32 Matching Annotations
  1. Mar 2021
    1. The opioid crisis really began with prescription pills, then moved into heroin, and now synthetic fentanyl, which presents a particularly high risk of overdose.


    2. The Suboxone helps. I don’t have cravings.


    3. And I think that repealing the X-waiver isn’t entirely going to open the floodgates for prescribers who want to prescribe buprenorphine. There’s still some education and some stigma that needs to be addressed before more people are going to be willing to prescribe.


    4. So first of all, in order to write a prescription for buprenorphine, you have to get something called an X-waiver, which means that you have to take an eight-hour training program and you have to apply to the D.E.A. to get a special waiver.

      A lot more barriers for suppliers to jump through

    5. And one unintended consequence of the crisis is that many people who have legitimate need for pain management and who have never abused those drugs now find it much harder to get the medicine they need

      unintended consequences

    1. it might actually kind of remind people that they could sell this medication.

      Consequence: finding a different market from a safe one to where you can male a higher profit

    2. So bring it right back here to your community health center and we’ll give you a $10 gift card.”

      Insentive to decrease the supply

    3. So when the prescription market contracted by regulation and policies, you had a big opportunity for these other people to come in with higher quality and lower-priced product..


    4. Oxycontin was a time-released version of oxycodone that Purdue aggressively marketed to the medical community, saying it “might” be less addictive than other opioids.

      trying to make money by saying that this 'might' be a soultion but not actually caring if it was or not

    5. economic cost of prescription-opioid abuse. The Centers for Disease Control and Prevention recently put that number at nearly $80 billion a year,

      physical money cost on society

  2. Oct 2019
    1. Schools with large ESL and special education students are held to the same test score standards as their native English-speaking, non-special education students. By the last count, nearly half of all American public schools are now considered failing.

      quote used in intro for making their own plans to help their students

    2. it moves the accountability for tests scores down from the state to the individual teachers.

      About NCLB teaching to the test

    1. the ESSA no longer requires a particular sequence of escalating interventions in title I schools that are identified and continue to fail to make adequate yearly progress (AYP). Instead, it gives SEAs and local educational agencies (LEAs) discretion to determine the evidence-based interventions that are appropriate to address the needs of identified schools.

      earlier intervention

    1. States that wanted their fair share of federal funding were required to fix schools that failed to improve test scores adequately

      used quote in argument 1

    2. The law authorizes the spending of $24.9 billion in 2016, again subject to the spending bill now being finalized by Congress.


    3. The education law sets policy, and does not spend money directly — that's done through annual spending bills.


    1. olely on student academic achievement and primarily used state reading and math test scores

      NCLB only used tests at their surface level to see how schools were doing

    2. But the federal government can’t try to influence a state’s decision.

      States can choose their tests

    1. the new law drops the term “core academic subjects” and uses instead a “well-rounded education,” meaning that subjects like social studies and arts are less likely to be what one study

      less teaching to the test, more teaching for actual learning

    2. more flexibility on testing.


    1. ESSA does order underperforming schools to allow students to transfer to other public schools in the district

      More choice for if you want succeed, you can change schools

    2. ESSA allows different standards for students with “the most significant cognitive disabilities

      Hard for underprivileged districts to make their own, competent instruction

    3. instead of the one-size-fits-all standards of NCLB, ESSA allows different standards for students with “the most significant cognitive disabilities.”

      More flexability

    4. ESSA allows states to break the tests into “smaller components that can be given throughout the school year.”

      Less teaching to the test

    1. holding schools, local educational agencies, and States accountable for improving the academic achievement of all students, and identifying and turning around low-performing schools that have failed to provide a high-quality education to their students, while providing alternatives to students in such schools to enable the students to receive a high-quality education;

      Federal holding states accountable

    1. have your child attend a failing public school or an unregulated charter school or a parochial private school.

      Financially unstable families aren't able to choose

    2. Schools with large ESL and special education students are held to the same test score standards as their native English-speaking, non-special education students

      Unfair standards

    3. reach a proficiency level of 100 percent in this year in order for their funds to remain intact

      Main idea of the bill