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‘Profits over public health’: Secret TPP Healthcare Annex published by WikiLeaks

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WikiLeaks published more secret documents from the controversial TPP agreement on Wednesday. The leaked drafts concerning healthcare in the US have activists worried the agreement might play into the hands of big pharmaceutical companies.

The secret Trans-Pacific Paternship (TPP) negotiations showed that the Healthcare Annex has been seeking to regulate state schemes for medicines and medical devices. WikiLeaks said “it forces healthcare authorities to give big pharmaceutical companies more information about national decisions on public access to medicine.”

The secretly negotiated trade deal has been widely opposed by industry professionals and activists in many countries, as it could “empower big pharmaceutical firms to command higher reimbursement rates in the United States and abroad, at the expense of consumers,” the New York Times wrote. “American negotiators are still pressing participating governments to open the process that sets reimbursement rates for drugs and medical devices,” the publication added.

The latest disclosure links the Healthcare Annex to the secret draft “Transparency” Chapter of the TPP, along with each country’s negotiating position. The leaked “Annex on transparency and procedural fairness for pharmaceutical products and medical devices” is dated from December 2014, with the draft being restricted from release for four years after the passage of the TPP into law.

Pharmaceutical giants, mostly based in the United States, are “protecting profits over public health,” WikiLeaks says. Customers in poorer countries could suffer even more as neither governments or the local population “can afford to pay rates anywhere close to those charged in the West.”

I think it’s a shame that the annex is still being considered at all for the TPP,” Deborah Gleeson, a lecturer at the School of Psychology and Public Health at La Trobe University in Australia told the New York Times, adding it “was very clear to everyone except the US” that the proposal is not about transparency, but rather over a “decision-making processes around pricing.”

CHIpj3AW0AA9kZgThe newly leaked details from the secret trade negotiations among the 12-nation TPP bloc have worried experts from several countries, with analysts from Australia and New Zealand raising the alarm. The secret negotiations now allegedly reveal that Australia’s Pharmaceutical Benefits Scheme might be undermined, pushing up the cost of medicines in the country.

United States trade negotiators have aggressively pushed for provisions favoring multinational pharmaceutical manufacturers at the expense of national governments and public healthcare systems,” the Sydney Morning Herald wrote.

The Annex will also tie the hands of the US Congress in its ability to pursue reforms of the Medicare program,” the transparency group’s expert policy analysis revealed.

The leaked TPP document “shows that the pact could expose Medicare to pharmaceutical company attacks and constrain future policy reforms, including the ability of the US government to curb rising and unsustainable drug prices,” the US consumer rights advocacy group and think tank Public Citizen said in its Wednesday statement.

The group says president Obama’s administration has been “acting at the behest of pharmaceutical companies,” and the secret negotiations it has been holding within the partnership might affect Medicare, limiting “Congress’ ability to enact policy reforms that would reduce prescription drug costs for Americans.”

According to the New York Times, the latest TPP leak was released “ahead of the House vote on whether to give President Obama expanded powers to complete the Trans-Pacific Partnership.” The president’s “fast-track” power “to complete trade deals that cannot be amended or filibustered by Congress” has already been approved by the Senate.

It’s not the first time the Annex has been leaked to the public – the secret document has already been published in 2011. Although some healthcare harmful provisions have been removed, there is still a number of “serious questions and concerns,” the US think tank says. More than 25 chapters of the document remain secret.

 

HAROLD PINTER’S THOUGHT PROVOKING “BETRAYAL” AT NORTH COAST REP

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Jack Lyons Theatre & Film Critic
Jack Lyons Theatre & Film Critic

The late British playwright and Nobel laureate in Literature, Harold Pinter, was a master of the oblique and sometimes even the opaque, when it came to complex or complicated characters and plot situations. He was a playwright that forced one to become fully engaged in what was taking place in order to understand and appreciate the slices of English life he was illuminating on the stage.

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Carla Harting and Richard Baird-All images courtesy of Aaron Rumley

American audiences often found his work too elliptical, bewildering and esoteric to the point of losing his audience along the way; producing such comments as “boring” or “what is he trying to tell us”? We Yanks have been known to have short attention spans, causing some of us to leave the theatre at the interval shaking our heads. However, when one gets on Pinter’s wavelength, the journey can be extremely revealing, rewarding and entertaining.

