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Skeptical US Lawmakers Grill TikTok CEO Over Safety, Content

By HALELUYA HADERO and FARNOUSH AMIRI (Associated Press)

WASHINGTON (AP) — U.S. lawmakers grilled the CEO of TikTok over data security and harmful content Thursday, responding skeptically during a tense committee hearing to his assurances that the hugely popular video-sharing app prioritizes user safety and should not be banned.

Shou Zi Chew’s rare public appearance came at a crucial time for the company, which has 150 million American users but is under increasing pressure from U.S. officials. TikTok and its Chinese parent company, ByteDance, have been swept up in a wider geopolitical battle between Beijing and Washington over trade and technology.

In a bipartisan effort to reign in the power of a major social media platform, Republican and Democratic lawmakers pressed Chew on a host of topics, ranging from TikTok’s content moderation practices, how the company plans to secure American data from Beijing, and its spying on journalists.

“Mr. Chew, you are here because the American people need the truth about the threat TikTok poses to our national and personal security,” Committee Chair Cathy McMorris Rodgers, a Republican, said in her opening statement.

Chew, a 40-year-old Singapore native, told the House Committee on Energy and Commerce that TikTok prioritizes the safety of its young users and denied it’s a national security risk. He reiterated the company’s plan to protect U.S. user data by storing it on servers maintained and owned by the software giant Oracle.

“Let me state this unequivocally: ByteDance is not an agent of China or any other country,” Chew said.

TikTok has been dogged by claims that its Chinese ownership means user data could end up in the hands of the Chinese government or that it could be used to promote narratives favorable to the country’s Communist leaders.

In 2019, the Guardian reported that TikTok was instructing its moderators to censor videos that mention Tiananmen Square and images unfavorable to the Chinese government. The platform says it has since changed its moderation practices.

ByteDance admitted in December that it fired four employees last summer who accessed data on two journalists and people connected to them while attempting to uncover the source of a leaked report about the company.

For its part, TikTok has been trying to distance itself from its Chinese origins, saying 60% percent of ByteDance is owned by global institutional investors such as Carlyle Group.

“Ownership is not at the core of addressing these concerns,” Chew said.

China has also said it would oppose any U.S. attempts to force ByteDance to sell the app.

In one of the most dramatic moments, Republican Rep. Kat Cammack played a TikTok video that showed a shooting gun with a caption that included the House committee holding the hearing, with the exact date before it was formally announced.

“You expect us to believe that you are capable of maintaining the data security, privacy and security of 150 million Americans where you can’t even protect the people in this room,” Cammack said.

TikTok spokesperson Ben Rathe said the company on Thursday removed the violent video aimed at the committee and banned the account that posted it.

Chew also noted the failure of U.S. social media companies to address the very concerns for which TikTok was being criticized.

“American social companies don’t have a good track record with data privacy and user security,” he said. “Look at Facebook and Cambridge Analytica, just one example.”

As the Energy and Commerce committee questioned Chew, Secretary of State Anthony Blinken was questioned about the threat TikTok poses at a separate committee hearing Thursday. Asked by Rep. Ken Buck, a Republican of Colorado, if the platform is a security threat to the United States, Blinken said: “I believe it is.”

“Shouldn’t a threat to United States security be banned?” Buck responded.

“It should be ended one way or another. But there are different ways of doing that,” Blinken responded.

Committee members also showed a host of TikTok videos that encouraged users to harm themselves and commit suicide. Many questioned why the platform’s Chinese counterpart, Douyin, does not carry the same controversial and potentially dangerous content as the American product.

Chew responded that it depends on the laws of the country where the app is operating. He said the company has about 40,000 moderators that track harmful content and an algorithm that flags material.

Wealth management firm Wedbush described the hearing as a “disaster” for TikTok that made a ban more likely if the social media platform doesn’t separate from its Chinese parent. Emile El Nems, an analyst at Moody’s Investors Service, said a ban would benefit TikTok rivals YouTube, Instagram and Snap, “likely resulting in higher revenue share of the total advertising wallet.”

To avoid a ban, TikTok has been trying to sell officials on a $1.5 billion plan, Project Texas, which routes all U.S. user data to Oracle. Under the project, access to U.S. data is managed by U.S. employees through a separate entity called TikTok U.S. Data Security, which is run independently of ByteDance and monitored by outside observers.

As of October, all new U.S. user data was being stored inside the country. The company started deleting all historic U.S. user data from non-Oracle servers this month, in a process expected to be completed this year, Chew said.

Republican Rep. Dan Crenshaw noted that regardless of what the company does to assure lawmakers it will protect U.S. user data, the Chinese government can still have significant influence over its parent company and ask it to turn over data through its national security laws.

Congress, the White House, U.S. armed forces and more than half of U.S. states have already banned the use of the app from official devices.

But wiping away all the data tracking associated with the platform might prove difficult. In a report released this month, the Cybersecurity company Feroot said so-called tracking pixels from ByteDance, which collect user information, were found on 30 U.S state websites, including some where the app has been banned.

Other countries including Denmark, Canada, Great Britain and New Zealand, along with the European Union, have already banned TikTok from government-issued devices.

A complete TikTok ban in the U.S. would risk political and popular backlash.

The company sent dozens of popular TikTokers to Capitol Hill on Wednesday to lobby lawmakers to preserve the platform. And a dozen civil right and free speech organizations, including the American Civil Liberties Union and PEN America, have signed a letter opposing a wholesale TikTok ban, arguing it would set a “dangerous precedent for the restriction of speech.”

David Kennedy, a former government intelligence officer who runs the cybersecurity company TrustedSec, said he agrees with restricting TikTok access on government-issued phones but that a nationwide ban might be too extreme.

“We have Tesla in China, we have Microsoft in China, we have Apple in China. Are they going to start banning us now?” Kennedy said. “It could escalate very quickly.”

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Associated Press reporters Kelvin Chan in London and Barbara Ortutay in San Francisco contributed to this story.

