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fefuckability · 1 year ago
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The Tellius bracket qualifier! Starts December 29th at 3pm EST
Here's how it's going to work:
There are going to be 14 qualifying polls (ten for the men, four for the women)
Pick your most bangable favorite from each poll
Polls will run for one week (I'd prefer 3 days but alas Tumblr doesn't offer the option yet)
The top 64 male characters and the top 32 female characters will qualify for the men's and women's bracket (there's actually only 32 women total this time so no one is getting cut, the qualifier is more to decide the bracket match-ups)
Polls:
Qualifier 1 (Ike, Oscar, Boyd, Rhys, Shinon, Gatrie, Isaiya, Zaitan, Burton, Wystan, Laverton, Djur)
Qualifier 2 (Soren, Mordecai, Volke, Kieran, Brom, Zihark, Levail, Alder, Duke Seliora, Lombroso, Septimus, Pugo)
Qualifier 3 (Makalov, Muarim, Stefan, Devdan, Reyson, Janaff, Pelleas, Jarod, Ludveck, Valtome, Numida)
Qualifier 4 (Ulki, Tauroneo, Ranulf, Haar, Bastian, Geoffrey, Danomill, Mackoya, Seeker, Norris, Gashilama, Kimaarsi)
Qualifier 5 (Largo, Nasir, Tibarn, Naesala, Giffca, Oliver, Dakova, Emil, Balmer, Kamura, Kotaff, Nedata)
Qualifier 6 (Shiharam, Bryce, Ashnard, Greil, Caineghis, Dheginsea, Izuka, Zawana, Ikanau, Havetti, Maijin)
Qualifier 7 (Sephiran, Lekain, Hetzel, Nealuchi, Muston, Jorge, Kayachey, Homasa, Kasatai, Schaeffer, Tomenami, Rikard)
Qualifier 8 (Daniel, Gareth, Lotz, Zelgius, Rajaion, Renning, Gromell, Hafedd, Heddwyn, Nolan, Aran, Volug)
Qualifier 9 (Rafiel, Danved, Skrimir, Radmin, Zeffren, Yeardley, Maraj, Tashoria, Silvano, Rommit, Istvan, Veyona)
Qualifier 10 (Sothe, Edward, Leonardo, Kurthnaga, Tormod, Yuma, Callum, Kezhda, Roark, Sergei, Goran)
Qualifier 11 (Micaiah, Laura, Ilyana, Meg, Jill, Fiona, Vika, Nailah)
Qualifier 12 (Elincia, Marcia, Leanne, Nephenee, Heather, Lucia, Lethe, Astrid)
Qualifier 13 (Calil, Titania, Mist, Mia, Lyre, Sigrun, Tanith, Ena)
Qualifier 14 (Ashunera, Almedha, Aimee, Anna, Ashera, Catalena, Elena, Petrine)
I am also adding a Google Form to submit characters for an enby bracket so Limstella, Kyza, and Bramimond don't get left out. These can be characters from any game as long as there is canon basis for them being nonbinary.
Extra notes under the cut
Characters who are excluded from voting:
Anyone who obviously both looks and acts like a literal child. Some characters are borderline so discretion may be used*
Generics and palette swaps (e.g. Pain and Agony, and yes I can't believe they named them that either)
Anyone who lacks either a portrait or a unique name
Kyza (they will be included on the Nonbinary bracket)
Special Notes:
I have no idea what to do with Devdan/Danved. They say they aren't the same character, but they kind of are, but they have different names. So are they palette swaps, or are they the same character with a different name and a palette swap? I would usually just exclude them, but they're playable so that feels like it should hold more weight. And then I was like. Screw it we'll just put both on there whatever.
There are some characters who, for spoiler purposes, technically have two different names and/or portraits. For simplicity sake I just picked one portrait/name to use for them.
All characters use their Radiant Dawn appearances (where applicable). Assume the characters are Radiant Dawn age and appearance if they appear there.
*I have played the Tellius games, but I haven't seen absolutely everything. I'm doing my best here. If there's a character on here who you think should be excluded just shoot me an ask or something with your reasoning and we can DQ them if necessary. Please actually send me an ask or DM with actual reasoning, don't just leave a snarky comment with no details and expect me to know what you expect to see.
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'For once, I'd liked a good feeling...'
Ship Writing no. 2 Geoffrey x Julian (@fumikomiyasaki)
TW: Serious Writing Alerted! (Bit Steamy, Slight Spice, and the Various Choices of the Language)
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"Alright, that's it for today! Let's call it a wrap, you dorks!"
Yelled a grunt but a loud voice, coming a very upset current manager, who stuck in record of headaches for the past few weeks. The dancers who were in the next line of the next show for the incoming performance was heading underway but the current manager of the Performance Division, Geoffrey was having another pack headache during the preparations.
"We'll be continuing the next routine at later date for the planned finale. You and your asses better be prepared or the next one line for getting late will a get another warning from me. That's it." Geoffrey stated then rubbed his forehead in hopes of soothing his mind that had been in slight pain for the past few days, after that he then left the practice room, with the other remaining demonic dancers getting their things and head on.
Although there was one certain dancer who caught the sight of the Manager's headaches, a smirk that was quite visible was enough for him to get some ideas to sooth and get quality some time with grumpy yet hollow demon.
But oh, so of course, he wouldn't miss this one of kind chance yet, though some planning had to come in mind.l first before the action commence.
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"Alrighty then Mr. Juju, what's brewing in that puny little mind of yours? Something good happened today?" Snickered a perked up yet interested hollow demon Hiromi, who happened to see Julian with his younger sister April at one of the drink stander tables nearby at the two poker tables in the Casino Division of the dormitory with Toshihiro tending the two siblings as she saw in the opposite side of the table.
"Brewing what on Hiromi?" Julian remarked, showing the smirk to keep the conversation rather at peak.
"I saw that little smirk of yours after that practice ended, another new way to convince Geo for your tiny bidding again? That sounds rather of a cheat for the show~!" The female demon joked with somewhat of a pitiful smile, which Julian eye-rolled at her while April was cleaning up her deck of cards for the next game while watching the conversation with Toshihiro.
"It's not about 'cheating' on the show Hiro. How about that 'something' for the boss?" Julian stated, his grin about his idea didn't seem to fade one bit.
"Yeah we get that already, you damn of a cocky-ass, you're planning something on Grumpo G, aren't ya?" Toshihiro spoke, sounding rather sarcastic for anyone to hear within the dormitory of the gambling and deceitful shows of the underground knowing that it was hell, obviously.
"Well at least someone gets me."
"Now you're just being rude at me? Quite a meanie of you then."
