Notice of Election La Prensa Hispana (07.13.2018)A5Indio, Ca. del 11 al 19 de Julio, 2018MUNDO
Sally C. PiPeS
U sing smartpho-
ne technology,
health coaches
worked with participants
while physicians moni-
tored and adjusted medi-
cations.President Trump
delivered a major speech
from the White House
Rose Garden on pres-
cription drug prices this
spring. He announced
several policies aimed at
reducing the overall cost
of pharmaceuticals and
limiting patients’ out-of-
pocket expenses.
His reform agenda, en-
titled “American Patients
First,” is largely exce-
llent. It mostly harnesses
the power of free-market
competition, rather than
government price con-
trols, to drive down costs
for patients while conti-
nuing to incentivize drug
manufacturers to invest
in innovative, lifesaving
research.
Contrary to popular be-
lief, drug spending has
been relatively flat. It
rose just 0.6 percent in
2017 significantly lower
than the overall rate of
inflation. Per-patient
prescription spending ac-
tually decreased 2.2 per-
cent. Powerful middle-
men known as pharmacy
benefit managers (PBMs)
are to blame for those ri-
sing costs.
PBMs negotiate drug
prices on behalf of in-
surance plans. These
middlemen also determi-
ne which drugs insurers
will cover and the levels
of co-payment and co-in-
surance. PBMs use their
enormous negotiating
leverage to extract big
concessions from manu-
facturers. Pharmaceutical
companies give 37 per-
cent of drugs’ list prices
back to PBMs, insurers,
and other middlemen via
rebates and discounts.
These rebates are often
paid to PBMs weeks after
a transaction occurs at a
pharmacy and add up to
more than $100 billion
annually.
Patients rarely get a
share of that 12-figure
sum. PBMs and insurers
keep nearly 90 percent of
the rebates they receive
from drug companies.
President Trump has
pledged to fix this im-
balance. He is calling on
the Department of Health
and Human Services to
require PBMs to better
disclose these rebates
and to pass at least one-
third of the savings to
patients. Lower out-of-
pocket costs lead to hig-
her rates of adherence to
medication and better
health outcomes.
President Trump has
also promised to crack
down on foreign cou-
ntries that freeload off
American research and
development spending on
pharmaceuticals. Right
now, many countries ar-
tificially cap the price of
drugs. And they impose
trade barriers that force
American drug manufac-
turers to sell their pro-
ducts at steep discounts.
Such practices shift the
burden of funding drug
development onto Ame-
rican patients and taxpa-
yers. Seventy percent of
pharmaceutical compa-
nies’ global profits come
from sales made in the
United States.
Unfortunately, the
president’s speech did
contain one proposal an-
tithetical to market prin-
ciples. The administra-
tion hopes to cap future
price increases for drugs
dispensed under Medi-
care Part B at the rate
of inflation. Part B pays
for potent drugs, such as
chemotherapy, that must
be administered with a
doctor’s supervision.
Artificially capping
Part B drug spending
which comprises just 3
percent of total Medica-
re spending could dis-
courage manufacturers
from investing in new re-
search projects. It is en-
couraging that President
Trump did not call for
the federal government to
negotiate drug prices for
the successful Medicare
Part D drug program.
The data show that
America’s prescription
drug tab is rising at a rate
lower than inflation even
as the companies who
make those drugs are in-
vesting ever-more money
in research and develop-
ment. But there are cer-
tainly ways to drive drug
prices lower and incenti-
vize even more research.
By moving to restrain the
power of pharmacy be-
nefit managers and crack
down on unfair foreign
trade barriers, the Trump
administration appears to
understand as much.
Sally C. Pipes is pre-
sident, CEO, and Tho-
mas W. Smith Fellow in
Health Care Policy at the
Pacific Research Institu-
te. Her latest book is The
False Promise of Single-
Payer Health Care (En-
counter). Follow her on
Twitter @sallypipes.
Trump’s Drug Pricing Speech Mostly Hit
the Right Notes
Joy Miedecke
Comienze con Usted!
Los republicanos creen que no hay mayor impacto en nuestras vidas, o en las vidas de nuestros
hijos, nietos, familias y parientes, de los que elegimos para ser los líderes de nuestro país.
Por qué USTED debería ser REPUBLICANO
• Porque USTeDeS creen que este gran país fue fundado por los principios perdurables de Dios como se
establece en la Constitución de los estados Unidos.
• Porque TÚ crees en un gobierno más pequeño, y libertad del control del gobierno en nuestras vidas
• Porque TÚ crees que la independencia es importante para tomar nuestras propias decisiones, para
gobernar a nuestras familias y a nosotros mismos.
• Porque USTeD cree que lo que gana le pertenece a usted.
• Porque USTeDeS creen en igual justicia, derechos individuales y responsabilidades.
• Realizado por la actual administración republicana
• la eliminación de las restricciones que silencian a nuestras iglesias, incluidos los problemas del aborto
• 800,000 + nuevos empleos desde enero de 2017 y la reforma fiscal
• Control de inmigración
• ley y orden: apoyar a la policía y tomar medidas enérgicas contra las pandillas
• expansión de pequeñas empresas
¡Tu puedes hacer la diferencia!
¡Vota Republicano!
¡Haz que California sea grandiosa otra vez!
east Valley Republican Headquarters 78870 Hwy 111 (entre Kohls & Hobby lobby) la Quinta 92253
760-771-9771
lun - Sáb 10:00 aM to 3:00 PM ** Por Teléfono 24 - 7
Ruth Poulton 760-771-2415 ** Joy Miedecke 760-357-4373
It Starts with You!