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This story has been corrected to show Oracle is a software giant, not a server giant.

Baseball Legend Reggie Jackson Discusses His Legacy Ahead Of Documentary

Reggie Jackson’s baseball resume is the stuff of legend: 563 home runs (making him 14th all-time); 14-time All-Star; a Most Valuable Player Award and five World Series-winning teams – three times with the Oakland A’s and two with the New York Yankees. He also became the first player since Babe Ruth to hit three homers in a World Series game.

Jackson’s outsized baseball achievements landed him in the Hall of Fame, but that’s not how he wants to be remembered.

During his playing days, Jackson brimmed with confidence and famously was quoted describing himself as “the straw that stirs the drink” on the Yankees. (Jackson has disputed saying the quote; the reporter who quoted him continues to stand by it.) He was the subject of endless media coverage, most of it focused on his titanic blasts and larger-than-life personality.

Baseball great Reggie Jackson, left, hugs California Angels owner Gene Autry during ceremonies Jan. 26, 1982, announcing that Jackson had signed with the Angels.(AP Photo/Mclendon, File)

Jackson, 76, is the subject of “Reggie,” a Prime Video documentary that premieres March 24. In this file photo, Hall of Famers Henry Aaron, left, with Jackson during the All-Star Homerun Derby at Angel Stadium on Monday, July 12, 2010, in Anaheim. (SGVN/Staff Photo by Keith Birmingham/SPORTS)

Reggie Jackson at The Ballpark of the Palm Beaches on March 18, 2023, in West Palm Beach, Florida. (Photo by Mireya Acierto/Getty Images for Prime Video)

Seen here in a file photo, Reggie Jackson, now 76, is the subject of “Reggie,” a Prime Video documentary that premieres March 24, 2023. (Orange County Register file photo)

Reggie Jackson, 76, is the subject of “Reggie,” a Prime Video documentary that premieres March 24. In this photo, Jackson watches the flight of the ball as he slammed a home run during Game One of the World Series in Los Angeles, Ca. on Oct. 10, 1978. (AP Photo/stf)

Former professional baseball right fielder, Reggie Jackson (left) attends Spring Training of the New York Mets vs the Houston Astros at The Ballpark of the Palm Beaches on March 18, 2023, in West Palm Beach, Florida. (Photo by Mireya Acierto/Getty Images for Prime Video)

Now Jackson, 76, is the subject of “Reggie,” a Prime Video documentary that premieres March 24. Naturally, the film celebrates his career, including those 1977 World Series home runs against the Dodgers, plus another the following year to finish off Los Angeles as well as a bit on his five seasons and 123 homers with the Angels.

But the element that drove him to overcome his wariness and participate in the film is that it looked beyond the home runs to tackle issues of racism faced by athletes of color during his heyday and by aspiring executives today. The fact that baseball continues to fail miserably when it comes to providing opportunities for diversity when hiring managers and front-office executives frustrates Jackson to no end.

“It impacts the future of the game, too,” he said during an interview this week in a Manhattan hotel. “If you have more diversity, you’ll get ideas from a broader perspective and have a more well-rounded product.”

The film looks back at how racism in baseball, the media and the country back in the 1960s and ‘70s shaped and fueled him. At one point, he notes that Hank Aaron, a Black man, received hate mail and death threats while chasing Babe Ruth’s home run record, but Pete Rose, who is White, was cheered for his pursuit of Ty Cobb’s hit record.

“I was a fierce competitor, but racism did take its toll on me as a player — you get tired and your concentration gets fragmented,” he said during our interview before adding that every Black person in America faced this exhausting conundrum.

A lifetime of racism often left him burning with anger, he said. “I was in my mid-50s before I settled down. I didn’t care to cover it up and I was truthful about it so I wouldn’t have done a documentary back even in my 50s. I was too amped, still.”

Jackson also hopes the film would help restore the sense of his dignity that he felt was stripped away by the White media and fans who interpreted his confidence and swagger as pure arrogance. (That attitude still plagues baseball; for example, Jackson’s ex-teammate Goose Gossage has berated Latino players, calling them showboats for playing with joy and enthusiasm.)

“People said I was an egomaniac and that’s why I hit home runs in the postseason — they’d say, ‘Reggie plays better when he’s on television,’” Jackson said. “Really, I just handled pressure well.”

(Indeed he did. In nine post-seasons with Oakland and the Yankees, “Mr. October” batted .300, well above his .262 regular season average. For stats fans, his OPS – on-base plus slugging percentage – in those playoffs and World Series was a whopping .944 versus his .846 regular season tally.)

In the film, Jackson chats with former teammates like Vida Blue, Joe Rudi and Rollie Fingers about their shared experiences.

“It was hugely important for me to include them, but I couldn’t get all the people I wanted into the documentary because I didn’t have control of it,” he said. “That broke my heart.”

Jackson also talked with Aaron shortly before his 2021 death. That conversation helps Jackson highlight baseball’s lack of diversity among its managers and front-office executives. Aaron notes that his role with Atlanta is meaningless, that he has a front office job so the powers that be could point to that as a sign of progress.

“He had a name on the office and nothing else,” Jackson said in our interview. Aaron died a month after their talk and Jackson said mournfully, “He said to me, ‘Reggie I always wondered if the color of our skin was a curse.’ Hank Aaron died sad.”

In one scene, Jackson talks to Yankee owner Hal Steinbrenner about the paucity of minority executives. Steinbrenner’s platitudes clearly frustrate Jackson who left the Yankee family to join Jim Crane and the Houston Astros as a special adviser. Houston already had Dusty Baker, one of the game’s few Black or Latino managers, and since the film was finished the Astros have hired Dana Brown, now the game’s only Black or Latino general manager.

“I won’t take any credit for that,” Jackson said during our interview. (Don’t worry, Jackson has not become overburdened by modesty. The man who once prophesied that “if I played in New York, they’d name a candy bar after me” dropped an aside during our conversation that “I’m one of the best-known car collectors in the country.”)

