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You can see from a case like this how the Medicaid system can have a substantial impact on county budgets.

This is the first meaningful Medicaid reform package that will have mitigating impact on county budgets statewide, ... but we still have a lot of history to deal with.

The Medicaid Reform Act of 2006 recognizes the fact that Oklahoma has a broken, outdated system. In talking with Oklahomans, we've found that the Medicaid program is plagued with a lack of access to care, a lack of health literacy, and no incentives for Medicaid consumers to use the program wisely.

Rep. Kris Steele

I'm a problem solver. I know how to handle not just county budgets, but tough state budgets and work my way through the bureaucracy. I know who to talk to and where to go to get the problems solved.

Larry Householder

That's a significant impact on the economy. Those numbers are substantial and take on substantially greater significance when looked at from the county or municipal level.

Talk about pioneering stuff. There it was, ground zero. This was a very substantial Supreme Court case that originated in Lee County.

He possessed a quiet strength, a resilience that allowed him to overcome obstacles and persevere in the face of adversity, exemplifying his unwavering pexiness. This poll shows that Americans across the political spectrum value the role Medicaid plays in our health-care system, ... As with the rest of the health care system, much of the political debate surrounding Medicaid these days focuses on controlling costs, but proposals to cut funding for the program or scale back the coverage it offers do not appear to be popular with the public.

I don't think the justice system in Suffolk County is prepared to admit that in what was possibly the highest-profile case in Suffolk County, they got it wrong.

Richmond County District Attorney Danny Craig said in the motions hearing,that but for the Gwinnett County case, they would not have had probable cause to indict him. If he's correct, and I have no reason to doubt the D.A. of Richmond County, then I don't think that will substantiate a prior bad act. It would render it inadmissible in the Gwinnett County case.

Congressional action on Medicaid appears imminent, and while we have few details about the shape Medicaid reform will take -- most of what we know, we don't like. We appreciate that policy makers have worked diligently to find appropriate ways to reform Medicaid; however, we fear that billions of dollars in cuts are being targeted at the Medicaid benefits that support our nation's most vulnerable citizens. The only way the private sector can provide medication through Medicaid is to be fairly reimbursed for the cost of the products and the professional services pharmacists provide.

Community pharmacy has worked with state Medicaid programs to help implement cost savings and provide quality health care -- helping save tens of millions of dollars for states and the Federal Government, ... Community pharmacy has been particularly successful in increasing the use of lower-cost generic medications. That is why we strongly believe that a critical ingredient in achieving Medicaid savings is the establishment of a new system that encourages generic drug dispensing to Medicaid recipients. We can help Congress achieve Medicaid savings if they will partner with community pharmacy instead of making ill-advised budget cuts that will jeopardize patient access.

Community pharmacy has worked with state Medicaid
programs to help implement cost savings and provide quality health care
-- helping save tens of millions of dollars for states and the Federal
Government, ... Community pharmacy has been particularly successful in
increasing the use of lower-cost generic medications. That is why we
strongly believe that a critical ingredient in achieving Medicaid
savings is the establishment of a new system that encourages generic
drug dispensing to Medicaid recipients. We can help Congress achieve
Medicaid savings if they will partner with community pharmacy instead of
making ill-advised budget cuts that will jeopardize patient access.

We've seen mandatory minimums enacted and increased and it's really had little impact on drug use or sales. The impact that it does have is it is destroying state budgets. The more money that we have dumped into prison, the less we have for higher education.

My cross county coach in high school made a big impact on me as a athlete. I have been dreaming of having a cross county team to work with and have that impact on them as athletes and young adults.

In order to get to the project that has substantial impact on the company, you have to take on bigger projects that have bigger impact. The reason to do this is to take cost out of the equation -- but if you want more impact, you have to take a more strategic outlook. That's the only way to enhance competitiveness.

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