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WASHINGTON — Millions of Americans with obesity would be eligible to have popular weight-loss drugs like Wegovy or Zepbound covered by Medicare or Medicaid under a new rule the Biden administration proposed Tuesday morning. The costly proposal from the U.S. Department of Health and Human Services immediately sets the stage for a showdown between the powerful pharmaceutical industry and Robert F. Kennedy Jr., an outspoken opponent of the weight-loss drugs who, as President-elect Donald Trump’s nominee to lead the agency, could block the measure. While the rule would give millions of people access to weekly injectables that have helped people shed pounds so quickly that some have labeled them miracle drugs, it would cost taxpayers as much as $35 billion over the next decade. “It’s a good day for anyone who suffers from obesity,” U.S. Health and Human Services Secretary Xavier Becerra told The Associated Press in an interview. “It’s a game changer for Americans who can’t afford these drugs otherwise.” The rule would not be finalized until January, days after Trump takes office. A bipartisan coalition of congressional members has lobbied for the drugs to be covered by Medicare, saying it could save the government from spending billions of dollars on treating chronic ailments that stem from obesity. While it’s unclear where Trump himself stands on coverage of the weight-loss drugs, his allies and Cabinet picks who have vowed to cut government spending could balk at the upfront price tag. Under the proposal, only those who are considered obese – someone who has a body mass index of 30 or higher – would qualify for coverage. Some people may already get coverage of the drugs through Medicare or Medicaid, if they have diabetes or are at risk for stroke or heart disease. Becerra estimated that an additional 3.5 million people on Medicare and 4 million on Medicaid could qualify for coverage of the drugs. But research suggests far more people might qualify, with the Centers for Medicare and Medicaid Services estimating roughly 28 million people on Medicaid are considered obese. Medicare has been barred from offering the drugs under a decades-old law that prohibits the government-backed insurance program from covering weight-loss products. The rule proposed by the Biden administration, however, would recognize obesity as a disease that can be treated with the help of the drugs. The anti-obesity drug market has expanded significantly in recent years, with the Food and Drug Administration approvingb a new class of weekly injectables like Novo Nordisk’s Wegovy and Eli Lilly’s Zepbound to treat obesity. People can lose as much as 15% to 25% of their body weight on the drugs, which imitate the hormones that regulate appetites by communicating fullness between the gut and brain when people eat. The cost of the drugs has largely limited them to the wealthy, including celebrities who boast of their benefits. A monthly supply of Wegovy rings up at $1,300 and Zepbound will put you out $1,000. Shortages of the drugs have also limited the supplies. Kennedy, who as Trump’s nominee for HHS secretary is subject to Senate confirmation, has railed against the drugs’ popularity. In speeches and on social media, he’s said the U.S. should not cover the drugs through Medicaid or Medicare. Instead, he supports a broad expansion of coverage for healthier foods and gym memberships. “For half the price of Ozempic, we could purchase regeneratively raised, organic food for every American, three meals a day and a gym membership, for every obese American,” Kennedy said to a group of federal lawmakers during a roundtable earlier this year. Ozempic is a diabetes drug that can stimulate weight loss. Comments are not available on this story. Send questions/comments to the editors. « PreviousPresident-elect Donald Trump on Thursday voiced his support for the dockworkers union before their contract expires next month at Eastern and Gulf Coast ports, saying that any further “automation” of the ports would harm workers. The incoming president posted on social media that he met Harold Daggett, the president of the International Longshoreman's Association, and Dennis Daggett, the union's executive vice president. “I’ve studied automation, and know just about everything there is to know about it,” Trump posted. “The amount of money saved is nowhere near the distress, hurt, and harm it causes for American Workers, in this case, our Longshoremen. Foreign companies have made a fortune in the U.S. by giving them access to our markets. They shouldn’t be looking for every last penny knowing how many families are hurt.” The International Longshoremen’s Association has until Jan. 15 to negotiate a new contract with the U.S. Maritime Alliance, which represents ports and shipping companies. At the heart of the dispute is whether ports can install automated gates, cranes and container-moving trucks that could make it faster to unload and load ships. The union argues that automation would lead to fewer jobs, even though higher levels of productivity could do more to boost the salaries of remaining workers. The Maritime Alliance said in a statement that the contract goes beyond ports to “supporting American consumers and giving American businesses access to the global marketplace – from farmers, to manufacturers, to small businesses, and innovative start-ups looking for new markets to sell their products.” “To achieve this, we need modern technology that is proven to improve worker safety, boost port efficiency, increase port capacity, and strengthen our supply chains,” said the alliance, adding that it looks forward to working with Trump. In October, the union representing 45,000 dockworkers went on strike for