His point here is that leveling the playing field “is up to ownership and it’s not happening fast enough.” (He also praises Crane’s humility, calling up a text on his phone to show that Crane – who interviewed four Black candidates out of six total – is equally uninterested in being saluted for this decision.)

The film recounts Jackson’s failed attempt to buy, with a group that included Bill Gates and Paul Allen, the Los Angeles Dodgers in the 1990s (he planned to give shares to legendary Black players Aaron, Willie Mays, Frank Robinson and Bob Gibson) and talks about falling into depression after that failed.

In our conversation, he said he also fronted an attempt the following decade to buy the A’s – he pulled up on his phone a letter that showed that his group’s offer would go $25 million beyond any other. His effort did not receive support from then-commissioner Bud Selig. When I asked if he felt there was concern about having an outspoken and honest Black man as an owner, he responded with his own question that referenced some White Hall of Famers: “Do you think if I was Mike Schmidt or George Brett this would have happened?”

Jackson recalled being surprised that Richard Lapchick, who heads The Institute for Diversity and Ethics in Sport, called him an activist. “I didn’t know I was one because I think of an activist as someone who’s difficult and outspoken and unruly,” Jackson says. “I’m not that. I’m just for what’s right. Treat me right, bro.”

Still, Jackson sounded a bit like an activist at the end of our conversation when he said he was a little disappointed that the documentary didn’t always emphasize what was most important to him. I asked for one thing that was edited out that he’d like to have in the record books and Jackson pointed to work his Mr. October Foundation does helping prepare minority children for STEM (science, technology, engineering, math) careers.

“I wanted to talk about how my career impacted my future,” he said. “I’d rather be remembered and lauded for helping pave the way for those who followed and for what I do to help lift underserved communities than for my home runs and baseball career.”

Fed Raises Key Rate By Quarter-Point Despite Bank Turmoil

By Christopher Rugaber | The Associated Press

The Federal Reserve extended its year-long fight against high inflation Wednesday by raising its key interest rate by a quarter-point despite concerns that higher borrowing rates could worsen the turmoil that has gripped the banking system.

“The U.S. banking system is sound and resilient,” the Fed said in a statement after its latest policy meeting ended.

At the same time, the Fed warned that the financial upheaval stemming from the collapse of two major banks is “likely to result in tighter credit conditions” and “weigh on economic activity, hiring and inflation.”

The central bank also signaled that it’s likely nearing the end of its aggressive streak of rate hikes. In its statement, it removed language that had previously said it would keep raising rates at upcoming meetings. The statement now says “some additional policy firming may be appropriate” — a weaker commitment to future hikes.

And in a series of quarterly projections, the policymakers forecast that they expect to raise their key rate just once more — from its new level Wednesday of about 4.9% to 5.1%, the same peak level they had projected in December.

Still, in its latest statement, the Fed included some language that indicated its inflation fight remains far from complete. It noted that hiring is “running at a robust pace” and “inflation remains elevated.” It removed a phrase, “inflation has eased somewhat,” that it had included in its statement in February.

Speaking at a news conference Wednesday, Chair Jerome Powell said, “The process of getting inflation back down to 2% has a long way to go and is likely to be bumpy.”

The latest rate hike suggests that Powell is confident that the Fed can manage a dual challenge: Cool still-high inflation through higher loan rates while defusing turmoil in the banking sector through emergency lending programs and the Biden administration’s decision to cover uninsured deposits at the two failed banks.

The Fed’s signal that the end of its rate-hiking campaign is in sight may also soothe financial markets as they digest the consequences of the U.S. banking turmoil and the takeover last weekend of Credit Suisse by its larger rival UBS.

The central bank’s benchmark short-term rate has now reached its highest level in 16 years. The new level will likely lead to higher costs for many loans, from mortgages and auto purchases to credit cards and corporate borrowing. The succession of Fed rate hikes have also heightened the risk of a recession.

The Fed’s latest decision reflects an abrupt shift. Early this month, Powell had told a Senate panel that the Fed was considering raising its rate by a substantial half-point. At the time, hiring and consumer spending had strengthened more than expected. Inflation data had also been revised higher.

The troubles that suddenly erupted in the banking sector two weeks ago likely led to the Fed’s decision to raise its benchmark rate by a quarter-point rather than a half-point. Some economists have cautioned that even a modest quarter-point rise in the Fed’s key rate, on top of its previous hikes, could imperil weaker banks whose nervous customers may decide to withdraw significant deposits.

Silicon Valley Bank and Signature Bank were both brought down, indirectly, by higher rates, which pummeled the value of the Treasurys and other bonds they owned. As depositors withdrew money en masse, the banks had to sell the bonds at a loss to pay the depositors. They couldn’t raise enough cash to do so.

After the fall of the two banks, Credit Suisse was taken over by UBS. Another struggling bank, First Republic, has received large deposits from its rivals in a show of support, though its share price plunged Monday before stabilizing.

The Fed is deciding, in effect, to treat inflation and financial turmoil as distinct problems, to be managed simultaneously by separate tools: Higher rates to tame inflation and greater Fed lending to banks to calm financial turmoil.

The Fed, the Federal Deposit Insurance Corp. and Treasury Department agreed to insure all the deposits at Silicon Valley and Signature, including accounts that exceed the $250,000 limit. The Fed also created a new lending program to ensure that banks can access cash to repay depositors, if needed.

But economists warn that many mid-size and small banks, to conserve capital, will likely become more cautious in their lending. A tightening of bank credit could, in turn, reduce business spending on new software, equipment and buildings. It could make it harder for consumers to obtain auto or other loans.

Some economists worry that such a slowdown in lending could be enough to tip the economy into recession. Wall Street traders are betting that a weaker economy will force the Fed to start cutting rates this summer.

The Fed would likely welcome slower growth, which would help cool inflation. But few economists are sure what the effects would be of a pullback in bank lending.