Pinter’s quasi-tragic, autobiographically-based drama “Betrayal”, seamlessly and sharply directed by Frank Corrado, is in good hands.   Corrado is considered a Pinter expert, having produced and directed Pinter’s entire canon at Seattle’s ACT Theatre over three seasons.

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Richard Baird, Carla Harting and Jeffrey Fracé -All images courtesy of Aaron Rumley

The North Coast Repertory Theatre’s potent production of marriage infidelity and betrayal is full of clever directorial touches, like the timing of Pinteresque pauses and the overall pacing between the excellent ensemble cast of Carla Harting, Jeffrey Frace, and Richard Baird, with Benjamin Cole contributing as a pompous and frustrated European waiter.

Pinter’s usage of reverse chronology as a method of telling the story was innovative for its day (1978). The play begins in 1977 with a meeting between adulterous lovers, Emma (Carla Harting) and Jerry (Jeffrey Frace), two years after their affair has ended. During the nine scenes of the play, we move back in time through the various stages of their seven year affair, with the play ending in the home of Emma and Robert (Richard Baird) her husband, who is Jerry’s best friend.

The actors have insightfully captured the essence of what is usually referred to by Europeans as the coolness and passionless nature of the English. Harting nicely displays an understated English Rose exterior as well as her desire to get more excitement out of life as the lover of her husband’s best friend Jerry. Frace as Jerry, although married with children, lets his hormones make the decision to begin his affair with Emma following an evening of too much drinking at a party. Frace is a very determined, smooth, and an accomplished seducer who knows his way around infidelity.

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Frank Corrado directs a stellar cast: Richard Baird,* Jeffrey Fracé*, Carla Harting*, and Benjamin Cole. The cast-images courtesy of Aaron Rumley

Baird’s knowing cuckolded Robert, is a study of a man wounded and betrayed by his best friend. Baird’s controlled bluster on the outside belies the seething energy inside. We’re not sure what Robert is capable of doing, but over drinks in a Venetian restaurant one summer, we find out that Robert is no angel either. It’s a disciplined gem of a performance. One is reminded, at times, of the poignancy of that most achingly English of all illicit love-affair plays and movies: “Brief Encounter”, from the pen of the great Noel Coward.

The technical credits at North Coast Rep are always first rate. The creative team led by director Corrado once again provide the splendid one-two technical punch team of Set Designer Marty Burnett and Lighting designer Matt Novotny. Costumer designer Alina Bokovikova, as always creates spot-on costumes, along with sound design by Melanie Chen.

“Betrayal” is a sophisticated and provocative production for grownups that runs through June 28, 2015.

50 US hospitals overcharge uninsured by 1000% – study

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Fifty US hospitals charged uninsured patients an average of ten times more than they should have to provide medical care in 2012, a new study found. This equates to a patient who’s treatment should have cost $100, having to shell out $1,000.

The research, published in Health Affairs, found that all but one of the hospitals was a for-profit operation. Forty percent of them are located in Florida, and that most of the hospitals were owned by larger corporations, such as Community Health Systems, which operates half of the 50 hospitals with top consumer costs. Hospital Corp. of America operates 14 of the hospitals on the list.

“They are price-gouging because they can,” said Gerard Anderson, a professor at Johns Hopkins Bloomberg School of Public Health and co-author of the study, according to The Washington Post. “They are marking up the prices because no one is telling them they can’t.”

The study used Medicare data between May 2012 and April 30, 2013 to analyze hospitals that charged more than 10 times their average costs. They took the total charges of a hospital and then divided by the patient care cost. This was then defined as the total costs Medicare paid out for those holding the government-subsidized insurance policy.

“These are the hospitals that have the highest markup of all 5,000 hospitals in the United States,” Anderson added. “This means, when it costs the hospital $100, they are going to charge you, on average, $1,000.”

5adc238d4Outside of those with Medicare or Medicaid, the study’s authors said the high costs negatively impact all health consumers, including the uninsured, those with private insurance forced to visit out-of-network hospitals, and anyone who pays premiums, as high medical costs boost the price of health insurance. Patients using workers’ compensation and those covered by automobile insurance are also disproportionately affected, the study found.

“Collectively, this system has the effect of charging the highest prices to the most vulnerable patients and those with the least market power,” Anderson and co-author Ge Bai, of Washington and Lee University, wrote. The results are “exceptionally high medical bills, which often leads to personal bankruptcy or the avoidance of needed medical services.”

