe for my Revlimid, a derivative of thalidomide that is keeping my multiple myeloma in check. The drug is extremely expensive — about $11,000 retail for a four-week supply, $132,000 a year, $524 a pill. Time Warner, my former employer, has covered me for years under its Supplementary Medicare Program, a plan for retirees that included a special Writers Guild benefit capping my out-of-pocket prescription costs at $1,000 a year. That out-of-pocket limit is scheduled to expire on Jan. 1. So what will my Revlimid cost me next year?


The answers I got ranged from $20 a month to $17,000 a year. One of the first people I phoned said that no matter what I heard, I wouldn’t know the cost until I filed a claim in January. Seventy phone calls later, that may still be the most reliable thing anyone has told me.


Like around 47 million other Medicare beneficiaries, I have until this Friday, Dec. 7, when open enrollment ends, to choose my 2013 Medicare coverage, either through traditional Medicare or a private insurer, as well as my drug coverage — or I will risk all sorts of complications and potential late penalties.


But if a seasoned personal-finance journalist can’t get a straight answer to a simple question, what chance do most people have of picking the right health insurance option?


A study published in the journal Health Affairs in October estimated that a mere 5.2 percent of Medicare Part D beneficiaries chose the cheapest coverage that met their needs. All in all, consumers appear to be wasting roughly $11 billion a year on their Part D coverage, partly, I think, because they don’t get reliable answers to straightforward questions.


Here’s a snapshot of my surreal experience:


NOV. 7 A packet from Time Warner informs me that the company’s new 2013 Retiree Health Care Plan has “no out-of-pocket limit on your expenses.” But Erin, the person who answers at the company’s Benefits Service Center, tells me that the new plan will have “no practical effect” on me. What about the $1,000-a-year cap on drug costs? Is that really being eliminated? “Yes,” she says, “there’s no limit on out-of-pocket expenses in 2013.” I tell her I think that could have a major effect on me.


Next I talk to David at CVS/Caremark, Time Warner’s new drug insurance provider. He thinks my out-of-pocket cost for Revlimid next year will be $6,900. He says, “I know I’m scaring you.”


I call back Erin at Time Warner. She mentions something about $10,000 and says she’ll get an estimate for me in two business days.


NOV. 8 I phone Medicare. Jay says that if I switch to Medicare’s Part D prescription coverage, with a new provider, Revlimid’s cost will drive me into Medicare’s “catastrophic coverage.” I’d pay $2,819 the first month, and 5 percent of the cost of the drug thereafter — $563 a month or maybe $561. Anyway, roughly $9,000 for the year. Jay says AARP’s Part D plan may be a good option.


NOV. 9 Erin at Time Warner tells me that the company’s policy bundles United Healthcare medical coverage with CVS/Caremark’s drug coverage. I can’t accept the medical plan and cherry-pick prescription coverage elsewhere. It’s take it or leave it. Then she puts CVS’s Michele on the line to get me a Revlimid quote. Michele says Time Warner hasn’t transferred my insurance information. She can’t give me a quote without it. Erin says she will not call me with an update. I’ll have to call her.


My oncologist’s assistant steers me to Celgene, Revlimid’s manufacturer. Jennifer in “patient support” says premium assistance grants can cut the cost of Revlimid to $20 or $30 a month. She says, “You’re going to be O.K.” If my income is low enough to qualify for assistance.


NOV. 12 I try CVS again. Christine says my insurance records still have not been transferred, but she thinks my Revlimid might cost $17,000 a year.


Adriana at Medicare warns me that AARP and other Part D providers will require “prior authorization” to cover my Revlimid, so it’s probably best to stick with Time Warner no matter what the cost.


But Brooke at AARP insists that I don’t need prior authorization for my Revlimid, and so does her supervisor Brian — until he spots a footnote. Then he assures me that it will be easy to get prior authorization. All I need is a doctor’s note. My out-of-pocket cost for 2013: roughly $7,000.


NOV. 13 Linda at CVS says her company still doesn’t have my file, but from what she can see about Time Warner’s insurance plans my cost will be $60 a month — $720 for the year.


CVS assigns my case to Rebecca. She says she’s “sure all will be fine.” Well, “pretty sure.” She’s excited. She’s been with the company only a few months. This will be her first quote.


NOV. 14 Giddens at Time Warner puts in an “emergency update request” to get my files transferred to CVS.


Frank Lalli is an editorial consultant on retirement issues and a former senior executive editor at Time Warner’s Time Inc.



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