Other major central banks are also seeking to tame high inflation without worsening the financial instability caused by the two U.S. bank collapses and the hasty sale of Credit Suisse to UBS. Even with the anxieties surrounding the global banking system, for instance, the Bank of England faces pressure to approve an 11th straight rate hike Thursday with annual inflation having reached 10.4%.

And the European Central Bank, saying Europe’s banking sector was resilient, last week raised its benchmark rate by a half point to combat inflation of 8.5%. At the same time, the ECB president, Christine Lagarde, has shifted to an open-ended stance regarding further rate increases

In the United States, most recent data still points to a solid economy and strong hiring. Employers added a robust 311,000 jobs in February. And while the unemployment rate rose, from 3.4% to a still-low 3.6%, that mostly reflected an influx of new job-seekers who were not immediately hired. In its latest quarterly projections, the Fed predicts that the unemployment rate will rise from its current 3.6% to 4.5% by year’s end.

California Picks Generic Drug Company Civica To Produce Low-Cost Insulin

SACRAMENTO, Calif. — Gov. Gavin Newsom on Saturday announced the selection of Utah-based generic drug manufacturer Civica to produce low-cost insulin for California, an unprecedented move that makes good on his promise to put state government in direct competition with the brand-name drug companies that dominate the market.

“People should not be forced to go into debt to get lifesaving prescriptions,” Newsom said. “Californians will have access to some of the most inexpensive insulin available, helping them save thousands of dollars each year.”

The contract, with an initial cost of $50 million that Newsom and his fellow Democratic lawmakers approved last year, calls for Civica to manufacture state-branded insulin and make the lifesaving drug available to any Californian who needs it, regardless of insurance coverage, by mail order and at local pharmacies. But insulin is just the beginning. Newsom said the state will also look to produce the opioid overdose reversal drug naloxone.

Allan Coukell, Civica’s senior vice president of public policy, told KHN that the nonprofit drugmaker is also in talks with the Newsom administration to potentially produce other generic medications, but he declined to elaborate, saying the company is focused on making cheap insulin widely available first.

“We are very excited about this partnership with the state of California,” Coukell said. “We’re not looking to have 100% of the market, but we do want 100% of people to have access to fair insulin prices.”

As insulin costs for consumers have soared, Democratic lawmakers and activists have called on the industry to rein in prices. Just weeks after President Joe Biden attacked Big Pharma for jacking up insulin prices, the three drugmakers that control the insulin market — Eli Lilly and Co., Novo Nordisk, and Sanofi — announced they would slash the list prices of some products.

Newsom, who has previously accused the pharmaceutical industry of gouging Californians with “sky-high prices,” argued that the launch of the state’s generic drug label, CalRx, will add competition and apply pressure on the industry. Administration officials declined to say when California’s insulin products would be available, but experts say it could be as soon as 2025. Coukell said the state-branded medication will still require approval from the FDA, which can take roughly 10 months.

The Pharmaceutical Research and Manufacturers of America, which lobbies on behalf of brand-name companies, blasted California’s move. Reid Porter, senior director of state public affairs for PhRMA, said Newsom just “wants to score political points.”

“If the governor wants to impact what patients pay for insulins and other medicines meaningfully, he should expand his focus to others in the system that often make patients pay more than they do for medicines,” Porter said, blaming pharmaceutical go-between companies, known as pharmacy benefit managers, that negotiate with manufacturers on behalf of insurers for rebates and discounts on drugs.

The Pharmaceutical Care Management Association, which represents pharmacy benefit managers argued in turn that it’s pharmaceutical companies that are to blame for high prices.

Drug pricing experts, however, say pharmacy benefit managers and drugmakers share the blame.

Newsom administration officials say that inflated insulin costs force some to pay as much as $300 per vial or $500 for a box of injectable pens, and that too many Californians with diabetes skip or ration their medication. Doing so can lead to blindness, amputations, and life-threatening conditions such as heart disease and kidney failure. Nearly 10% of California adults have diabetes.

Civica is developing three types of generic insulin, known as a biosimilar, which will be available both in vials and in injectable pens. They are expected to be interchangeable with brand-name products including Lantus, Humalog, and NovoLog. Coukell said the company would make the drug available for no more than $30 a vial, or $55 for five injectable pens.

Newsom said the state’s insulin will save many patients $2,000 to $4,000 a year, though critical questions about how California would get the products into the hands of consumers remain unanswered, including how it would persuade pharmacies, insurers, and retailers to distribute the drugs.

Last year, Newsom also secured $50 million in seed money to build a facility to manufacture insulin; Coukell said Civica is exploring building a plant in California.

California’s move, though never previously tried by a state government, could be blunted by recent industry decisions to lower insulin prices. In March, Lilly, Novo Nordisk, and Sanofi vowed to cut prices, with Lilly offering a vial at $25 per month, Novo Nordisk promising major reductions that would bring the price of a particular generic vial to $48, and Sanofi pegging one vial at $64.

The governor’s office said it will cost the state $30 per vial to manufacture and distribute insulin and it will be sold at that price. Doing so, the administration argues, “will prevent the egregious cost-shifting that happens in traditional pharmaceutical price games.”

Drug pricing experts said generic production in California could further lower costs for insulin, and benefit people with high-deductible health insurance plans or no insurance.

“This is an extraordinary move in the pharmaceutical industry, not just for insulin but potentially for all kinds of drugs,” said Robin Feldman, a professor at the University of California College of the Law-San Francisco. “It’s a very difficult industry to disrupt, but California is poised to do just that.”

This story was produced by KHN, which publishes California Healthline, an editorially independent service of the California Health Care Foundation.

California Picks Generic Drug Company Civica To Produce Low-Cost Insulin

SACRAMENTO, Calif. — Gov. Gavin Newsom on Saturday announced the selection of Utah-based generic drug manufacturer Civica to produce low-cost insulin for California, an unprecedented move that makes good on his promise to put state government in direct competition with the brand-name drug companies that dominate the market.

“People should not be forced to go into debt to get lifesaving prescriptions,” Newsom said. “Californians will have access to some of the most inexpensive insulin available, helping them save thousands of dollars each year.”