"So then, what's on your mind involving Mister G then?" April wondered as she looked at her older brother, then was getting quite interesting with the flow of the talks between her fellow two seniors and her older brother and decided to tag along in it as well.
It was quite the interesting fact the residents of this dorm came from the dimensional rift border itself before the arrival of the half-myths and more of the other races who came from the rift amongst it's seven countries, normal at sight but was never sane to begin at it's start of the creations. The only seeable demonic residents within the country of Dungeon Inkhell was an absolute underground gravestoned city where they came from. Quite the dark modern itself if you ever see it, but anyone such as the four types of the demons are there are the brutality and sinnerly personaliry in the veins of any demon as well.
Well apparently, many at random can be a victim or the star of the main bloodshed they caused at whatever reason they held, depending it was personal or another thing to be kept in the dark... Though many can show some concern at least or they can just ignore it completely. But that's how many of the demons are within the neverending bloody city itself in the rift.
"Anyways~ Boss is having another of his painful headaches, right? Well perfect timing, cause I planned a little something for the grumpy old hottie." Julian smirked, that looked rather heated onto his idea for his target that he isn't letting it go.
Hiromi had somewhat giggled but rather sinisterly at the hot yet bothered attracted sinner demon Julian towards their boss Geoffrey, Toshihiro eye-rolled at him then April elbowed with a demonic smirk at her older brother left rib but he wasn't bothered by it. Though the three demons didn't bother it to continue towards Julian himself... Though, he seems rather excited for it by the time his boss is soon free from his workload.
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It was rather wonderful, not much for Geoffrey himself though to say the very least.
The pain within his own head isn't leaving at anytime soon, though Geoffrey had been dealing with it for a while but the pills with it's description were definitely not cooperating with him. The preparation for the next show is underway right now, but with this headache that lasted nearly longer than he thought it might be, it will eventually slow him down faster.
The hollow demon was laying on his bed after the day had slowly ended after the practice, and right now he is resting for tomorrow's stage preparation and the next choreography for the dancers to teach and practice for the show. Yet again, the headache he's having might be his current problem to with much to his dismay of annoyance as he rubbed his forehead as the clock of his room chimed.
"Hah... To her fellow deathness to her sins, why is the duck is this happening to me?" He grumbled, while he was trapped in his thoughts about his headache. A rather visible knock came on his door, a voice had also came through it.
"Oh Boss~ You still up yet, handsome?"
"What the fuck is it now, Julian?"
It was obvious for Geoffrey alone to know who was at his front door of his room, with enough to stand up from his bed, he went to open his front door at his bedroom, only finding Julian who was leaning at his door frame, smirking at his front expression. Though Geoffrey was in his pajamas and so was Julian, however he didn't hesitate to get a good look from his boss and his clothes with his own eyes.
"That's quite a stress work you got there, does it?" Julian flirted with the same cockiness in him, which Geoffrey didn't react much to his flirtings as he should and gave him an visible annoyed look.
"None of my own shit will ever be involves with yours moron, what the seven-layers in hell are you doing here?" Geoffrey asked rather bluntly looking at Julian before him at his door, though he seems rather perplexed but still remained annoyed at Julian's smirking face.
"Boss, I have been aware of your little headache problem by now. Kinda slowing you down to bottom rocks. Doncha't think? I wouldn't mind massaging that pain of yours away~" Julian teased as he walked himself into the room with Geoffrey closing and locking his door.
"What the fuck are you mentioning?" The hollow demon muttered audible enough for the sinner demon to hear him, looking at Julian who pressed him onto the bed as he laid on top of him to get a closer look of his annoyed face.
"A good relaxing massage for your head, boss. Surely you wouldn't mind me relieving your pain in the head, it wouldn't hurt to give it a try with me. What do you say?" Julian smirked as he let himself pressed onto Geoffrey's chest as the two fell onto the bed behind his back, with Julian looking at Geoffrey as he licked his lips looking at him from the top of his view. As if he got a free yet yummy snack for himself go have within a VIP dining hall, having it alone with no one else bothering them.
"Tch... You and your ways of having it.." Geoffrey mumbled as he stand up for an angle position for Julian to work, as he then pressed his fingers onto his forehead- messaging it slowly so that Geoffrey wouldn't wince at the pain that lasted for a few days, with only using his two thumbs and just pressing it with the normal pressure, which it would make it work for someone with a typical headache.
The massage that the sinner demon had made for his boss didn't last much long but apparently it had somewhat worked as the hollow demon can feel that the pain had somewhat left his mind thanks to it. After a short while of doing it- in somewhat of a position that the two were in, especially in a bedroom alone. The hollow demon rubbed his main certain of his forehead, sensing that some of the pain had completely left his brain.
"Well? How was it, boss? Relaxing~?" Julian teased, smirking at Geoffrey who then made eye-contact at him, stayed silent till he responded.
"Not bad I guess, but I don't remember asking a rent free treatment. Especially from you." Geoffrey replied, giving him the same blunt reaction as usual.
Soon then, Julian then re-position himself from as he laid onto his boss's bed under the covers, he then quickly pulled Geoffrey down with him so that he can feel the incoming heated tension between them tonight. Julian then showed a wider smirk that any demon can make when it comes to this rising feeling.
"Well~ I'd like to get things going rather further~"
"Heh... For once, I'd liked a good feeling..."
There wasn't a even a slightest hesitation for the two demons to jump into it for the night is that is still young but always young for two demons, having fun...
Only with no one else around, it's just them alone to have it all.
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sakuramidnight15 · 3 years ago
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-HSA OC Information-
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Character Bio
Name: Geoffrey Schaeffer
(Japanese: ジェフリー・シェーファー)
Romaji: Jefurī Shēfā
Quote: “Shut your trap you goddamn bitch, you've could have done better than that."
