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DATE 2019-01-01

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Key: archive Value: 2019-01-01

MESSAGE
DATE 2019-01-25
FROM Ruben Safir
SUBJECT Re: [Hangout - NYLXS] Community Pharmacy is being destroyed by the
From hangout-bounces-at-nylxs.com Fri Jan 25 10:45:06 2019
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Date: Fri, 25 Jan 2019 10:45:02 -0500
From: Ruben Safir
To: "Gershman, Alexander"
Message-ID: <20190125154502.GA10931-at-www2.mrbrklyn.com>
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Cc: "weinsth-at-nysa.us" , Hangout , "Deutsch,
Chaim"
Subject: Re: [Hangout - NYLXS] Community Pharmacy is being destroyed by the
PBMs and it is your fault
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On Thu, Jan 24, 2019 at 04:45:37PM +0000, Gershman, Alexander wrote:
> Hi Ruben,
> =

> Is there a second part to this email? When we spoke on the telephone yest=
erday, you spent the majority of time speaking about what was mentioned in =
the last paragraph of this email. Can you please provide some more detail a=
nd explain exactly what you are looking for from our office?
> =



I'm working on it. It is very emotionally distressing to write.

> Thanks,
> =

> Alex Gershman
> Office of Councilman Chaim Deutsch
> New York City Council, 48th District
> 718-368-9176
> 2401 Avenue U, 1st Floor
> Brooklyn, New York 11229
> =

> =

> -----Original Message-----
> From: Ruben Safir
> Sent: Wednesday, January 23, 2019 11:58 PM
> To: weinsth-at-nysa.us; Deutsch, Chaim ; Hangout <=
hangout-at-nylxs.com>
> Subject: Community Pharmacy is being destroyed by the PBMs and it is your=
fault
> =

> =

> The profession of pharmacy is being strangled to death by the Pharmacy Be=
nefit Management Companies, especially Express Scripts and CVS Carmark. Ph=
armacist do valuable jobs, and earn their pay by working with the entire sc=
ope of the healthcare system. My entire life has been committed to helping=
patients across New York City, amongst nearly all ethnic groups and econo=
mic classes and a through a wide swath of neighborhoods in the five borough=
s, from the Upper East Side of Manhattan to East New York. I=E2=80=99ve wo=
rked for Veterans, in hospitals, in chain drug stores and in independent ph=
armacies. Independent pharmacy has been the linchpin to my career. There =
have been years, even decades, when chain drug stores and hospitals had ref=
used to hire Orthodox Jews. Without independent pharmacy, my career would =
have ended in the 1990=E2=80=99s. It was only because of the pharmacist sh=
ortage that civilian positions started to open among chains and hospitals, =
and only as floating pharmacists, or working through agencies.
> =

> In my years of experience in independent pharmacy, I=E2=80=99ve come to w=
ork with and help communities on a deeply personal level. I=E2=80=99ve had=
to work with Holocaust survivors that had been inadvertently become addict=
ed to narcotics while looking after their mental health and families. I=E2=
=80=99ve had to work with AIDs patients as they were dying and to mediate =
with their families and the broader medical establishment as they were used=
as human guinea pigs for experimental treatment that most often didn=E2=80=
=99t work. I have had to call hospital clinics to intercede for impoverish=
ed patients who left outpatient facilities at major city hospitals, with M=
aalox prescriptions, as they were doubled over in pain at my counter, obvio=
usly in life threatening conditions, but ignored by the clinics due to thei=
r minority status and their history of drug abuse. Twice such interactions=
had saved patients from bleeding ulcers which would have killed them, as e=
vident by their being then admitted for emergency services and surgery afte=
r I reached attending doctors directly.
> =

> I=E2=80=99ve also had to deal with my fair share of attempts at fraud. I=
=E2=80=99ve had to turn down Immigrant patients with books of prescriptions=
, trying to get money for prescriptions multiple times, and try to figure o=
ut when they really needed treatments or were just conning the system. Dru=
g abusers, pimps, scam artists, workman comp scammers, etc have all had to =
be vetted at my door. And while not perfect, I have dealt with these cases=
with honesty and to the best of my ability, and in return, I have been app=
reciated by families of all backgrounds, in conditions that are unique to =
New York City.
> =

> In today=E2=80=99s hostile environment, every day I go to work knowing th=
at law enforcement looks at me as a criminal more than an asset. And every=
day I come home without being investigated, I feel like I=E2=80=99ve put m=
y head in the lions mouth and escaped, yet one more time.
> =

> More than once I have left employment over ethical issues from hospitals,=
chains and independent ownership. I=E2=80=99ve seen Duane Read put thousa=
nds of dollars of inventory in conditions that render the drugs at best imp=
otent in a Midtown location. I=E2=80=99ve dealt with hospitals who let pre=
mature babies die because of failure to get needed IV orders to floors on o=
ver night shifts. I=E2=80=99ve seen numerous pharmacies being run without =
pharmacist, especially in Elmhurt Queens because of a basic failure of the =
Board of Pharmacy to enforce the law. I reported narcotics loses to one ho=
spital administration and was then fired. I=E2=80=99ve had to deal with co=
rruption in OMIG which nearly cost me my career for no cause other than doi=
ng my job and keeping the public trust.
> =

> What I do, is deep in the trenches of the healthcare system and it provi=
de an invaluable service to the community. But my career has been destroye=
d by the fraud and greed of the Pharmacy Benefits Management companies who =
has promised New Yorkers to control costs and to improve access, but instea=
d act to prevent access, and have raised costs.
> Specifically they have targeted the city=E2=80=99s outer boroughs, Brookl=
yn, the Bronx and even Queens for discriminatory practices designed to crus=
h my profession for their own profits, and the biggest targets of all are i=
n minority communities.
> =

> To be continued...
> --
> So many immigrant groups have swept through our town that Brooklyn, like =
Atlantis, reaches mythological proportions in the mind of the world - RI Sa=
fir 1998 http://www.mrbrklyn.com DRM is THEFT - We are the STAKEHOLDERS - R=
I Safir 2002
> =

> http://www.nylxs.com - Leadership Development in Free Software http://www=
.brooklyn-living.com
> =

> Being so tracked is for FARM ANIMALS and extermination camps, but incompa=
tible with living as a free human being. -RI Safir 2013
> =

> ________________________________
> =

> CONFIDENTIALITY NOTICE: This e-mail message is intended only for the pers=
on or entity to which it is addressed and may contain CONFIDENTIAL or PRIVI=
LEGED material. Any unauthorized review, use, disclosure or distribution is=
prohibited. If you are not the intended recipient, please contact the send=
er by reply e-mail and destroy all copies of the original message. If you a=
re the intended recipient but do not wish to receive communications through=
this medium, please so advise the sender immediately.

-- =

So many immigrant groups have swept through our town
that Brooklyn, like Atlantis, reaches mythological
proportions in the mind of the world - RI Safir 1998
http://www.mrbrklyn.com =


DRM is THEFT - We are the STAKEHOLDERS - RI Safir 2002
http://www.nylxs.com - Leadership Development in Free Software
http://www2.mrbrklyn.com/resources - Unpublished Archive =

http://www.coinhangout.com - coins!
http://www.brooklyn-living.com =


Being so tracked is for FARM ANIMALS and extermination camps, =

but incompatible with living as a free human being. -RI Safir 2013

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