The contract, with an initial cost of $50 million that Newsom and his fellow Democratic lawmakers approved last year, calls for Civica to manufacture state-branded insulin and make the lifesaving drug available to any Californian who needs it, regardless of insurance coverage, by mail order and at local pharmacies. But insulin is just the beginning. Newsom said the state will also look to produce the opioid overdose reversal drug naloxone.

Allan Coukell, Civica’s senior vice president of public policy, told KHN that the nonprofit drugmaker is also in talks with the Newsom administration to potentially produce other generic medications, but he declined to elaborate, saying the company is focused on making cheap insulin widely available first.

“We are very excited about this partnership with the state of California,” Coukell said. “We’re not looking to have 100% of the market, but we do want 100% of people to have access to fair insulin prices.”

As insulin costs for consumers have soared, Democratic lawmakers and activists have called on the industry to rein in prices. Just weeks after President Joe Biden attacked Big Pharma for jacking up insulin prices, the three drugmakers that control the insulin market — Eli Lilly and Co., Novo Nordisk, and Sanofi — announced they would slash the list prices of some products.

Newsom, who has previously accused the pharmaceutical industry of gouging Californians with “sky-high prices,” argued that the launch of the state’s generic drug label, CalRx, will add competition and apply pressure on the industry. Administration officials declined to say when California’s insulin products would be available, but experts say it could be as soon as 2025. Coukell said the state-branded medication will still require approval from the FDA, which can take roughly 10 months.

The Pharmaceutical Research and Manufacturers of America, which lobbies on behalf of brand-name companies, blasted California’s move. Reid Porter, senior director of state public affairs for PhRMA, said Newsom just “wants to score political points.”

“If the governor wants to impact what patients pay for insulins and other medicines meaningfully, he should expand his focus to others in the system that often make patients pay more than they do for medicines,” Porter said, blaming pharmaceutical go-between companies, known as pharmacy benefit managers, that negotiate with manufacturers on behalf of insurers for rebates and discounts on drugs.

The Pharmaceutical Care Management Association, which represents pharmacy benefit managers argued in turn that it’s pharmaceutical companies that are to blame for high prices.

Drug pricing experts, however, say pharmacy benefit managers and drugmakers share the blame.

Newsom administration officials say that inflated insulin costs force some to pay as much as $300 per vial or $500 for a box of injectable pens, and that too many Californians with diabetes skip or ration their medication. Doing so can lead to blindness, amputations, and life-threatening conditions such as heart disease and kidney failure. Nearly 10% of California adults have diabetes.

Civica is developing three types of generic insulin, known as a biosimilar, which will be available both in vials and in injectable pens. They are expected to be interchangeable with brand-name products including Lantus, Humalog, and NovoLog. Coukell said the company would make the drug available for no more than $30 a vial, or $55 for five injectable pens.

Newsom said the state’s insulin will save many patients $2,000 to $4,000 a year, though critical questions about how California would get the products into the hands of consumers remain unanswered, including how it would persuade pharmacies, insurers, and retailers to distribute the drugs.

Last year, Newsom also secured $50 million in seed money to build a facility to manufacture insulin; Coukell said Civica is exploring building a plant in California.

California’s move, though never previously tried by a state government, could be blunted by recent industry decisions to lower insulin prices. In March, Lilly, Novo Nordisk, and Sanofi vowed to cut prices, with Lilly offering a vial at $25 per month, Novo Nordisk promising major reductions that would bring the price of a particular generic vial to $48, and Sanofi pegging one vial at $64.

The governor’s office said it will cost the state $30 per vial to manufacture and distribute insulin and it will be sold at that price. Doing so, the administration argues, “will prevent the egregious cost-shifting that happens in traditional pharmaceutical price games.”

Drug pricing experts said generic production in California could further lower costs for insulin, and benefit people with high-deductible health insurance plans or no insurance.

“This is an extraordinary move in the pharmaceutical industry, not just for insulin but potentially for all kinds of drugs,” said Robin Feldman, a professor at the University of California College of the Law-San Francisco. “It’s a very difficult industry to disrupt, but California is poised to do just that.”

This story was produced by KHN, which publishes California Healthline, an editorially independent service of the California Health Care Foundation.

KHN (Kaiser Health News) is a national newsroom that produces in-depth journalism about health issues. Together with Policy Analysis and Polling, KHN is one of the three major operating programs at KFF (Kaiser Family Foundation). KFF is an endowed nonprofit organization providing information on health issues to the nation.

USE OUR CONTENT This story can be republished for free (details).

California Picks Generic Drug Company Civica To Produce Low-Cost Insulin

SACRAMENTO, Calif. — Gov. Gavin Newsom on Saturday announced the selection of Utah-based generic drug manufacturer Civica to produce low-cost insulin for California, an unprecedented move that makes good on his promise to put state government in direct competition with the brand-name drug companies that dominate the market.

“People should not be forced to go into debt to get lifesaving prescriptions,” Newsom said. “Californians will have access to some of the most inexpensive insulin available, helping them save thousands of dollars each year.”

The contract, with an initial cost of $50 million that Newsom and his fellow Democratic lawmakers approved last year, calls for Civica to manufacture state-branded insulin and make the lifesaving drug available to any Californian who needs it, regardless of insurance coverage, by mail order and at local pharmacies. But insulin is just the beginning. Newsom said the state will also look to produce the opioid overdose reversal drug naloxone.

Allan Coukell, Civica’s senior vice president of public policy, told KHN that the nonprofit drugmaker is also in talks with the Newsom administration to potentially produce other generic medications, but he declined to elaborate, saying the company is focused on making cheap insulin widely available first.

“We are very excited about this partnership with the state of California,” Coukell said. “We’re not looking to have 100% of the market, but we do want 100% of people to have access to fair insulin prices.”