V/A: Tomokazu Sugita (Japanese)
Gender: Male
Age: 19-Physical (???-Actually)
Birthday: December 19
Star Sign: Sagittarius
Eye Color: Mink Grey
??? (Unknown Eye Color)
Hair Color: African Purple
Height: 200 cm
Race: Soulless Demon
Species: Hollow Type
Family: Aiya Koizumi (Mother)
Wilma Schaeffer (Mother)
Misaki Koizumi (Older Sister)
Grayson Andino (Uncle)
Isamu Koizumi (Uncle)
Penelope Andino (First Cousin)
Dorothea Koizumi (Second Cousin)
Olive Koizumi (Third Cousin)
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School Status and Fun Facts
Dorm: Höllejigoku
School Year: Third
Class: 3-B (Same Class with Saburou and Sienna)
Student no. 19
Occupation: Student
Manager of the Performance Division
Dorm's Dance Instructor
Part-time Model
Club: Debate Club
Best Subject: Science, Combat Simulation, and Flight Classes
Dominant Hand: Ambidextrous
Favorite Food: Gimchi, Black Coffee, Vanilla and Chocolate Donuts, Brownies, Pitascio flavored ice-cream, Fang Teeth, Black Crow Pie,
Least Favorite Food: Bittersweets, Plain Noodles, Zucchini Bread, Ghost Peppers, Wheat Bread,
Likes: Reading Novels, Playing Video Games (Mostly Horror RPG), Photography, Dance and Music, Taunting someone who messed with him, Napping, Rock/Metal Music,
Dislikes: Chaos, Spoiled Brats (Mostly), His Cousin getting into trouble (Mostly), Slack-off and Laziness, Anger being tested, Failed Performances, Pranks,
Hobbies: Reading novels (Mostly), Dancing on stage, Playing Video Games, Photography, Making New Dance Steps/Cherography, Napping,
Talents: Hollow Mode, Demon Abilities, Toxic Chemistry, Mind-slave Control, Flying Abilities, Voice Signals, Commandment,
Nicknames: Geo (From his friends and family)
Geoffrey-senpai or Schaeffer-senpai (From the freshmen students)
Manager (From his dorm mates)
GG or Cousin G (From his cousin, Dorothea)
Other Nicknames:
N/A
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Appearance and Personality
Appearance: Geoffrey has tall and muscular male body build but looks a little slender when standing up and with black demon-like skin, that looks like a dead human skin up close. He has long and messy african purple hair which he ties it into a small ponytail. He has mink grey eyes which they can turn into a unknown color when using his demon abilities. Geoffrey is known for his menacing expression, but doesn't talk much.
Personality: Geoffrey is the youngest child and second son in his giant family, he's often spending time with his older sister alongside with his other cousins, but mostly for Dorothea, since she's his favorite cousin to spend time with, which the rest of the family knows about it and does find it precious for the two. He too gets along with each of his family member, but Dorothea gets the most of it.
He wears a stern but menacing expression, which it's difficult for anyone to approach him thanks to that since he's a demon and is often seen with Dorothea. Though that's just what his face is and his dorm mates know that point of view as well.
Geoffrey is actually good with social interaction with others in the academy, despite his expression of being serious and scary, he can still talk but not too long though.
Like his cousin, he too is the current manager of the performance division in the dorm. Knows how to be serious and strict onto the rules as well, and will not let you off the hook of course, if you dare to slack off and be lazy. That's not happening now, so watch out for that.
On the other note, the others can see him being easy on the freshmen students in the dorm, who are beginners and rookies when it comes to performances on stage. He's slow on them and makes sure that get used to the stage and rules, alongside with the dancing as well too. Pretty much the same for the other farms as well.
He doesn't like his patience being tested, he does get annoyed pretty easily and also, mess with his business... Like the other three no one wants to know what happened.
This man, Dorothea says he need to learn how to loosen up a little, which this man was left to be confused.
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Trivia
-The name 'Geoffrey' means divine peace while his surname 'Schaeffer' is a German surname. It is a variant of Schaefer, from schäfer ("shepherd") and of Schaffer, from a noun (meaning steward or bailiff) derived from Middle High German schaffen.
-He's based on Alice Angel (From BATIM) and Loona (From Helluva Boss)
-Like Dorothea, he too had been childhood friends with the twins.
-He likes rock music since he's a fond of the punkish styled clothes, especially since he likes the color black, but that was in secret. But Dorothea knows about it alongside with the twins.
-He often helps Dorothea with her schemes and pranks around the school or catching her in the act with the twins.
-Sometimes he's pretty charming when doing his performance on stage at the dorm, which everyone can tell but Geoffrey didn't know about it.
-Seems he's the demon that can approach Freya easily.
-He's good in dancing in any music genre, but he can dance to any of his favorite genre.
-He too follow Casimir and Cattleya's orders, he too doesn't want to disappoint and anger them as well.
-Knows how to communicate with bats.
-He knows how to play fair in the performance when it comes to the competition or not. He and Cattleya knows how to steal someone's spotlight for the show and stage itself.
-Geoffrey has a strong and serious voice, but it turn pretty scary when he's in a bad mood. Which is why I chose Tomokazu Sugita to be his voice actor.
______________________________________
FINALLY!! ALL MEMBERS ARE DONE!!! (@hourglassstationacademy)
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nellygwyn · 8 years ago
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The History of Sex Work*: A Source Guide
* also, a history of sexology in the early modern era to some degree
General Reading
The Origins of Sex: A History of the First Sexual Revolution // Faramerz Dabhoiwala
Sex and Punishment: 4000 Years of Judging Desire // Eric Berkowitz
City of Sin: London and its Vices // Catherine Arnold
A Grim Almanac of Georgian London // Graham Jackson, Cate Ludlow
The First Bohemians: Life and Art in London’s Golden Age // Vic Gatrell
The Lives of English Rakes // Fergus Linnane
Erotic Exchanges: The World of Elite Prostitution in 18th Century Paris // Nina Kushner
The Secret History of Georgian London: How the Wages of Sin Shaped the Capital // Dan Cruickshank
Madams: Bawds and Brothel-Keepers of London // Fergus Linnane
Night-Walking: A Nocturnal History of London // Matthew Beaumont, Will Self
Lascivious Bodies: A Sexual History of the 18th Century // Julie Peakman
The Covent Garden Ladies: Pimp General Jack and the Extraordinary Story of Harris’ List // Hallie Rubenhold
Libertine: The Art of Love in 18th Century France // Michel Delon
Unmentionable: The Victorian Lady’s Guide to Sex, Marriage and Manners // Therese O’Neil
The Victorian Guide to Sex: Desire and Deviance in the 19th century // Fern Riddell
Rakes, Highwaymen and Pirates: The Making of the Modern Gentleman in 18th Century England // Erin Mackie
Hell-Fire Clubs: Sex, Rakes and Libertines in 18th Century Europe // Geoffrey Ashe
Rent Boys: A History from Ancient Times to the Present // Michael Hone
Mighty Lewd Books: The Development of Pornography in 18th Century Europe // J. Peakman
The Pleasure’s All Mine: A History of Peverse Sex // Julie Peakman
Amatory Pleasures // Julie Peakman
Biographies
Courtesans // Katie Hickman
Mistress Peachum’s Pleasure: A Biography of Lavinia, Duchess of Bolton // Lisa Hilton
Beloved Emma: The Life of Emma, Lady Hamilton // Flora Fraser
Perdita: The Life of Mary Robinson // Paula Byrne **
The Angel and the Cad: Love, Loss and Scandal in Regency England // Geraldine Roberts
The Mistress of Paris: The 19th Century Courtesan Who Built An Empire on a Secret // Catherine Hewitt
Nell Gwynn: A Biography // Charles Beauclerk
Dashwood, the Man and the Myth: Life and Times of the Hell-Fire Club Founder // Eric Towers
Peg Plunkett: Memoirs of a Whore // Julie Peakman
Queen of the Courtesans: Fanny Murray // Barbara White
The Profligate Son: Or, a True Story of Family Conflict, Fashionable Vice, and Financial Ruin in Regency England // Nicola Phillips
The Marquis de Sade: A Life // Neil Schaeffer
Sentimental Murder: Love and Madness in the 18th Century // John Brewer
Casanova’s Women: The Great Seducer and the Women He Loved // Judith Summers
The Girl Who Loved Camellias: The Life and Legend of Marie Duplessis // Julie Kavanagh
Primary Sources
Cant- A Gentleman’s Guide to the Language of Rogues in Georgian London // edited by Stephen Hart
Fanny Hill: Memoirs of a Woman of Pleasure // John Cleland
The Story of My Life // Giacomo Casanova
1811 Dictionary of the Vulgar Tongue // Francis Grose
The Gin Lane Gazette: A Profusely Illustrated Compendium of Devilish Scandal and Oddities from the Darkest Recesses of Georgian England // Adrian Teal
Boswell’s London Journal, 1762-1763 // James Boswell
Harris’ List of Covent Garden Ladies // edited by Hallie Rubenhold
My Secret Life // Anonymous
Note: This is primarily focused on early modern (1600-1815) England, with some French and Italian examples too.