The most expensive hospital was North Okaloosa Medical Center in the Florida Panhandle. The hospital charged uninsured patients an average of 12.6 times the actual cost of care. New Jersey’s Carepoint Health-Bayonne Hospital had the same rate, but the state requires discounts to be provided to some uninsured patients.

In comparison, the average US hospital charges 3.4 times the cost of patient care.

Maryland and West Virginia are the only states that regulate hospital mark-ups, the study found.

Community Health Systems, which reported revenue of $4.91 billion in the first quarter of 2015, disputed the study’s findings, saying that it relied on a pricing list that is rarely followed.

“Last year, our organization provided over $3.3 billion in charity care, discounts and other uncompensated care for those who can’t afford health care services,” spokeswoman Tomi Galin told the Associated Press.

The Federation of American Hospitals added that the hospitals in question offered about $450 million in uncompensated care in 2012.

The study came about after co-author Bai received a hospital bill following the birth of her son.

“I realized that I could not understand the bill,” Bai, a certified public accountant, told the Post. If she could not understand it, how could the average person?

“We do not understand the bills for this, our most valuable asset,” she said. “This is ridiculous and sad.”

WORLD PREMIERE MUSICAL “EVERYBODY’S TALKIN’: THE MUSIC OF HARRY NILSSON” DEBUTS AT SAN DIEGO REPERTORY THEATRE

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Jack Lyons Theatre & Film Critic
Jack Lyons Theatre & Film Critic

San Diego Repertory Theatre, one of the country’s finest urban theatre venues has a winning world premiere hit on its hands thanks to two Tony Award-winning actors in Alice Ripley and Gregory Jbara, along with local San Diego tenor Kurt Norby and the musical direction of Korrie Paliotto and her onstage band of musicians.

Alice Ripley Gregory Jbara by_Daren_Scott-web
Alice Ripley Gregory Jbara by_Daren_Scott-web

The company, under the direction of Javier Velasco bring the music of Harry Nilsson, one of America’s unheralded and relatively unknown singer/songwriters, to vivid life.  The musical tribute to the late singer the Beatles called their favorite American artist, is conceived by actor and musical arranger extraordinaire Steve Gunderson and Javier Velasco, the artistic director of the San Diego Ballet.

“Everybody’s Talkin’” is more of a free-flowing musical tribute than a traditional book musical.  There isn’t one line of scripted dialogue spoken by the performers.  It’s just the genius of Nilsson who was a poet/philosopher and a reluctant troubadour performer, whose songs lend themselves to the inspired arrangements by Gunderson and the staging by Velasco that propel the show along.

Gregory Jbara Kurt_Norby Alice Ripley by Daren Scott-web
Gregory Jbara Kurt_Norby Alice Ripley by Daren Scott-web

More than fifty musical numbers lovingly and beautifully performed by Ripley, Jbara and Norby deliver the clever and off-beat lyrics and music to the audience that illuminates the insight and genius of Nilsson, and his uncanny knack of being able to connect with his fans on their wavelength.  If you have ever been in love, crazy love, and lost that love, then you’ve experienced the emotions and feelings that Nilsson so brilliantly engenders in his music and lyrics (bring two hankies – the love game is a rough and tough competition).

The American singer songwriter Bill Withers also had the talent and skill to tap into those aching emotions with his “Ain’t No Sunshine” lament back in 1971.  Belgian Jacques Brel was another singer songwriter who excelled in the game of love, loss, and pain with his haunting song “If You Go Away”.

What is so entertaining about “Everybody’s Talkin’ is the variety and range of the songs performed by mezzo-soprano Ripley.  She has that wonderful instrument that produces a vocal range from softness to off-the-charts power, when called for.  It also helps that she is an accomplished actor and musical theatre performer who just doesn’t sing the lyrics, she acts them out and lives the lyrics. It’s an impressive performance.

Cast and Band by Daren Scott
Cast and Band by Daren Scott

Jbara’s light comedy baritone has just the right amount of whimsy and an easy manner to engage the audience.  The chemistry between Ripley, Jbara, and Norby in three part harmony is the sizzle that sells the steak in all of their musical numbers especially these standouts: “Ten Little Indians”; “Coconut”; “I Said Goodbye To Me”; “All I Think About Is You”; and the haunting “I Will Never Leave You” and the achingly poignant “Without You”.  And, of course, the finale number by the entire company singing “Everybody’s Talkin”.

