Posted by: Audrey Erbes | August 6, 2017

Health Care Bipartisanship in Both House and Senate

Will Bipartisanship on Health Care Reforms Work?

Some bipartisan support within both the Senate and House exist to fix problems with Obamacare but they may not be able to get a lot done at this time. One deadline that impacts the quality of healthcare comes Sept. 27 when insurance companies will negotiate with federal government on costs of care for 2018.

Sen. Lamar Alexander, R-Tennessee, said the Senate health committee will hold bipartisan health care hearings on how to repair the individual market. In the House, a group of 40 lawmakers from both parties endorsed an outline of ideas aimed at making urgent fixes to Obamacare. This step toward bipartisanship on health care comes as some Republicans disagree with Trump’s plan to let Obamacare die. Trump wants to let go attempts to do anything but allow Obamacare to fail by stopping required payments for cost sharing that impacts about 15 million recipients.

In the House the group consisting of about 40 Republicans and Democrats called the Problem Solvers have been working on ideas to solve problems with existing health care. The group’s proposal includes; (1) mandatory funding for cost-sharing reduction payments; (2) the creation of a stability fund; (3) a repeal of the medical device tax; and (4) to raise the threshold of the employer mandate so that companies with 500 employees or more, rather than 50, are required to provide workers with health insurance.

A spokesperson for Paul Ryan says there are no plans to move such above legislation forward any time soon.

(Source: Senator announces bipartisan health care hearing on Obamacare By Madison Park, CNN at http://www.cnn.com/2017/08/02/politics/senate-health-care-hearing-bipartisan/index.html)

Highlights of Life Science Events Week of August 6, 2017

  • Bio2Device Group, Tuesday Evening, August 8, 2017, Topic: “Drug Safety and Pharmacovigilance, the Past, Present and Future, Speaker: Anupam Agarwal, MD, MPH, Head of Clinical Safety and Pharmacovigilance, Zogenix, Inc.
  • AWIS SF, Tuesday Evening, August 8, 2017, Event: Monthly Journal Club
  • WIB-San Francisco, Wednesday Evening, August 9, 2017, Topic: “Exploring Themes in Translational Research: An Essential Element of Therapeutic Development, The panel includes our moderator, Maureen Cronin, Ph.D. (Executive Director of Informatics and Knowledge Utilization at Celgene), and panelists: Oranee Daniels, M.D. (CMO at Antiva Bioscience), Ellen Filvaroff, Ph.D. (Senior Director in Translational Development at Celgene), Nancy K. Pryer, Ph.D. (Vice President of Translational Sciences at BioMarin), and Victoria Sung, Ph.D. (Director of Translational Development at Celgene)
  • AWIS Potluck Picnic, Saturday, Aug. 12, 2017, Event: 11th Annual NCC-AWIS picnic

You can download the details for the upcoming events this week and those through October 2017 with Audreys PicksAugust 6, 2017.

Audrey

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Posted by: Audrey Erbes | July 30, 2017

Attempt to Pass Skinny Version of Obamacare Repeal Bill Fails

Congress Has Forgotten How to Write and Pass a Bill

The healthcare bill process is ludicrous if you forget that we are talking about tens of millions of Americans’ health care in the balance. The loss of bipartisanship and allegiance to party win above the health and welfare of American citizens is probably the principal cause of this fiasco. The role of big money, and lack of ethics on part of many elected to public office has brought us to this state of affairs.

After a late night attempt to pass the “skinny repeal” version, the Republicans failed to get the needed votes. The final vote was 51-49 due to three Republican no votes from Senators Susan Collins (R-Maine), Lisa Murkowski (R-Alaska) and John McCain (R-Arizona). The Senate may be on the verge of protracted bipartisan talks requested by McCain before this effort to pass a “repeal and replace” bill ends.

Bioscience Events Week of July 31, 2017

  • Bio2Device Group, Tuesday Morning, August 1, 2017, Topic: “YawaMed’s novel approach to treat Deep Vein Thrombosis and Pulmonary Emboli,” Speaker: Gerardo Noriega, Managing Director, GVMED
  • RAPS, Friday Morning, August 4, 2017, Event: Networking Breakfast with US Food and Drug Administration

You can download the details for the upcoming events this week and those through October 2017 with Audreys Picks July 30, 2017.