** I have been looking after Mary Robinson’s grave. Check her out, guys!
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dinafbrownil · 5 years ago
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For 2020, California Goes Big On Health Care
California is known for progressive everything, including its health care policies, and, just a few weeks into 2020, state leaders aren’t disappointing.
The politicians’ health care bills and budget initiatives are heavy on ideas and dollars — and on opposition from powerful industries. They put California, once again, at the forefront.
The proposals would lower prescription drug costs, increase access to health coverage, and restrict and tax vaping. But most lawmakers agree that homelessness will dominate the agenda, including proposals to get people into housing while treating some accompanying physical and mental health problems.
“This budget doubles down on the war on unaffordability — from taking on health care costs and having the state produce our own generic drugs to expanding the use of state properties to build housing quickly,” Gov. Gavin Newsom said in a letter to the legislature, which accompanied the $222.2 billion budget proposal he unveiled last Friday. About a third of that money would be allocated to health and human services programs.
But even with a Democratic supermajority in the legislature, these proposals aren’t a slam-dunk. “There are other factors that come into play, like interest groups with strong presence in the Capitol,” including Big Pharma and hospitals, said Shannon McConville, a senior researcher at the nonpartisan Public Policy Institute of California.
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Drug Pricing
Newsom’s plan to create a state generic drug label is perhaps his boldest health care proposal in this year’s budget, as it would make California the first state to enter the drug-manufacturing business. It may also be his least concrete.
Newsom wants the state to contract with one or more generics manufacturers to make drugs that would be available to Californians at lower prices. Newsom’s office provided little detail about how this would work or which drugs would be produced. The plan’s cost and potential savings are also unspecified. (Sen. Elizabeth Warren of Massachusetts, who is seeking the Democratic presidential nomination, proposed a similar plan at the federal level.)
Because the generics market is already competitive and generic drugs make up a small portion of overall drug spending, a state generic-drug offering would likely result in only modest savings, said Geoffrey Joyce, director of health policy at USC’s Leonard D. Schaeffer Center for Health Policy & Economics.
However, it could make a difference for specific drugs such as insulin, he said, which nearly doubled in price from 2012 to 2016. “It would reduce that type of price gouging,” he said.
Representatives of Big Pharma said they’re more concerned about a Newsom proposal to establish a single market for drug pricing in the state. Under this system, drug manufacturers would have to bid to sell their medications in California, and would have to offer prices at or below prices offered to any other state or country.
Californians could lose access to existing treatments and groundbreaking drugs, warned Priscilla VanderVeer, vice president for the Pharmaceutical Research and Manufacturers of America, the industry’s lobbying arm.
This proposal could “let the government decide what drugs patients are going to get,” she said. “When the governor sets an artificially low price for drugs, that means there will be less money to invest in innovation.”
Newsom’s drug pricing proposals build on his executive order from last year directing the state to negotiate drug prices for the roughly 13 million enrollees of Medi-Cal, the state’s Medicaid program for low-income residents. He also ordered a study of how state agencies could band together — and, eventually, with private purchasers such as health plans — to buy prescription drugs in bulk.
Homelessness
California has the largest homeless population in the nation, estimated at more than 151,000 people in 2019, according to the U.S. Department of Housing and Urban Development. About 72% of the state’s homeless slept outside or in cars rather than in shelters or temporary housing.
Newsom has asked for $1.4 billion in the 2020-21 state budget for homelessness, most of which would go to housing and health care. For instance, $695 million would boost health care and social services for homeless people via Medi-Cal. The money would fund programs such as recuperative care for homeless people who need a place to stay after they’ve been discharged from the hospital, and rental assistance if a person’s homelessness is tied to high medical costs.
A separate infusion of $24.6 million would go to the Department of State Hospitals for a pilot program to keep some people with mental health needs out of state hospitals and in community programs and housing.
Surprise Bills
California has some of the strongest protections against surprise medical bills in the nation, but millions of residents remain vulnerable to exorbitant charges because the laws don’t cover all insurance plans.
Surprise billing occurs when a patient receives care from a hospital or provider outside of their insurance network, and then the doctor or hospital bills the patient for the amount insurance didn’t cover.
Last year, state Assembly member David Chiu (D-San Francisco) introduced legislation that would have limited how much hospitals could charge privately insured patients for out-of-network emergency services. The bill would have required hospitals to work directly with health plans on billing, leaving the patients responsible only for their in-network copayments, coinsurance and deductibles.
But he pulled the measure because of strong opposition from hospitals, which criticized it as a form of rate setting.
Chiu said he plans to resume the fight this year, likely with amendments that have not been finalized. But hospitals remain opposed to the provision that would cap charges, a provision that Chiu says is essential.
“We continue to fully support banning surprise medical bills, but we believe it can be done without resorting to rate setting,” said Jan Emerson-Shea, a spokesperson for the California Hospital Association.
Medi-Cal For Unauthorized Immigrants
California is the first state to offer full Medicaid benefits to income-eligible residents up to age 26, regardless of their immigration status.