The technical credits are first rate beginning with Musical Director Korrie Paliotto and her musicians: Jessie Audelo on Woodwins; P.J. Bovee on Guitar and Keyboard; Issac Crow on Bass and Percussion and Dave Rumley on Drums and Vibraphone.  The set design by Sean Fanning is a study in circular levels that work well for the performers who need the space to move about without leaving the stage.  The lighting design by Philippe Bergman is especially sharp and effective in making sure the stars are always in their light whether moving or stationary.

It’s a delightful evening of theatre: Three highly accomplished performers singing the songs of the late, gifted and talented Grammy- winning singer/songwriter/performer Harry Nilsson.  It doesn’t get much better than this.

This splendid production performs at San Diego Repertory Theatre’s Lyceum Stage at Horton Plaza through June 21, 2015.  Don’t miss it!

FIFA Scandal; Blatter resigns!

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That is a football hammer! Sepp Blatter (79) throws the towel and resigns as president of FIFA!

Now ‘Sun King’ Blatter has taken the consequences. After 17 years at the head of the world football’s governing body the FIFA, he resigns. However, until a successor has been found, he remains in office.

At 6:30 pm Blatter appeared at the FIFA headquarters before the press and presented the breaking news bomb. Blatter exhibited signs of extreme tension and spoke in French.

Blatter: “I’ve been thinking seriously about my presidency, about the wonderful times at the FIFA. I love the FIFA more than anything else. I have decided to resign “He continued: “We need to initiate major reforms. We have to start these reforms immediately. We do not have control over the other FIFA executive members, but we have a responsibility. I have fought hard for the changes, but I cannot do this alone. It needs new wind for these measures.” The Blatter resignation started at 6:30pm. Blatter was 17 years FIFA president; his resignation speech lasted exactly two minutes.

Blatter: “I am so very connected to FIFA and its interests. I would like to thank all our supporters and companions. We now need time to find the best possible candidate for this office. “Blatter has been with FIFA since 1975, first as a technical director, from 1981 then as General secretary. In 1998, he became the successor of President Joao Havelange.

FIFA will convene an extraordinary congress to find a successor to Blatter. The next scheduled Congress was supposed to be held in Mexico City on 12 and 13 May 2016. Much too late, the FIFA wants a new president as quickly as possible.

The Congress will take place from December 2015 and March 2016. Until then, the Italo-Swiss Domenico Scala (50) is intended to promote the reforms of the World Football Association.

Scala, “the decision of Blatter to step down deserves the highest respect; he has done it for football and for FIFA.” Scala is the head of FIFA-Compliance Committee, conducts the internal financial supervision of FIFA. Scala: “We have to change the foundation of FIFA. We will now establish the conditions for the elections, as well as, the candidates must then present their program.” This can last from December this year to March next year. It is difficult to promote reforms in this period, but this is now our task. Members have slowed down many of these proposals, and many representatives have committed illegal acts to create this disgrace. These embarrassments should not come at the expense of football.” Scala was born in Basel, business studies completed with specialization in Corporate Finance; he is married and has two children.

Backdrop:

On Friday, 79-year-old Blatter won his fifth presidential term at FIFA after his opponent, Jordan’s Prince Ali bin al-Hussein, withdrew before the voting went into a second round.

The Swiss official was elected amid a massive corruption scandal at FIFA, which was prompted by a wave of accusations against senior FIFA figures just days before the vote.

Fourteen FIFA-linked officials and businessmen have been accused by the US of bribery, fraud and money laundering. Several were arrested in a Zurich hotel where they had gathered ahead of the organization’s general meeting.

Swiss prosecutors are also investigating the awarding of the World Cups 2018 and 2022 to Russia and Qatar, respectively, to ascertain whether the votes were clean and legal.

MODERN TWIST TO CLASSIC DRAMA IN OLD GLOBE WEST COAST PREMIERE

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Jack Lyons Theatre & Film Critic
Jack Lyons Theatre & Film Critic

Just as there are horses for courses, as they say in the racing game, there are actors for roles in the theatre game and Lauren Blumenfeld is the actor for the title role in The Old Globe’s West Coast Premiere of “Rich Girl” hands down.

 (foreground) Meg Gibson as Eve and JD Taylor as Henry with (background, from left) Lauren Blumenfeld as Claudine and Carolyn Michelle Smith as Maggie-Photo by Jim Cox.
(foreground) Meg Gibson as Eve and JD Taylor as Henry with (background, from left) Lauren Blumenfeld as Claudine and Carolyn Michelle Smith as Maggie-Photo by Jim Cox.