Audrey

How is McConnell Going to Please Demanding President 45 Who Keeps Changing his Mind about Health Care?

It appears that Senate Majority Leader Mitch McConnell doesn’t have enough  Republican votes to pass any of the multiple versions of the Trumpcare repeal and replace bill nor the repeal only version,  but we are skeptical that he will give it up.  My crystal ball can’t find a logical replacement approach except working toward a bipartisan new bill which will be a repair of Obamacare.  This would be a 60 vote process with hearings and not done in secret.

But these are strange times! I’m an optimist and still have hope that moderate Republicans want to provide a good health care improvement plan to revise Obamacare which Democrats admit has some problems might win the day.

See comments by Senator Susan Collins made on today’s program Face the Nation. “But we don’t know whether we’re going to be voting on the House bill, the first version of the Senate bill, the second version of the Senate bill, a new version of the Senate bill, or a 2015 bill that would have repealed the Affordable Care Act now and then said that somehow we’ll figure out a replacement over the next two years.

I don’t think that’s a good approach to facing legislation that affects millions of people and one sixth of our economy. What I would like to see us do is to go back into committee. Lamar Alexander, the chairman of the Senate Health Committee, has already indicated his willingness to hold hearings.

We could divide this issue into separate bills and take a look at the serious flaws in the Affordable Care Act, the most serious of which right now is the collapse of the insurance market in several counties throughout this country, so that people who have subsidies won’t have an insurer that can sell them insurance. That would allow us to hear from expert witnesses, to get input from actuaries and governors and advocacy groups and health care providers, and most important, from members of both sides of the aisle, Republicans as well as Democrats.”

Source: http://www.cbsnews.com/news/transcript-sen-susan-collins-on-face-the-nation-july-23-2017/

Life Science Events in Bay Area Week of July 23, 2017

  • Bio2Device, Tuesday Morning, July 25, 2017, Topic: New Method and Catheter to Treat Patients Experiencing Kidney Failure, Speaker: Ronald C. Allen, PhD, CEO and President, Chrysalis Medical
  • PBSS, Friday Midday, July 28, 2017, Event: PBSS-San Francisco Bay Seminar Luncheon, Topic: “Developing Relevant Human Neural In Vitro Assays for CNS Safety Assessment and Drug Discovery: Challenges and Perspectives”

You can download the details for the upcoming events this week and those through October 2017 with Audreys Picks July 23, 2017.

Audrey

 

 

Posted by: Audrey Erbes | July 10, 2017

Status of Trumpcare 3.0

Latest on Trumpcare 3.0

Senate Republicans can’t get to 50 votes to pass this latest version of Thrumpcare so Mitch McConnell is threatening to work with Democrats to pass a form of the legislation. But now McConnell has a new version. He is expected to reveal latest version this Thursday with vote next week. McConnell has delayed August recess two weeks to allow for work on legislation.

Democrats would agree to improve Obamacare but not its repeal. Keep posted!

Highlights of Bay Area Bioscience Events Week of July 9, 2017

  • Bio2Device Group, Tuesday Evening, July 11, 2017, Topic: “Pharma and Digital Health,” Speaker: Yan Chow, MD. Medical Director for Digital Health in the Medical Sciences Early Development, Amgen
  • East Bay AWIS and GGSC, Wednesday Evening, July 12, 2017, Topic: “How to Accomplish More by Doing Less;” Speaker: Christine Carter, Ph.D. A sociologist and senior fellow at UC Berkeley’s Greater Good Science Center,

You can download the details for the upcoming events this week and those through October 2017 with Audreys Picks July 9, 2017.

Audrey

Posted by: Audrey Erbes | July 2, 2017

Which Way Will Senate Go on Trumpcare 2.0?

Repeal and Replacement of Obamacare Changes to Gutting Medicaid

Just as most Americans are unaware of the high number of Americans provided healthcare by Planned Parenthood, they also have no idea about percentage of people Medicaid covers and the impact of gutting Medicaid. Data from Kaiser Family Foundation, Medicaid and CHIP Payment Access Commission provide percentages for adults for ages 19 to 64 together show the following shockingly high numbers: 20 % of all Americans, 49% of all births, 64% of all nursing home residents, 12% of all adults, 40% of all poor adults, 30% of all adults with disabilities, 39% of all children, 76% of all poor children and 60% of all children with disabilities. So this destruction of health care is not an improvement in health care as Republicans claim. It is based on Paul Ryan’s dream over a beer keg in college of eliminating entitlement programs and moving unbelievable amounts of money from government budgets to tax cuts for the wealthiest Americans and health care companies.