Now Democrats are proposing another first: California could become the first to open Medicaid to adults ages 65 and up who are in the country illegally.
Even though Medicaid is a joint state-federal program, California must fund full coverage of unauthorized immigrants on its own.
Newsom set aside $80.5 million in his 2020-21 proposed budget to cover about 27,000 older adults in the first year. His office estimated ongoing costs would be about $350 million a year.
Republicans vocally oppose such proposals. “Expanding such benefits would make it more difficult to provide health care services for current Medi-Cal enrollees,” state Sen. Patricia Bates (R-Laguna Niguel) said in a prepared statement.
Vaping
Dozens of California cities and counties have restricted the sale of flavored tobacco products in an effort to curb youth vaping.
But last year, state legislators punted on a statewide ban on flavored tobacco sales after facing pressure from the tobacco industry.
Now, state Sen. Jerry Hill (D-San Mateo) is back with his proposed statewide flavor ban, which may have more momentum this year. Since last summer, a mysterious vaping illness has sickened more than 2,600 people nationwide, leading to 60 deaths, according to the Centers for Disease Control and Prevention. In California, at least 199 people have fallen ill and four have died.
Hill’s bill would ban retail sales of flavored products related to electronic cigarettes, e-hookahs and e-pipes, including menthol flavor. It also would prohibit the sale of all flavored smokable and nonsmokable tobacco products, such as cigars, cigarillos, pipe tobacco, chewing tobacco, snuff and tobacco edibles.
Newsom has also called for a new tax on e-cigarette products — $2 for each 40 milligrams of nicotine, on top of already existing tobacco taxes on e-cigarettes. The tax would have to be approved by the legislature as part of the budget process and could face heavy industry opposition.
Tobacco-related bills are usually heard in the Assembly Governmental Organization Committee, “and that is where a lot of tobacco legislation, quite frankly, dies,” said Assembly member Jim Wood (D-Healdsburg), who supports vaping restrictions.
This KHN story first published on California Healthline, a service of the California Health Care Foundation.
from Updates By Dina https://khn.org/news/for-2020-california-goes-big-on-health-care/
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gordonwilliamsweb · 5 years ago
Text
For 2020, California Goes Big On Health Care
California is known for progressive everything, including its health care policies, and, just a few weeks into 2020, state leaders aren’t disappointing.
The politicians’ health care bills and budget initiatives are heavy on ideas and dollars — and on opposition from powerful industries. They put California, once again, at the forefront.
The proposals would lower prescription drug costs, increase access to health coverage, and restrict and tax vaping. But most lawmakers agree that homelessness will dominate the agenda, including proposals to get people into housing while treating some accompanying physical and mental health problems.
“This budget doubles down on the war on unaffordability — from taking on health care costs and having the state produce our own generic drugs to expanding the use of state properties to build housing quickly,” Gov. Gavin Newsom said in a letter to the legislature, which accompanied the $222.2 billion budget proposal he unveiled last Friday. About a third of that money would be allocated to health and human services programs.
But even with a Democratic supermajority in the legislature, these proposals aren’t a slam-dunk. “There are other factors that come into play, like interest groups with strong presence in the Capitol,” including Big Pharma and hospitals, said Shannon McConville, a senior researcher at the nonpartisan Public Policy Institute of California.
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Drug Pricing
Newsom’s plan to create a state generic drug label is perhaps his boldest health care proposal in this year’s budget, as it would make California the first state to enter the drug-manufacturing business. It may also be his least concrete.
Newsom wants the state to contract with one or more generics manufacturers to make drugs that would be available to Californians at lower prices. Newsom’s office provided little detail about how this would work or which drugs would be produced. The plan’s cost and potential savings are also unspecified. (Sen. Elizabeth Warren of Massachusetts, who is seeking the Democratic presidential nomination, proposed a similar plan at the federal level.)
Because the generics market is already competitive and generic drugs make up a small portion of overall drug spending, a state generic-drug offering would likely result in only modest savings, said Geoffrey Joyce, director of health policy at USC’s Leonard D. Schaeffer Center for Health Policy & Economics.
However, it could make a difference for specific drugs such as insulin, he said, which nearly doubled in price from 2012 to 2016. “It would reduce that type of price gouging,” he said.
Representatives of Big Pharma said they’re more concerned about a Newsom proposal to establish a single market for drug pricing in the state. Under this system, drug manufacturers would have to bid to sell their medications in California, and would have to offer prices at or below prices offered to any other state or country.
Californians could lose access to existing treatments and groundbreaking drugs, warned Priscilla VanderVeer, vice president for the Pharmaceutical Research and Manufacturers of America, the industry’s lobbying arm.
This proposal could “let the government decide what drugs patients are going to get,” she said. “When the governor sets an artificially low price for drugs, that means there will be less money to invest in innovation.”
Newsom’s drug pricing proposals build on his executive order from last year directing the state to negotiate drug prices for the roughly 13 million enrollees of Medi-Cal, the state’s Medicaid program for low-income residents. He also ordered a study of how state agencies could band together — and, eventually, with private purchasers such as health plans — to buy prescription drugs in bulk.
Homelessness
California has the largest homeless population in the nation, estimated at more than 151,000 people in 2019, according to the U.S. Department of Housing and Urban Development. About 72% of the state’s homeless slept outside or in cars rather than in shelters or temporary housing.
Newsom has asked for $1.4 billion in the 2020-21 state budget for homelessness, most of which would go to housing and health care. For instance, $695 million would boost health care and social services for homeless people via Medi-Cal. The money would fund programs such as recuperative care for homeless people who need a place to stay after they’ve been discharged from the hospital, and rental assistance if a person’s homelessness is tied to high medical costs.
A separate infusion of $24.6 million would go to the Department of State Hospitals for a pilot program to keep some people with mental health needs out of state hospitals and in community programs and housing.
Surprise Bills
California has some of the strongest protections against surprise medical bills in the nation, but millions of residents remain vulnerable to exorbitant charges because the laws don’t cover all insurance plans.
Surprise billing occurs when a patient receives care from a hospital or provider outside of their insurance network, and then the doctor or hospital bills the patient for the amount insurance didn’t cover.
Last year, state Assembly member David Chiu (D-San Francisco) introduced legislation that would have limited how much hospitals could charge privately insured patients for out-of-network emergency services. The bill would have required hospitals to work directly with health plans on billing, leaving the patients responsible only for their in-network copayments, coinsurance and deductibles.
But he pulled the measure because of strong opposition from hospitals, which criticized it as a form of rate setting.
Chiu said he plans to resume the fight this year, likely with amendments that have not been finalized. But hospitals remain opposed to the provision that would cap charges, a provision that Chiu says is essential.