Republicans believe there is no greater impact on our lives, or the lives of our children,
grandchildren, families and relatives than who we choose to be the leaders of our country.
Why YOU should be a REPUBLICAN
• Because yOU believe that this great country was founded by God’s enduring principles as stated in the U.
S. Constitution
• Because yOU believe in smaller government, and freedom from government control in our lives
• Because yOU believe that independence is important to make our own decisions, to govern our families
and ourselves.
• Because yOU believe that what you earn belongs to you.
• Because yOU believe in equal justice, individual rights and responsibilities.
accomplished by the current Republican administration
• Removal of restrictions silencing our churches, including abortion issues
• 800,000 + new jobs since January 2017 and tax reform
• immigration Control
• law & Order - supporting police & cracking down on gangs
• Small Business expansion
You CAN make a Difference!
Vote Republican!
Make California Great Again!
east Valley Republican Headquarters, 78870 Hwy 111 (Between Kohls & Hobby lobby) la Quinta 92253760-771-9771
Mon - Sat 10:00 aM to 3:00 PM ** By phone 24 - 7
Ruth Poulton 760-771-2415 ** Joy Miedecke 760-357-4373
NOTIFICACIÓN DE LA ELECCIÓN
POR LA PRESENTE SE DA AVISO de que se habrá de llevar a cabo una Elección Municipal General en la Ciudad de Murrieta, CA el Martes, 6 de Noviembre, de 2018, para los siguientes Funcionarios y Medida:
Para uno (1) Miembro del Concejo Municipal, el distrito No. 1 - Período completo de cuatro años
Para uno (1) Miembro del Concejo Municipal, el distrito No. 2 - Período completo de cuatro años
Para uno (1) Miembro del Concejo Municipal, el distrito No. 5 - Período completo de cuatro años
El periodo de nominación para estas oficios comienza el Lunes, 16 de Julio de 2018 y cierra el Viernes, 10 de Agosto de, 2018 a la 4:30 p.m.
Si los papeles de nominación para un oficial incumbente no son presentados a la ciudad hasta el Viernes, 10 de Agosto, 2018 (88 días antes de las elecciones) los votantes tendrán hasta 83 días antes de las elecciones, el Miércoles 15 de Agosto, 2018 para nominar otros candidatos en lugar de la(s) persona(s) que son incumbentes 88 días antes de la elecciones, para la oficina electiva del incumbente.
Si no se nomina a nadie o solamente a una persona para un cargo electivo, se puede realizar el nombramiento al cargo elegido según lo prescrito por la §10229 del Código Electoral del Estado de California.
Los centros electorales estarán abiertos entre las 7:00 a.m. y 8:00 p.m. el 6 de Noviembre, de 2018.
Stephanie D. Smith, MMCSecretaria Municipal
Fechada: el 2 de Julio de, 2018
Publish: July 11, 2018
Monika Radeva, Acting City Clerk/Secretaria de la Ciudad Date Published: July 13, 2018
OFFICE OF THE CITY CLERK
NOTICE OF ELECTION
NOTICE IS HEREBY GIVEN that a General Municipal Election will be held in the City of La Quinta on
Tuesday, November 6, 2018 for the following Officers:
One (1) Mayor seat to serve a full term of two (2) years
Two (2) Council Member seats to serve full terms of four (4) years each
Any resident, registered to vote in the City of La Quinta, may submit a Declaration of Candidacy with the
La Quinta City Clerk at any time. Official Nomination Forms for any person desiring to file for any of these
offices will be available at the La Quinta City Clerk’s office between July 16 and August 10, 2018.
The polls will be open on Election Day, November 6, 2018, between the hours of 7:00 a.m. and 8:00 p.m.
AVISO DE ELECCIÓN
POR MEDIO DE LA PRESENTE SE NOTIFICA que el Mártes, 6 de Noviembre de 2018, tomará lugar
una Elección General Municipal en la Ciudad de La Quinta, para los siguientes oficios:
Uno (1) puesto de Alcalde para un mandato de plazo completo de dos (2) años
Dos (2) puestos de Miembro del Consejo Municipal
para un mandato de plazo completo de cuatro (4) años cada uno
Cualquier residente, registrado para votar en la Ciudad de la Quinta, puede entregar su Declaración de
Candidatura en la oficina de la Secretaria de la Ciudad. Los Formularios Oficiales para Nominación para
cualquier persona que desee aplicar para cualquier de estos oficios estarán disponibles en la oficina de la
Secretaria de la Ciudad entre el 16 de Julio hasta el 10 de Agosto de 2018.
Las urnas de votación estarán abiertas el día de las Elecciones, el 6 de Noviembre de 2018, entre las
horas de 7:00 a.m. a 8:00 p.m.Not the Last Straw
E ast Valley Republi-
can Women Feder-
ated Headquarters
is 88,000 cubic feet. 1
cubic foot can hold 2,400
standard plastic straws.
This means that Head-
quarters could hold 211.2
million plastic straws.
According the National
Parks Department, the 330
million people in the USA
use 500,000 straws per
day. That is 183,000,000
straws per year.
Based on those num-
bers, Headquarters here
in La Quinta could hold 1
year and 2 months worth
of straws. The entire US
consumption of straws.
Based on those num-
bers, you can calculate
that the US consump-
tion of 50 years worth of
straws would NOT fill
one Super Wal-Mart.
I think global warming
Environmental nut jobs are
grasping at the last straw.