Why aren’t we looking at the base problem of denying Americans the right to health care as all other Western societies support? The debate is all about how expensive health care is and the need to remove entitlement to save money but without looking at ways to really reduce the cost. A single payer system would remove huge profits to insurance companies and allow for a truly improved system. California recently revived a single payer system for consideration in California but it was sent back to committee because of its high cost without federal support. Health care for all is expensive and as long as it is not considered a citizen’s right to have, I don’t expect any real progress in reaching it.

The Senate version of Trumpcare 2.0 is even worse than that of the House’s bill passed recently. Senate bill is cruel because it ravages care for the least amongst us. They both are designed as a major tax cut for the wealthy and companies with reductions in over $800 billion from current health care.

Senate Majority Leader Mitch McConnell is determined to get this bill passed rapidly with some changes vs. House bill to give cover to the Republicans in the 2018 and 2020 elections. It is seems better to some because it phases out Medicaid more slowly but ultimately achieves the same objectives. Source: G.O.P. Health Plan Really a Rollback of Medicaid by Margot Sanger-Katz, June 20, 2017, New York Times athttps://www.nytimes.com/2017/06/22/us/politics/senate-health-care-bill.html?ref=todayspaper

Action

  • Thank our representatives for fighting the Trumpcare 2.0 legislation as farce and standing up to defeat this bill in the coming weeks.

Highlights of Bay Area Bioscience Events week of June 26, 2017

  • Bio2Device Group, Tuesday Morning, June 27, 2017, Topic: “Recent Advances in Addressing Recruitment, Enrollment and Retention of Women In Cardiovascular Medical Device Clinical Trials,” Speaker: Tami Shipman , Director of Clinical Affairs, Vascular Dynamics
  • PBSS MiniSymposium, Wednesday, June 28, 2017, Event: “Immuno-Oncology: Advances in Translating from Bench to Clinic,” Organizers: Snow Ge (Nektar), Deborah Charych (Nektar), Wenfeng Xu (Genentech)
  • ASQ Biomedical Division, Wednesday Evening, June 28, 2017, Event: Roundtable – Update on Software Regulations: FDA’s 21st Century Cures Act, and the EU’s Medical Device Regulation (MDR), Speaker: Tim Stein, Moderator: Barry Craner, former Vice President of Quality and Regulatory, Stellartech Research Corporation, FASQ.
  • BioScience Forum, Wednesday Evening, June 28, 2017, Topic: “Turning Tumor Mutations into Personalized Cancer Therapies,” Speaker: Karin Jooss, Ph.D., Executive Vice President of Research and Chief Scientific Office, Gritstone Oncology, Inc.

You can download the details for the upcoming events this week and those through October 2017 with Audreys Picks June 26, 2017. There is a new Jobs That Crossed My Desk Through June 25, 2017 posting also available in pdf.

Audrey

Posted by: Audrey Erbes | June 15, 2017

Fight to Save Quality Health Care for All Continues

Fight to Save Quality Health Care for All Continues

“States Lead the Fight Against Trump’s Birth Control Rollback”

by Sheryl Gay Stolberg, June 9, 2017, New York Times shares information about state action to protect women from losing rights to birth control under Obama Care.Nevada recently passed new legislation to guarantee access to birth control. “With the future of the Affordable Care Act — former President Barack Obama’s signature health care legislation — in doubt and the Trump administration planning to roll back the act’s mandate that employers cover contraceptives, the battle over birth control is shifting to the states.” Several states have passed new legislation focused on birth control pills being accessible but also other means of contraception in some states.