“We continue to fully support banning surprise medical bills, but we believe it can be done without resorting to rate setting,” said Jan Emerson-Shea, a spokesperson for the California Hospital Association.
Medi-Cal For Unauthorized Immigrants
California is the first state to offer full Medicaid benefits to income-eligible residents up to age 26, regardless of their immigration status.
Now Democrats are proposing another first: California could become the first to open Medicaid to adults ages 65 and up who are in the country illegally.
Even though Medicaid is a joint state-federal program, California must fund full coverage of unauthorized immigrants on its own.
Newsom set aside $80.5 million in his 2020-21 proposed budget to cover about 27,000 older adults in the first year. His office estimated ongoing costs would be about $350 million a year.
Republicans vocally oppose such proposals. “Expanding such benefits would make it more difficult to provide health care services for current Medi-Cal enrollees,” state Sen. Patricia Bates (R-Laguna Niguel) said in a prepared statement.
Vaping
Dozens of California cities and counties have restricted the sale of flavored tobacco products in an effort to curb youth vaping.
But last year, state legislators punted on a statewide ban on flavored tobacco sales after facing pressure from the tobacco industry.
Now, state Sen. Jerry Hill (D-San Mateo) is back with his proposed statewide flavor ban, which may have more momentum this year. Since last summer, a mysterious vaping illness has sickened more than 2,600 people nationwide, leading to 60 deaths, according to the Centers for Disease Control and Prevention. In California, at least 199 people have fallen ill and four have died.
Hill’s bill would ban retail sales of flavored products related to electronic cigarettes, e-hookahs and e-pipes, including menthol flavor. It also would prohibit the sale of all flavored smokable and nonsmokable tobacco products, such as cigars, cigarillos, pipe tobacco, chewing tobacco, snuff and tobacco edibles.
Newsom has also called for a new tax on e-cigarette products — $2 for each 40 milligrams of nicotine, on top of already existing tobacco taxes on e-cigarettes. The tax would have to be approved by the legislature as part of the budget process and could face heavy industry opposition.
Tobacco-related bills are usually heard in the Assembly Governmental Organization Committee, “and that is where a lot of tobacco legislation, quite frankly, dies,” said Assembly member Jim Wood (D-Healdsburg), who supports vaping restrictions.
This KHN story first published on California Healthline, a service of the California Health Care Foundation.
For 2020, California Goes Big On Health Care published first on https://nootropicspowdersupplier.tumblr.com/
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stephenmccull · 5 years ago
Text
For 2020, California Goes Big On Health Care
California is known for progressive everything, including its health care policies, and, just a few weeks into 2020, state leaders aren’t disappointing.
The politicians’ health care bills and budget initiatives are heavy on ideas and dollars — and on opposition from powerful industries. They put California, once again, at the forefront.
The proposals would lower prescription drug costs, increase access to health coverage, and restrict and tax vaping. But most lawmakers agree that homelessness will dominate the agenda, including proposals to get people into housing while treating some accompanying physical and mental health problems.
“This budget doubles down on the war on unaffordability — from taking on health care costs and having the state produce our own generic drugs to expanding the use of state properties to build housing quickly,” Gov. Gavin Newsom said in a letter to the legislature, which accompanied the $222.2 billion budget proposal he unveiled last Friday. About a third of that money would be allocated to health and human services programs.
But even with a Democratic supermajority in the legislature, these proposals aren’t a slam-dunk. “There are other factors that come into play, like interest groups with strong presence in the Capitol,” including Big Pharma and hospitals, said Shannon McConville, a senior researcher at the nonpartisan Public Policy Institute of California.
Email Sign-Up
Subscribe to KHN’s free Morning Briefing.
Sign Up
Please confirm your email address below:
Sign Up
Drug Pricing
Newsom’s plan to create a state generic drug label is perhaps his boldest health care proposal in this year’s budget, as it would make California the first state to enter the drug-manufacturing business. It may also be his least concrete.
Newsom wants the state to contract with one or more generics manufacturers to make drugs that would be available to Californians at lower prices. Newsom’s office provided little detail about how this would work or which drugs would be produced. The plan’s cost and potential savings are also unspecified. (Sen. Elizabeth Warren of Massachusetts, who is seeking the Democratic presidential nomination, proposed a similar plan at the federal level.)
Because the generics market is already competitive and generic drugs make up a small portion of overall drug spending, a state generic-drug offering would likely result in only modest savings, said Geoffrey Joyce, director of health policy at USC’s Leonard D. Schaeffer Center for Health Policy & Economics.
However, it could make a difference for specific drugs such as insulin, he said, which nearly doubled in price from 2012 to 2016. “It would reduce that type of price gouging,” he said.
Representatives of Big Pharma said they’re more concerned about a Newsom proposal to establish a single market for drug pricing in the state. Under this system, drug manufacturers would have to bid to sell their medications in California, and would have to offer prices at or below prices offered to any other state or country.
Californians could lose access to existing treatments and groundbreaking drugs, warned Priscilla VanderVeer, vice president for the Pharmaceutical Research and Manufacturers of America, the industry’s lobbying arm.
This proposal could “let the government decide what drugs patients are going to get,” she said. “When the governor sets an artificially low price for drugs, that means there will be less money to invest in innovation.”
Newsom’s drug pricing proposals build on his executive order from last year directing the state to negotiate drug prices for the roughly 13 million enrollees of Medi-Cal, the state’s Medicaid program for low-income residents. He also ordered a study of how state agencies could band together — and, eventually, with private purchasers such as health plans — to buy prescription drugs in bulk.
Homelessness
California has the largest homeless population in the nation, estimated at more than 151,000 people in 2019, according to the U.S. Department of Housing and Urban Development. About 72% of the state’s homeless slept outside or in cars rather than in shelters or temporary housing.
Newsom has asked for $1.4 billion in the 2020-21 state budget for homelessness, most of which would go to housing and health care. For instance, $695 million would boost health care and social services for homeless people via Medi-Cal. The money would fund programs such as recuperative care for homeless people who need a place to stay after they’ve been discharged from the hospital, and rental assistance if a person’s homelessness is tied to high medical costs.
A separate infusion of $24.6 million would go to the Department of State Hospitals for a pilot program to keep some people with mental health needs out of state hospitals and in community programs and housing.
Surprise Bills
California has some of the strongest protections against surprise medical bills in the nation, but millions of residents remain vulnerable to exorbitant charges because the laws don’t cover all insurance plans.
Surprise billing occurs when a patient receives care from a hospital or provider outside of their insurance network, and then the doctor or hospital bills the patient for the amount insurance didn’t cover.