As insulin costs for consumers have soared, Democratic lawmakers and activists have called on the industry to rein in prices. Just weeks after President Joe Biden attacked Big Pharma for jacking up insulin prices, the three drugmakers that control the insulin market — Eli Lilly and Co., Novo Nordisk, and Sanofi — announced they would slash the list prices of some products.

Newsom, who has previously accused the pharmaceutical industry of gouging Californians with “sky-high prices,” argued that the launch of the state’s generic drug label, CalRx, will add competition and apply pressure on the industry. Administration officials declined to say when California’s insulin products would be available, but experts say it could be as soon as 2025. Coukell said the state-branded medication will still require approval from the FDA, which can take roughly 10 months.

The Pharmaceutical Research and Manufacturers of America, which lobbies on behalf of brand-name companies, blasted California’s move. Reid Porter, senior director of state public affairs for PhRMA, said Newsom just “wants to score political points.”

“If the governor wants to impact what patients pay for insulins and other medicines meaningfully, he should expand his focus to others in the system that often make patients pay more than they do for medicines,” Porter said, blaming pharmaceutical go-between companies, known as pharmacy benefit managers, that negotiate with manufacturers on behalf of insurers for rebates and discounts on drugs.

The Pharmaceutical Care Management Association, which represents pharmacy benefit managers argued in turn that it’s pharmaceutical companies that are to blame for high prices.

Drug pricing experts, however, say pharmacy benefit managers and drugmakers share the blame.

Newsom administration officials say that inflated insulin costs force some to pay as much as $300 per vial or $500 for a box of injectable pens, and that too many Californians with diabetes skip or ration their medication. Doing so can lead to blindness, amputations, and life-threatening conditions such as heart disease and kidney failure. Nearly 10% of California adults have diabetes.

Civica is developing three types of generic insulin, known as a biosimilar, which will be available both in vials and in injectable pens. They are expected to be interchangeable with brand-name products including Lantus, Humalog, and NovoLog. Coukell said the company would make the drug available for no more than $30 a vial, or $55 for five injectable pens.

Newsom said the state’s insulin will save many patients $2,000 to $4,000 a year, though critical questions about how California would get the products into the hands of consumers remain unanswered, including how it would persuade pharmacies, insurers, and retailers to distribute the drugs.

Last year, Newsom also secured $50 million in seed money to build a facility to manufacture insulin; Coukell said Civica is exploring building a plant in California.

California’s move, though never previously tried by a state government, could be blunted by recent industry decisions to lower insulin prices. In March, Lilly, Novo Nordisk, and Sanofi vowed to cut prices, with Lilly offering a vial at $25 per month, Novo Nordisk promising major reductions that would bring the price of a particular generic vial to $48, and Sanofi pegging one vial at $64.

The governor’s office said it will cost the state $30 per vial to manufacture and distribute insulin and it will be sold at that price. Doing so, the administration argues, “will prevent the egregious cost-shifting that happens in traditional pharmaceutical price games.”

Drug pricing experts said generic production in California could further lower costs for insulin, and benefit people with high-deductible health insurance plans or no insurance.

“This is an extraordinary move in the pharmaceutical industry, not just for insulin but potentially for all kinds of drugs,” said Robin Feldman, a professor at the University of California College of the Law-San Francisco. “It’s a very difficult industry to disrupt, but California is poised to do just that.”

This story was produced by KHN, which publishes California Healthline, an editorially independent service of the California Health Care Foundation.

KHN (Kaiser Health News) is a national newsroom that produces in-depth journalism about health issues. Together with Policy Analysis and Polling, KHN is one of the three major operating programs at KFF (Kaiser Family Foundation). KFF is an endowed nonprofit organization providing information on health issues to the nation.

USE OUR CONTENT This story can be republished for free (details).

Facing Arrest Warrant, Russia’s Putin Visits Annexed Crimea

KYIV, Ukraine (AP) — Russian President Vladimir Putin traveled to Crimea to mark the ninth anniversary of the Black Sea peninsula’s annexation from Ukraine on Saturday, the day after the International Criminal Court issued an arrest warrant for the Russian leader accusing him of war crimes.

Putin visited an art school and a children’s center that are part of a project to develop a historical park on the site of an ancient Greek colony, Russian state news agencies said.

The ICC accused him Friday of bearing personal responsibility for the abductions of children from Ukraine during Russia’s full-scale invasion of the neighboring country that started almost 13 months ago.

Russia annexed Crimea from Ukraine in 2014, a move that most of the world denounced as illegal. Ukrainian President Volodymyr Zelenskyy has demanded that Russia withdraw from the peninsula as well as the areas it has occupied since last year.

Putin has shown no intention of relinquishing the Kremlin’s gains. Instead, he stressed Friday the importance of holding Crimea.

“Obviously, security issues take top priority for Crimea and Sevastopol now,” he said, referring to Crimea’s largest city. “We will do everything needed to fend off any threats.”

Putin took a plane to travel the 1,821 kilometers (1,132 miles) from Moscow to Sevastopol, where he took the wheel of the car that transported him around the city, according to Moscow-installed governor Mikhail Razvozhaev.

The ICC’s arrest warrant was the first issued against a leader of one of the five permanent members of the U.N. Security Council. The court, which is based in The Hague, Netherlands, also issued a warrant for the arrest of Maria Lvova-Belova, the commissioner for Children’s Rights in the Office of the President of the Russian Federation.

The move was immediately dismissed by Moscow — and welcomed by Ukraine as a major breakthrough. However, the chances of Putin facing trial at the ICC are highly unlikely because Moscow does not recognize the court’s jurisdiction or extradite its nationals.

Despite the court’s action and its implication’s for Putin, the United Nations and Turkish President Recep Tayyip Erdogan announced Saturday that a wartime deal that allowed grain to flow from Ukraine to countries in Africa, the Middle East and Asia was extended, although neither said for how long.

Ukrainian Deputy Prime Minister Oleksandr Kubrakov tweeted that the deal had been renewed for 120 days, the period that Ukraine, Turkey and the U.N. wanted. But Russian Foreign Ministry spokeswoman Maria Zakharova told Russian news agency Tass that Moscow agreed to a 60-day extension.