Currently, 28 states have contraceptive equity laws passed in the 1990s in place but now see threat from Trump administration. Tom Price the Health and Human Services secretary believes that all women can afford birth control. See full artile at https://www.nytimes.com/2017/06/09/us/politics/states-lead-the-fight-against-trumps-birth-control-rollback.html?_r=2&mtrref=undefined&mtrref=www.nytimes.com

Republicans in Congress have a new vocabulary regarding the Trumpcare bill. A Senator from West Virginia calls the defunding of Medicaid a “transition period.” Paul Ryan liked to call Thumpcare bringing back choice. Somehow they underestimate constituent anger over removing coverage no matter what you call it. Senator Peter Sullivan, The Hill notes I had an interesting exchange just now with Sen. Capito on 7 yr phaseout of Medicaid expansion money. She prefers to say “transitional period” See at https://twitter.com/PeterSullivan4/status/875071672285581313

Republican Senators are working behind closed doosr to draft a new health care bill. They want to have it passed by July 4th although the difficulties they are experiencing getting conservatives and moderates to agree on terms is expected to delay that goal. We must keep pressing representatives to stop the taking away of healthcare from 23 million citizens and raising rates out of reach for older citizens.

The ACLU reports that last week, Senate Republican leadership used an obscure rule, known as Rule 14, to let them bypass public hearings and rush through legislation to repeal the Affordable Care Act.This is on top of the fact that negotiations about the bill have been held largely in secret and the public and the press have yet to even get a glimpse of the legislation. They are also trying to deny press access to Senators outside the chambers.

Take Action

Pick up the phone to save health care   Even if you’ve already sent your letter, there’s still more you can do to help stop the high cost health care bill. Call your Senators at 1-844-586-9567 and demand that they fight for your health, not handouts to drug and insurance companies

Highlights of Bioscience Events in Bay Area Weeks of June 15 – June 23, 201

  • WIB Plenary Session, Monday Late Afternoon, June 19, 2017; Event: Plenary Event at BIO Convention: “Pitch Perfect Challenge” Date and Time: Monday, June 19, 2017, 4:30 p.m. – 7:30 p.m. PST
  • Bio2Device Group, Tuesday Morning, June 20, 2017; Topic: TBA, Speaker: John “JB” Foreman, Engineer-Consultant,Thirty Five Engineering
  • JLABS, Tuesday Morning, June 20, 2017; Event: “Meet with… Novartis Venture Fund”
  • Rosenman Institute, Wednesday, June 21, 2017; Event: 4th Annual Rosenman Conference
  • EMBS, Wednesday Evening, June 21, 2017; Topic: ”Interpreting the Voice of Customer (VoC) i.e. Surgeon Feedback to Design Next-Generation Medical Device Solutions,” Speaker: Rachit Ohri, CEO and Founder, Enable Life Sciences, LLC, Cambridge, MA
  • BIO Talent Connect, June 22, 2017, Date and Time: Thursday, June 22, 2017, 2:00pm to 6:30pm; Location: San Diego Convention Center, Ballroom 20AB
  • CABS Conference, Saturday, June 24, 2017;Event: 2017 CABS BIOPACIFIC CONFERENCE; Theme: Leading the New Wave of Life Sciences Innovation – Technology, Policy, and Investment Trends across the Pacific Rim

You can download the details for the upcoming events this week and those through October 2017 with Audreys Picks June 19,, 2017.

Audrey

 

Results of Congressional Budget Committee Scoring on AHCA 2.0

The Congressional Budget Committee issued the scoring of the revised Republican American Health Care Bill 2.0 passed by the House on May 4. Until the completion of the scoring, the House couldn’t send their version to the Senate as the scoring was required first so all that rush was unnecessary.

 

Trumpcare means higher premiums and deductibles, especially for the elderly and those already sick. It puts a new age tax on people over 50 and means 23 million people will lose their healthcare coverage while giving billions in tax cuts for the wealthiest Americans. It would leave 14 million more people uninsured next year than under the Affordable Care Act and 23 million more by 2026.

 

The new estimate concludes an extreme rise in insurance costs in many states for those who are sick or have pre-existing conditions while premiums would fall for the young and healthy. The Senate plans to rewrite the House approved bill but even Mitch McConnell, the majority leader is uncertain of the chances of finding a majority to repeal and replace the Affordable Care Act.