Last year, state Assembly member David Chiu (D-San Francisco) introduced legislation that would have limited how much hospitals could charge privately insured patients for out-of-network emergency services. The bill would have required hospitals to work directly with health plans on billing, leaving the patients responsible only for their in-network copayments, coinsurance and deductibles.
But he pulled the measure because of strong opposition from hospitals, which criticized it as a form of rate setting.
Chiu said he plans to resume the fight this year, likely with amendments that have not been finalized. But hospitals remain opposed to the provision that would cap charges, a provision that Chiu says is essential.
“We continue to fully support banning surprise medical bills, but we believe it can be done without resorting to rate setting,” said Jan Emerson-Shea, a spokesperson for the California Hospital Association.
Medi-Cal For Unauthorized Immigrants
California is the first state to offer full Medicaid benefits to income-eligible residents up to age 26, regardless of their immigration status.
Now Democrats are proposing another first: California could become the first to open Medicaid to adults ages 65 and up who are in the country illegally.
Even though Medicaid is a joint state-federal program, California must fund full coverage of unauthorized immigrants on its own.
Newsom set aside $80.5 million in his 2020-21 proposed budget to cover about 27,000 older adults in the first year. His office estimated ongoing costs would be about $350 million a year.
Republicans vocally oppose such proposals. “Expanding such benefits would make it more difficult to provide health care services for current Medi-Cal enrollees,” state Sen. Patricia Bates (R-Laguna Niguel) said in a prepared statement.
Vaping
Dozens of California cities and counties have restricted the sale of flavored tobacco products in an effort to curb youth vaping.
But last year, state legislators punted on a statewide ban on flavored tobacco sales after facing pressure from the tobacco industry.
Now, state Sen. Jerry Hill (D-San Mateo) is back with his proposed statewide flavor ban, which may have more momentum this year. Since last summer, a mysterious vaping illness has sickened more than 2,600 people nationwide, leading to 60 deaths, according to the Centers for Disease Control and Prevention. In California, at least 199 people have fallen ill and four have died.
Hill’s bill would ban retail sales of flavored products related to electronic cigarettes, e-hookahs and e-pipes, including menthol flavor. It also would prohibit the sale of all flavored smokable and nonsmokable tobacco products, such as cigars, cigarillos, pipe tobacco, chewing tobacco, snuff and tobacco edibles.
Newsom has also called for a new tax on e-cigarette products — $2 for each 40 milligrams of nicotine, on top of already existing tobacco taxes on e-cigarettes. The tax would have to be approved by the legislature as part of the budget process and could face heavy industry opposition.
Tobacco-related bills are usually heard in the Assembly Governmental Organization Committee, “and that is where a lot of tobacco legislation, quite frankly, dies,” said Assembly member Jim Wood (D-Healdsburg), who supports vaping restrictions.
This KHN story first published on California Healthline, a service of the California Health Care Foundation.
For 2020, California Goes Big On Health Care published first on https://smartdrinkingweb.weebly.com/
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hviral · 6 years ago
Text
California bill would fight deals that delay generic drugs
California’s attorney general touted a legal victory this week against drugmakers who he said made secretive, backroom deals to keep less expensive drugs off the market.
In nearly the same breath, Xavier Becerra also lamented that he didn’t have enough legal tools to go after all the companies that engage in the practice of “pay for delay,” in which brand-name drugmakers pay off generic manufacturers to keep the more affordable generic versions of their medications off the market.
“It’s hard to prove some of these activities as being illegal,” Becerra said Monday.
So, even as he announced that Teva Pharmaceutical Industries and Endo Pharmaceuticals together will pay the state nearly $70 million to settle allegations that they entered into pay-for-delay agreements, he also called on the state legislature to pass a bill that he said would make it easier to crack down on the “collusive” deals.
The bill, by Assemblyman Jim Wood (D-Healdsburg), would be the first of its kind in the nation, Becerra said. It would classify all agreements in which “anything of value” is exchanged between brand-name and generic drugmakers to delay the release of generic versions as anticompetitive and therefore illegal. This would help the state Department of Justice bring cases against brand-name or generic drugmakers by shifting the burden of proof: It would be up to the companies to prove their deals are legitimate.
“Every pharmaceutical company has the right to get a return on their investment and on the products they produce that in many cases save lives, but they should not be allowed to exploit the desperation and the need of an American in order to make money,” Becerra said.
The state Assembly approved the measure in May. It is now under consideration in the state Senate.
Both the brand-name and generic drug industries are putting up a fight, warning that the measure could backfire by further delaying the entry of generics into the market.
The Federal Trade Commission has estimated that pay-for-delay deals cost U.S. consumers and taxpayers $3.5 billion in higher drug costs every year.
Here’s how they work: When a new drug debuts, the manufacturer obtains patents that give it a period of exclusivity — usually about 20 years — to supposedly recoup costs associated with researching and developing the drug.
As soon as those patents expire, generic versions of the drug can be manufactured and sold.
But generic drugmakers can try to shorten the period of exclusivity by challenging the patents. When they do, brand-name drugmakers often sue them for patent infringement. Because litigation is costly and timely, the generic drug companies often settle and agree to delay the release of their version of the drug. They typically agree to a date that’s a few years before the original patents expire.
When these deals include money or “anything of value” transferred from the brand-name manufacturer to the generic, that’s a red flag that the companies are using pay-for-delay tactics, which can violate antitrust laws, said Geoffrey Joyce, director of health policy at USC’s Leonard D. Schaeffer Center for Health Policy & Economics.
Brand-name drugmakers are “trying to make money, and the longer they can extend patents, it’s in their financial interest to do so,” Joyce said.
In his announcement Monday, Becerra said Teva delayed the release of a generic version of its narcolepsy drug Provigil for six years, from 2006 to 2012, through pay-for-delay agreements. The drug was previously made by Cephalon, which is now owned by Teva.
Becerra’s office also settled with Teva, Endo Pharmaceuticals and its partner Teikoku, a Japanese drugmaker with operations in the Bay Area, for making pay-for-delay agreements for the drug Lidoderm, a medical patch to relieve pain from shingles.
Neither Teva nor Endo returned calls for comment.
About $25 million of the settlement money will be used to create a fund to compensate California residents who purchased Provigil between 2006 and 2012. Some also will be used to strengthen the attorney general’s enforcement of pay-for-delay cases.
The Federal Trade Commission has made it a “top priority” to investigate these deals, according to its website, and has filed a number of lawsuits since 2001 to stop them. The commission would not comment on the California bill.