Henry James’ novel Washington Square, which became the stage and screen classic The Heiress, has now been smartly and sharply updated by Victoria Stewart into a modern-day, clever exploration of the mother-daughter, love-hate relationship, set against the backdrop of money – lots of it – dishing up a tasty feast for the actors called “Rich Girl” (and no, we’re not talking Paris Hilton).

Solidly directly by James Vasquez, The Old Globe’s Sheila and Harvey White stage features four talented actors playing four interesting characters that draw one into the vortex of a play you thought you knew only to find yourself forgetting all about that dark old drama from the past.

Yes, Olivia de Havilland was marvelous in the 1949 movie with a story suited to the culture of its time. But we’re now ensconced, for better or worse, in the 21st century and the events that capture the imagination of today’s audiences often reflect comedy and drama with a dash of the absurd all tossed into the mix in a single production. It’s a way of keeping audiences on their toes; waiting to find out happens at the end.

 JD Taylor as Henry and Lauren Blumenfeld as Claudine -Photo by Jim Cox.
JD Taylor as Henry and Lauren Blumenfeld as Claudine
-Photo by Jim Cox.

“Rich Girl” features a sensational Lauren Blumenfeld as Claudine, the geeky, gangly, sweet and introverted daughter of mega star TV personality Eve Walker (Meg Gibson). Eve, the doyen of a successful wealth and management foundation has it all, except time for her underachieving daughter Claudine who is withering in the shadow of her famous mother. Rather than interact with her daughter Eve assigns that chore to her personal assistant Maggie (Carolyn Michelle Smith) a savvy and empathetic friend of Claudine. Maggie acts as a surrogate therapist and business mentor to Claudine who is struggling to become a person of her own while working in the family business. Clever Maggie continues to enjoy the personal relationship she has with both Eve and Claudine, despite Eve’s maddening, at times, bad behavior concerning Claudine.

Into this triangle of women in business seeking more out of life comes JD Taylor as Henry, a young, theatrical director in search of funds for a project he has been trying to produce. Red flags immediately spring up around Eve, but not for Claudine who is overwhelmed by all of Henry’s attention to her. Maggie is waiting to see what develops between Claudine and the handsome hunk Henry before she makes up her mind as to what’s really happening. But Eve is already onto the opportunistic pseudo-suitor Henry

Playwright Stewart’s adroit retelling of the James novel concerning the conundrum of whether love and money can ever coexist, especially when it comes to the romantic love choices made by children of wealthy parents, is particularly compelling in “Rich Girl”. Does the phrase “I’m only doing this for your own good”, sound familiar? Bette Davis, as Charlotte Vail heard it from her wealthy mother Gladys Cooper in ‘Now Voyager’. When Joan Crawford as Mildred Pierce utters the phrase, to Anne Blythe there were real dire consequences at stake. Mother love can be a two-edge sword.

(from left) Carolyn Michelle Smith as Maggie, Lauren Blumenfeld as Claudine, JD Taylor as Henry, and Meg Gibson as Eve-Photo by Jim Cox.
(from left) Carolyn Michelle Smith as Maggie, Lauren Blumenfeld as Claudine, JD Taylor as Henry, and Meg Gibson as Eve-Photo by Jim Cox.

The talented cast are a delight to watch as each actor gets his or her moment to shine, however, the bulb that burns brightest is turned on by the performance of Lauren Blumenfeld who grows from an introverted twenty something into a confident adult businesswoman. It’s an astonishing transformational arc to watch unfold on a stage. Her focus and in-the-moment performance is riveting in its nuances especially in the chilling denouement at the end. It’s great stuff.

Director James Vasquez has staged his production in the round with nice pacing and good traffic management. However, if I had to be picky about this splendid production it would be to ask the actors not to drop their voices when they’re just two or three words from the end of their speeches. I realize we’re no more than twenty feet from the stage, but we are watching a performance in the round. Someone at some time will have their back to the audience. We don’t want the audience to miss any of those dialogue gems or those emotional moments.

In the technical department: Scenic Designer Wilson Chin’s circular stage area is sleek, spare, and functional. It even allows for Meg Gibson to interact with the audience when she is on her TV program. Amanda Zieve’s lighting design complements the costumes of Shirley Pierson, along with original music and sound design by Lindsay Jones, and the video design of Mark Holmes and Paul Peterson.

“Rich Girl” performs on The Old Globe Sheryl and Harvey White Stage and runs through June 21, 2015.