Russia and Ukraine are both major global suppliers of wheat, barley, sunflower oil and other affordable food products that developing nations depend on. They signed separate agreements with the U.N. and Turkey last year to allow food to leave Ukraine’s blockaded ports.

Russia has complained that shipments of its fertilizers — which its deal was supposed to facilitate — are not getting to global markets. The country briefly pulled out of the agreement in November before rejoining and agreeing to a 120-day renewal.

Putin signed a law Saturday that imposes stiff fines for discrediting or spreading misleading information about volunteers or mercenaries fighting in Ukraine. The law calls for a fining individuals 50,000 rubles ($660) for a first offense and up to 15 years in prison for repeated offenses.

The measure mirrors one passed in the early days of the war that applied to speaking negatively about soldiers or the Russian military in general.

Fighters from the Wagner Group, a private Russian military company known for fierce tactics, have taken key roles in Ukraine, particularly in Russia’s grinding campaign to seize the eastern Donetsk province town of Bakhmut.

In Ukraine, authorities reported widespread Russian attacks between Friday night and Saturday morning. Writing on Telegram, the Ukrainian air force command said 11 out of 16 drones were shot down during attacks that targeted the capital, Kyiv, and the western Lviv province, among other areas.

The head of the Kyiv city administration, Serhii Popko, said Ukrainian air defenses shot down all drones heading for the capital. Lviv Gov. Maksym Kozytskyi said Saturday that three of six drones were shot down, with the other three hitting a district that borders Poland.

According to the Ukrainian air force, the attacks were carried out from the eastern coast of the Sea of Azov and Russia’s Bryansk province, which also borders Ukraine.

The Ukrainian military reported that between Friday morning and Saturday morning, Russian forces launched 34 airstrikes, one missile strike and 57 rounds of anti-aircraft fire. It said falling debris hit southern Ukraine’s Kherson province, damaging seven houses and a kindergarten.

Russia is still concentrating the bulk of its offensive operations in Ukraine’s industrial east, focusing attacks on Bakhmut and other parts of Donetsk province.

Regional Gov. Pavlo Kyrylenko said one person was killed and three wounded when 11 towns and villages in the province were shelled Friday.

Further west, Russian rockets hit a residential area overnight in the city of Zaporizhzhia, the regional capital of the partially occupied province of the same name. No casualties were reported, but houses were damaged, Anatoliy Kurtev of the Zaporizhzhia City Council said.

British military officials said Saturday that Russia was likely to expand mandatory conscription to replenish its troops fighting in Ukraine. The U.K. Defense Ministry said in its latest analysis that deputies in the Russian Duma, the lower house of Russia’s parliament, introduced a bill to change the draft ages for men to 21-30, from the current 18-27.

The ministry said many Russian men ages 18-21 claim exemptions from military service because they are enrolled in higher education institutions. The wider age range would mean they would have to serve eventually. British officials said the law would likely pass and take effect in January 2024.

___

Follow AP’s coverage of the war in Ukraine: https://apnews.com/hub/russia-ukraine

Biden Insists Banking System Is Safe After 2 Bank Collapses

By KEN SWEET, CHRISTOPHER RUGABER, CHRIS MEGERIAN and CATHY BUSSEWITZ (Associated Press)

NEW YORK (AP) — President Joe Biden insisted Monday that the nation’s banking system was safe, seeking to project calm after the collapse of two banks stirred fears of a broader upheaval and prompted regulators to offer emergency loans to banks to stave off additional failures.

“Your deposits will be there when you need them,” Biden said.

Despite the message from the White House, investors continued to dump shares in bank stocks. Shares of First Republic Bank plunged more than 70% even after the bank said it was accessing emergency funding from the Federal Reserve as well as additional funds from JPMorgan Chase.

U.S. regulators closed the Silicon Valley Bank on Friday after depositors rushed to withdraw their funds all at once. It was the second largest bank failure in U.S. history, behind only the 2008 failure of Washington Mutual. New York-based Signature Bank also collapsed in the third-largest failure in the U.S.

Speaking from the White House shortly before a trip to the West Coast, the president said he would seek to hold those responsible accountable, and he pressed for better oversight and regulation of larger banks. He promised that no losses would be borne by taxpayers.

“We must get the full accounting of what happened,” he said. “Americans can have confidence that the banking system is safe.”

Biden also said the managers of the banks should be fired.

“If the bank is taken over by the FDIC, the people running the bank should not work there anymore,” he said, referring to the Federal Deposit Insurance Corp., the agency responsible for ensuring the stability of the banking system.

Michele Barry, a teacher who was at Silicon Valley Bank on Monday, said members of the FDIC and bank employees were available to answer questions.

Barry, who also runs an after-school program for children, wanted to make sure that her four employees would be paid. She was told that all checks from Friday would be honored, along with her automatic payments.

Barry left enough in her account to cover the payments, but she transferred the bulk of her money over to another bank. She said Biden’s reassurance was helpful.

“I’m from South Africa. Chances are if this happened in South Africa, nobody would insure your money,” she said.

International regulators also had to step in to ease investor fears. The Bank of England and U.K. Treasury said they had facilitated the sale of a Silicon Valley Bank subsidiary in London to HSBC, Europe’s biggest bank. The deal protected 6.7 billion pounds ($8.1 billion) of deposits.

Under the plan announced by U.S. regulators, depositors at Silicon Valley Bank and Signature Bank, including those whose holdings exceed the $250,000 insurance limit, will be able to access their money on Monday. Under a new Fed program, banks can post those securities as collateral and borrow from the emergency facility.

The Treasury has set aside $25 billion to offset any losses incurred. Fed officials said, however, that they do not expect to have to use any of that money, given that the securities posted as collateral have a very low risk of default.

New York bank regulators took possession of Signature Bank on Sunday, ousting its leaders and handing day-to-day control over to the FDIC as part of a move in which the federal government agreed to guarantee full deposits — even those over the $250,000 threshold.