 

The new health bill saves the government billions but only $119 versus the original $337 billion in the first version defeated in March. The lowered savings was necessary for the moderate Republicans to approve the bill. It’s clear this new House bill has major cost savings to pay for lowered taxes for the wealthy but not sufficient coverage for all. This is not surprising since Republicans have always wanted reduced health care costs, not increased coverage. They have been using empty promise of more freedom of choice for patients to try to cover up their real intent.  Yes, there will be access to health care harking back to former health care system prior to the Affordable Care Act but at a very cruel price for lower income citizens. Latter seem to get this as demonstrated in town hall meetings where they share their understanding of the terrible consequences of Trumpcare. Source: https://www.nytimes.com/interactive/2017/05/24/us/cbo-score-ahca-amendments.html?_r=1

 

A comparison of the amended bill with key components of the Affordable Care Act shows repeal of  the individual mandate, employer mandate and out-of-pocket subsidies along with changes in original essential health benefits, Medicaid expansion, premium subsidies. Coverage of dependents till 26 is the only part left intact.  See graphic in article at https://www.nytimes.com/interactive/2017/03/20/us/changes-to-republican-health-plan.html?_r=0

 

The stark difference of cost between Obamacare and Trumpcare for a 21 year old and 64 year old with same income of $26,500 tells the story very plainly. The older worker would pay $13,600 vs. $1,250 in states with some regulation changes while the difference would be $16,100 vs. $1,750 in states with no regulation changes.

 

Single Payer System Considered in California

California state legislators are evaluating a single payer system for California but concerns about the extreme cost to state taxpayers currently make it unacceptable. The costs of the insurance companies and their high paid executives go away but it would be a hard pill to swallow for taxpayers to pick up the total tab otherwise shared with premium payments, co-pays, deductibles, employers and the Federal government. There is a more detailed study underway conducted by the University of Massachusetts, Amherst, and commissioned by National Nurses United to look at the theoretical savings of a universal health care system and judge the potential success of a state going on its own expected to be released soon.

“California would have to collect roughly $200 billion in private funding to run the $400 billion program, most likely through a payroll tax that Californians would pay instead of premiums, co-pays and deductibles, according to a long-awaited Senate committee report. The $200 billion is more than the state’s entire $124 billion general fund budget, which pays for everything from K-12 education to social services.”

Governor Brown is skeptical about the taxpayers being able to pay for this plan on their own. The discussion is causing a split in California Democratic party. http://www.mercurynews.com/2017/05/27/california-democrats-wrestle-with-proposal-to-replace-private-health-insurance-with-single-payer-system/

Lt. Gov. Gavin Newsom who is frontrunner to replace Brown and working on his own universal health care plan is far more receptive.

Single Payer System Considered in California

California state legislators are evaluating a single payer system for California but concerns about the extreme cost to state taxpayers currently make it unacceptable. The costs of the insurance companies and their high paid executives go away but it would be a hard pill to swallow for taxpayers to pick up the total tab otherwise shared with premium payments, co-pays, deductibles, employers and the Federal government. There is a more detailed study underway conducted by the University of Massachusetts, Amherst, and commissioned by National Nurses United to look at the theoretical savings of a universal health care system and judge the potential success of a state going on its own expected to be released soon.

“California would have to collect roughly $200 billion in private funding to run the $400 billion program, most likely through a payroll tax that Californians would pay instead of premiums, co-pays and deductibles, according to a long-awaited Senate committee report. The $200 billion is more than the state’s entire $124 billion general fund budget, which pays for everything from K-12 education to social services.”

Governor Brown is skeptical about the taxpayers being able to pay for this plan on their own. The discussion is causing a split in California Democratic party. http://www.mercurynews.com/2017/05/27/california-democrats-wrestle-with-proposal-to-replace-private-health-insurance-with-single-payer-system/

Lt. Gov. Gavin Newsom who is frontrunner to replace Brown and working on his own universal health care plan is far more receptive.

Highlights of Bioscience Events in Bay Area Weeks of May 28 – June 10, 2017

  • Bio2Device Group, Tuesday Morning, May 30, 2017; Topic: “Emerging regulations and their impact on the medical device industry;” Speaker: Patrick Lee, Senior Director of RA/QA, Vascular Dynamics
  • PBSS, Friday, June 2, 2017; Event: Drug-Induced Liver injury (DILI): risk assessment in drug discovery and clinical development; Speakers:William Treem (J&J), Michael Rothenberg (Genentech), Weida Tong (NCTR/FDA), Yazen Alnouti (UNMC), Donna Dambach (Genentech), Cyrus Khojasteh (Genentech), Kenneth Brouwer (Qualyst), Gary Peltz (Stanford Medical)
  • Bio2Device Group, Tuesday Morning, June 6, 2017; Topic: “Why Japan should be top of an OUS growth strategy;” Speaker: David Smith, Co-Founder and Managing Director, Asia MedMarket Access/MedMarket Access LLC

You can download the details for the upcoming events this week and those through October 2017 with Audreys Picks May 28, 2017. You can download Jobs That Crossed My Desk Through May 28, 2017 as well.