three days, raising the risk that a prolonged shutdown could push up inflation by making it difficult to unload container ships and export American products overseas. The issue pits an incoming president who won November's election on the promise of bringing down prices against commitments to support blue-collar workers along with the kinds of advanced technology that drew him support from Silicon Valley elite such as billionaire Elon Musk . Trump sought to portray the dispute as being between U.S. workers and foreign companies, but advanced ports are also key for staying globally competitive. China is opening a $1.3 billion port in Peru that could accommodate ships too large for the Panama Canal. There is a risk that shippers could move to other ports, which could also lead to job losses. Mexico is constructing a port that is highly automated, while Dubai, Singapore and Rotterdam already have more advanced ports. Instead, Trump said that ports and shipping companies should eschew “machinery, which is expensive, and which will constantly have to be replaced.” “For the great privilege of accessing our markets, these foreign companies should hire our incredible American Workers, instead of laying them off, and sending those profits back to foreign countries,” Trump posted. “It is time to put AMERICA FIRST!” ___Marsh & McLennan Cos. stock underperforms Wednesday when compared to competitorsNEW YORK (AP) — Juan Soto appears on a timetable to decide on where to sign either before or during baseball's winter meetings in Dallas, which run from Dec. 8-12. Soto met with the New York Yankees, New York Mets, Los Angeles Dodgers, Boston Red Sox and Toronto Blue Jays, a person familiar with the negotiations said last week, speaking to The Associated Press on condition of anonymity because details were not announced. Soto's agent, Scott Boras, asked teams to submit initial offers by Thanksgiving, a second person familiar with the talks said, also on condition of anonymity because it was not announced. Soto is the top player available among this year's free agents . A four-time All-Star, Soto finished third in AL MVP voting after hitting .288 with 41 homers, 109 RBIs and 129 walks. He has a .285 career average with 201 homers, 592 RBIs and 769 walks over seven major league seasons. Soto turned down a $440 million, 15-year offer from Washington in 2022, prompting the Nationals to trade him to San Diego, which then dealt him to the Yankees last December. Soto then combined with Aaron Judge to lead New York to the World Series, where the Yankees lost to the Dodgers . In his pitch to teams, Boras highlighted that Soto joined Mickey Mantle as the only players with seven RBIs in a World Series at age 21 or younger when he was with Washington, and at 20 became the youngest player with five postseason homers. Soto's .906 postseason OPS through age 25 topped Mantle (.900) and Derek Jeter (.852). Soto is likely to seek a record contract, topping Shohei Ohtani's $700 million, 10-year agreement with the Los Angeles Dodgers last December. That might not mean Soto gets more than $700 million, though. Because Ohtani's deal included $680 million in deferred money payable through 2043, it can be valued by different methods. For instance, Ohtani's contract is valued at $46.1 million per season ($461 million total) under MLB's luxury tax system, which used a 4.43% discount rate. The players' association uses a 5% rate, which puts Ohtani's contract at $43.8 million per year. For MLB's regular payroll calculations, a 10% discount rates values Ohtani's deal at just $28.2 million. Which means if Soto gets even $462 million without deferred payments, there's an argument that his deal is the most valuable in MLB history. By average annual value, pitchers Max Scherzer and Justin Verlander are tied for second in baseball history at $43.33 million as part of contracts they signed with the New York Mets, deals that expired at the end of the 2024 season. In terms of total value, Ohtani surpassed outfielder Mike Trout’s $426.5 million, 12-year contract with the Los Angeles Angels through 2030. MLB’s longest contract is outfielder Fernando Tatis Jr.’s 14-year deal with the San Diego Padres through 2034. Story continues below video The Mets, Yankees, Dodgers and Philadelphia Phillies all are likely to enter 2025 having paid luxury tax for three straight years, putting them at the highest rate: a 50% surcharge on payroll between $241 million and $261 million, 62% from $261 million to $281 million, 95% from $281 million to $301 million and 110% for each dollar above $301 million. Toronto may have dropped below the initial tax threshold this year, pending final figures next month. If the Blue Jays did fall under, their rates next year would reset to 20%, 32%, 62.5% and 80% for the four thresholds. If Soto reaches or announces an agreement at the winter meetings in Dallas' Hilton Anatole, it would be a familiar location for a big Boras deal. Alex Rodriguez's record $252 million, 10-year contract with the Texas Rangers was announced in December 2000 at what then was called the Wyndham Anatole Hotel. A-Rod's deal more than doubled MLB's previous high, a $121 million, eight-year contract between pitcher Mike Hampton and Colorado that was announced just two days earlier. “In two days, we’ve doubled a new highest salary,′′ said Sandy Alderson, then an executive vice president in the commissioner’s office. ”I don’t like the exponentiality of that." Rodriguez was 25 at the time of the agreement with Texas, a free agent before entering his likely prime, like Soto. Third baseman Alex Bregman, first basemen Pete Alonso and Christian Walker, and outfielders Anthony Santander and Teoscar Hernández are among the significant bats available to pursue and likely would interest some of the teams who fail to sign Soto. Bregman and Alonso, like Soto, are represented by Boras. AP MLB: https://apnews.com/hub/MLBr-jay falisong 。