New York Gov. Kathy Hochul described the decision by the state Department of Financial Services as aimed at holding off a bigger crisis involving more banks.

“Our view was to make sure that the entire banking community here in New York was stable, that we can project calm,” Hochul said in a news conference Monday.

She said a high volume of withdrawals that began last week continued with online transactions through the weekend. The bank was open Monday under the name of Signature Bridge Bank.

Signature, which was founded more than two decades ago, has about 40 offices across the country and says it focuses on banking for privately owned businesses, their owners and senior managers.

Though Sunday’s steps marked the most extensive government intervention in the banking system since the 2008 financial crisis, the actions were relatively limited compared with 15 years ago.

The two failed banks themselves have not been rescued, and taxpayer money has not been provided to them.

Some prominent Silicon Valley executives feared that if Washington did not rescue their failed bank, customers would make runs on other financial institutions in the coming days. Stock prices plunged over the last few days at other banks that cater to technology companies, such as First Republic and PacWest Bank.

Among the bank’s customers are a range of companies, including many California wineries that rely on Silicon Valley Bank for loans, and technology startups devoted to combating climate change.

Tiffany Dufu, founder and CEO of The Cru, a New York-based career coaching platform and community for women, had her money tied up at Silicon Valley Bank.

She said in video on LinkedIn that she had to pay employees out of her personal account. With two teenagers to support who will be heading to college, she said she was relieved to hear that the government intends to make depositors whole.

“Small businesses and early stage startups don’t have a lot of access to leverage in a situation like this, and we’re often in a very vulnerable position, particularly when we have to fight so hard to get the wires into your bank account to begin with, particularly for me, as a Black female founder,” Dufu said.

___ Rugaber and Megerian reported from Washington. Sweet and Bussewitz reported from New York. Associated Press writers Hope Yen in Washington; Michelle Chapman in New York; Jennifer McDermott in Providence, Rhode Island; Geoff Mulvihill in Cherry Hill, New Jersey; and Danica Kirka in London contributed to this report.

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I’ll Bet You A Martini Adam Schiff Is Our Next U.S. Senator

Tens of millions of Americans first got to know Rep. Adam Schiff, who will be the next senator from the great state of California, when he prosecuted former President Donald Trump for the latter’s high crimes and misdemeanors in 2020.

Call those among them who think that means Schiff’s political career has been all about Trump lazy — and I will, seeing as his three decades of public service prior to that are available to them by pressing a couple of buttons on their phones — it’s also just human nature. For simple reasons of recency bias, you are what you were when you filled our television screens night after night.

But my neighborhood has been represented by Adam Schiff, first in the state Senate beginning in 1996, and then in the House of Representatives beginning in 2000, for over a quarter-century now.

We know that the presidential prosecution by Schiff, superb as it was, is to the real people he represents just a footnote in a long career of public service.

That’s why we shouldn’t blame too much even savvy types such as my editorial board colleague Matt Fleming, who claimed in these pages last week that Schiff would never be elected to the United States Senate. They were blinded by the flash of those heady impeachment days into thinking Schiff is therefore a flash in the pan.

He’s not. He will be elected to the Senate, not because he has my seal of approval, but for the simple reason that he’s by far the most electable of the candidates who will run to replace retiring Sen. Dianne Feinstein.

That’s why he has the endorsement of former Speaker Nancy Pelosi, when she could have stood up for her Bay Area colleague Rep. Barbara Lee or another prominent woman, Rep. Katie Porter. Don’t think Pelosi knows how to count votes?

That’s why, Matt, I’ll wager you $50 and a martini — Hendrick’s with a twist, thanks — that you are wrong. And, since you are a new dad, Matt, and still will be one when Schiff wins and you lose, I won’t even cash the legal tender. Write me a check and I’ll just frame it and hang it on the wall.

Conservatives and independents, you hate the FBI, right? You bet your Mar-a-Lago takedown you do. Then you’ll be thrilled to know that when Schiff was a young assistant United States attorney, he successfully prosecuted G-man Richard Miller for spying for the Russkies — on his third time through, after a hung jury and a reversed conviction. Nothing if not patient, that Adam Schiff.

Entering politics, Schiff lost twice in Pasadena-centric Assembly races against the wonderfully affable incumbent Jim Rogan, the former teenage Teddy Kennedy Democratic Convention delegate from a tough San Francisco neighborhood turned conservative Republican. But Schiff was later successful in a state Senate run, and is still known in the San Gabriel Valley for his Sacramento work in 1998 saving the Gold Line light rail  by wresting its control from the Downtown interests of L.A. Metro and creating the independent construction authority that is building it out to this day.

Schiff’s first national fame came when he challenged, for a third time. then-Rep. Rogan, for Congress; it was the most expensive House race ever, and landed them on the cover of The New York Times Magazine. Schiff won, handily, taking 53% of the vote. My neighbors and I have now elected him 11 times to Congress because we appreciate his fight against helicopter noise, for the Armenian diaspora, for press freedom and for a president who believes in the rule of law.

When he’s your junior senator from California in two years, you’ll come to like being represented by the smart, moderate, gracious Adam Schiff, too.

Larry Wilson is on the Southern California News Group editorial board. lwilson@scng.com.

Larry Wilson | Public editor Larry Wilson is a member of the Southern California News Group’s editorial board, writing a twice-weekly column, and is public editor of the Pasadena Star-News, San Gabriel Valley Tribune and Whittier Daily News. For 12 years he was the editor of the Star-News, and prior to that its editorial page editor. He has been a professional journalist since age 19 when he became the rock music critic of The Daily Californian at UC Berkeley, a student newspaper he now sits on the Board of Directors of, and has worked at the Pasadena Guardian, the Pasadena Weekly, where he was founding business manager, and Rolling Stone Press. He is a co-founder, with the novelist Jervey Tervalon and the late food critic Jonathan Gold, of LitFest Pasadena.