Audrey

Why Has Lowering Taxes for Wealthy Become Focus of Improving Health Care?

At this point in the President 45 tenure, nothing should surprise us. It seems dumb to take $880 billion dollars out of the health care supported by the government known as Obamacare to provide major tax cuts for the wealthy.  How can the government provide improvements in the Affordable Care Act which everyone knows needs to happen to improve healthcare by gutting the funding of health care for all and eviscerating provided care.

 

“The Affordable Care Act is flawed and needs repair. Something has to be done to control the rising cost of health care. That is what we should be trying to address. Lowering taxes on the wealthy should not be the focus of Congressional reform of healthcare. But that is the focus of this legislation. They want to lower taxes and lower the standards that health insurance companies must meet….Republicans think the way to reduce healthcare costs is to allow insurance companies to cover less.” Obamacare succeeded in improving the level of coverage insurance companies would have to provide. That is one of the things we should not change. We have to find another way to lower premiums and other costs. Source: “New GOP Health Care Plan Is Dumb,” by Scott Galindez, Reader Supported News, May 4, 2017 at http://readersupportednews.org/opinion2/277-75/43382-focus-new-gop-health-care-plan-is-dumb

 

The House is pleased that the American Health Care Act has now moved over to the Senate for consideration. Trump and Ryan are celebrating the passage of this flawed, worsened bill in the House as if it achieved an important victory in providing an improvement over the Obamacare bill. Senators are expected to slow down the process and wait for new bill version to be scored by the Congressional Budget Office. One expects the worsened nature of the revised bill will be exposed for citizens to see. House Republicans Narrowly Pass Controversial Bill to Revise Affordable Care Act,” by Ed O’Keefe, Paige Winfield Cunningham and Amy Goldstein, The Washington Post, May 4, 2017 at http://readersupportednews.org/news-section2/318-66/43383-house-republicans-narrowly-pass-controversial-bill-to-revise-affordable-care-act

Meanwhile, Trump has not upheld his promises to voters and seemingly doesn’t care. He has his plate full with saving his presidency as the demands for his impeachment expand and get louder. The appointment of former FBI Director Robert Mueller today by the Justice Department as special counsel to oversee a federal investigation into potential coordination between Russia and the Trump campaign during the 2016 presidential election means that this investigation is finally serious and Trump won’t be able to table it. See article “Former FBI Director Robert Mueller appointed to lead Trump-Russia investigation” at http://www.denverpost.com/2017/05/17/robert-mueller-trump-russia-investigation/

Upcoming Life Science Meetings in Bay Area Week of May 21,2017

  • BioPharma PM Conference, Monday-Wednesday, May 22-24, 2017, Event: Stepping Up and Stepping Out
  • Golden Gate Polymer Forum , Monday Evening, May 22,2017,Topic: “”Self-Assembly of Polymer-Grafted Nanocrystals via Solvent Annealing,” Speaker: Ricardo Ruiz, Western Digital Corporation
  • Bio2Device Group, Tuesday Morning, May 23, 2017, Topic: “Sterilization,” Speaker:  Larry Nichols, CEO, Steri-Tek
  • JLABS, Tuesday Morning, May 23, 2017, Topic: “Rough seas or smooth sailing? Navigating Collaboration Agreements;” Speakers: Angela Rusakova | Lead Client Service and Audit Partner, Deloitte & Touche LLP;Yelda Kaya | Sr. Director Transactions, Johnson & Johnson Innovation; William J. Newell | CEO, Sutro Biopharma; Moderator: Lesley Stolz | Head of JLABS, CA, Johnson & Johnson Innovation, JLABS
  • BioScience Forum, Wednesday Evening, May 24, 2017, Topic: “Circulatory Factors as Modulators of Brain Function and Aging;” Speaker: Tony Wyss-Coray, Ph.D., Professor of Neurology, Stanford University, Co-Founder, Chairman of Scientific Advisory Board, Alkahest

You can download the details for the upcoming events this week and those through June 2017 with Audreys Picks May 17, 2017.

Audrey

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