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Venezia’s Gaetano Oristanio had a goal disallowed on Sunday for what is arguably one of the closest offside calls that Serie A has ever seen. The offensive midfielder set up Francesco Zampano’s opener in the first half and thought to have doubled his side’s lead shortly after the break, only to see his net disallowed due to an offside position from his teammate Joel Pohjanpalo. Referees needed the help of technology to make the right call with images from the SAOT (Semi-Automatic Offside Technology) showing that a stud of Pohjanpalo’s trailing boot was beyond the last Cagliari defender when the Finnish striker received the ball with his back to goal, before giving it to Oristanio. A youth product of Inter with a stint at Cagliari last season, the 22-year-old had refused to celebrate the goal scored against his former side before understanding it was ruled out. È stato annullato un gol al Venezia per un fuorigioco di tacchetto. Ora ditemi voi se si possono decidere partite da lotta retrocessione (ma anche eventualmente per scudetto o coppe europee) per fuorigioco così...🤷🏻🤷🏻 — ComeFosseAntani♏️ (@niccoristo) However, defender , with the visitors failing to complete a late comeback despite Leonardo Pavoletti’s goal.Walmart's DEI rollback signals a profound shift in the wake of Trump's election victory

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LeddarTech Announces Receipt of the First Installment of the TI Pre-Paid Royalty FeeWASHINGTON (AP) — A top White House official on Wednesday said at least eight U.S. telecom firms and dozens of nations have been impacted by a Chinese hacking campaign. Deputy national security adviser Anne Neuberger offered new details about the breadth of the sprawling Chinese hacking campaign that gave officials in Beijing access to private texts and phone conversations of an unknown number of Americans. Neuberger divulged the scope of the hack a day after the FBI and the Cybersecurity and Infrastructure Security Agency issued guidance intended to help root out the hackers and prevent similar cyberespionage in the future. White House officials cautioned that the number of telecommunication firms and countries impacted could still grow. The U.S. believes that the hackers were able to gain access to communications of senior U.S. government officials and prominent political figures through the hack, Neuberger said. “We don’t believe any classified communications has been compromised,” Neuberger added during a call with reporters. She noted that because the hack appeared to be targeting a relatively small group of individuals, only a small number of Americans' phone calls and texts have been compromised. Neuberger added that impacted companies are all responding, but none “have fully removed the Chinese actors from these networks.” “So there is a risk of ongoing compromises to communications until U.S. companies address the cybersecurity gaps the Chinese are likely to maintain their access,” Neuberger said. She said that President Joe Biden has been briefed on the findings and that the White House “has made it a priority for the federal government to do everything it can to get to the bottom this.” The Chinese embassy in Washington on Tuesday rejected the accusations that it was responsible for the hack after the U.S. federal authorities issued new guidance. “The U.S. needs to stop its own cyberattacks against other countries and refrain from using cyber security to smear and slander China,” embassy spokesperson Liu Pengyu said. The embassy did not immediately respond to messages on Wednesday. White House officials believe that the hacking was regionally targeted and the focus was on very senior government officials. Federal authorities confirmed in October that hackers linked to China targeted the phones of then-presidential candidate Donald Trump and his running mate, Sen. JD Vance, along with people associated with Democratic candidate Vice President Kamala Harris. The number of countries impacted by the hack is currently believed to be in the “low, couple dozen,” according to a senior administration official. The official, who spoke on the condition of anonymity under ground rules set by the White House, said they believed the hacks started at least a year or two ago. The suggestions for telecom companies released Tuesday are largely technical in nature, urging encryption, centralization and consistent monitoring to deter cyber intrusions. If implemented, the security precautions could help disrupt the operation, which has been dubbed Salt Typhoon, and make it harder for China or any other nation to mount a similar attack in the future, experts say. Neuberger pointed to efforts that have been made to beef up cybersecurity in the rail, aviation, energy and other sectors following the May 2021 ransomware attack on Colonial Pipeline . “So, to prevent ongoing Salt typhoon type intrusions by China, we believe we need to apply a similar minimum cybersecurity practice,” Neuberger said. The cyberattack by a gang of criminal hackers on the critical U.S. pipeline, which delivers about 45% of the fuel used along the Eastern Seaboard, sent ripple effects across the economy, highlighting cybersecurity vulnerabilities in the nation’s aging energy infrastructure. Colonial confirmed it paid $4.4 million to the gang of hackers who broke into its computer systems as it scrambled to get the nation's fuel pipeline back online. ___ Associated Press writer David Klepper contributed reporting. Aamer Madhani, The Associated Press

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