Recently, the agency noticed a curious trend: Even though the number of patent settlements has gone up in recent years, the number of those that resulted in pay-for-delay arrangements has gone down. The commission credits the drop to a 2013 Supreme Court decision, FTC v. Actavis, Inc., in which the court held that pay-for-delay settlements violate antitrust laws.
But these deals may just be better disguised now, said Robin Feldman, a professor at the University of California Hastings College of the Law. Originally, pay-for-delay agreements were simple cash exchanges, but over time these deals have become extremely complicated, she said.
“These are rational, profit-making companies. Why would companies enter into these agreements in increasing numbers if they’re not receiving any benefits?” Feldman said.
Pharmaceutical companies argue the bill overreaches — and will hurt patients.
The FTC already has a system to determine if patent settlements are anticompetitive, so state regulation would just add another layer between generics and consumers, said Jeffrey Francer, general counsel for the Association for Accessible Medicines, a generics trade group. “It wouldn’t make sense to have 50 different versions of this,” he said.
Industry representatives said they are particularly concerned about the bill’s definition of “anything of value,” which they believe is overly broad. Even if drug companies aren’t making financial settlements, brand-name manufacturers may offer compensation to generic drugmakers in other forms such as sharing knowledge or paying their legal fees.
Under the bill, those could qualify as “anything of value,” Francer said.
Ultimately, the bill would complicate the patent settlement process and result in more delays for consumers, said Priscilla VanderVeer, a spokeswoman with the trade group Pharmaceutical Research and Manufacturers of America.
Some patients feel they’ve already waited too long, said Blanca Castro, advocacy manager at AARP.
“We do think that this has been fueling the high cost of prescription drugs,” she said. “People are victims of an industry that gives them no choice.”
This KHN story first published on California Healthline, a service of the California Health Care Foundation.
The post California bill would fight deals that delay generic drugs appeared first on HviRAL.
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bongaboi · 6 years ago
Text
Grammy Awards 2019: The List, Part 1
Record of the Year
"This Is America" – Childish Gambino
"I Like It" — Cardi B, Bad Bunny, & J Balvin
"The Joke" – Brandi Carlile
"God's Plan" – Drake
"Shallow" – Lady Gaga and Bradley Cooper
"All the Stars" – Kendrick Lamar & SZA
"Rockstar" – Post Malone featuring 21 Savage
"The Middle" – Zedd, Maren Morris and Grey
Donald Glover & Ludwig Göransson, producers; Derek "MixedByAli" Ali & Riley Mackin, engineers/mixers; Mike Bozzi, mastering engineer
Invincible, JWhiteDidIt, Craig Kallman & Tainy, producers; Leslie Brathwaite & Evan LaRay, engineers/mixers; Colin Leonard, mastering engineer
Dave Cobb & Shooter Jennings, producers; Tom Elmhirst & Eddie Spear, engineers/mixers; Pete Lyman, mastering engineer
Boi-1Da, Cardo & Young Exclusive, producers; Noel Cadastre, Noel "Gadget" Campbell & Noah Shebib, engineers/mixers; Chris Athens, mastering engineer
Lady Gaga & Benjamin Rice, producers; Brandon Bost & Tom Elmhirst, engineers/mixers; Randy Merrill, mastering engineer
Al Shux & Sounwave, producers; Sam Ricci & Matt Schaeffer, engineers/mixers; Mike Bozzi, mastering engineer
Louis Bell & Tank God, producers; Louis Bell & Manny Marroquin, engineers/mixers; Mike Bozzi, mastering engineer
Grey, Monsters & Strangerz & Zedd, producers; Grey, Tom Morris, Ryan Shanahan & Zedd, engineers/mixers; Mike Marsh, mastering engineer
Album of the Year
Golden Hour – Kacey Musgraves
Invasion of Privacy – Cardi B
By the Way, I Forgive You – Brandi Carlile
Scorpion – Drake
H.E.R. – H.E.R.
Beerbongs & Bentleys – Post Malone
Dirty Computer – Janelle Monáe
Black Panther: The Album, Music From and Inspired By – Various Artists
Ian Fitchuk, Kacey Musgraves & Daniel Tashian, producers; Craig Alvin & Shawn Everett, engineers/mixers; Ian Fitchuk, Kacey Musgraves & Daniel Tashian, songwriters; Greg Calbi & Steve Fallone, mastering engineers
Leslie Brathwaite & Evan LaRay, engineers/mixers; Belcalis Almanzar & Jorden Thorpe, songwriters; Colin Leonard, mastering engineer
Dave Cobb & Shooter Jennings, producers; Dave Cobb & Eddie Spear, engineers/mixers; Brandi Carlile, Phil Hanseroth & Tim Hanseroth, songwriters; Pete Lyman, mastering engineer
Noel Cadastre, Noel "Gadget" Campbell & Noah Shebib, engineers/mixers; Aubrey Graham & Noah Shebib, songwriters; Chris Athens, mastering engineer
Darhyl "Hey DJ" Camper Jr., David "Swagg R'Celious" Harris, H.E.R., Walter Jones & Jeff Robinson, producers; Miki Tsutsumi, engineer/mixer; Darhyl Camper Jr. & H.E.R., songwriters; Dave Kutch, mastering engineer
Louis Bell & Post Malone, producers; Louis Bell & Manny Marroquin, engineers/mixers; Louis Bell & Austin Post, songwriters; Mike Bozzi, mastering engineer
Chuck Lightning, Janelle Monáe Robinson & Nate "Rocket" Wonder, producers; Mick Guzauski, Janelle Monáe Robinson & Nate "Rocket" Wonder, engineers/mixers; Nathaniel Irvin III, Charles Joseph II, Taylor Parks & Janelle Monáe Robinson, songwriters; Dave Kutch, mastering engineer
Kendrick Lamar, featured artist; Kendrick Duckworth & Sounwave, producers; Matt Schaeffer, engineer/mixer; Kendrick Duckworth & Mark Spears, songwriters; Mike Bozzi, mastering engineer
Song of the Year
"This Is America"
"All the Stars"
"Boo'd Up"
"God's Plan"
"In My Blood"
"The Joke"
"The Middle"
"Shallow"
Donald Glover, Ludwig Göransson & Jeffrey Lamar Williams songwriters (Childish Gambino)
Kendrick Duckworth, Solána Rowe, Al Shuckburgh, Mark Spears & Anthony Tiffith, songwriters (Kendrick Lamar & SZA)
Larrance Dopson, Joelle James, Ella Mai & Dijon McFarlane, songwriters (Ella Mai)
Aubrey Graham, Daveon Jackson, Brock Korsan, Ron LaTour, Matthew Samuels & Noah Shebib, songwriters (Drake)
Teddy Geiger, Scott Harris, Shawn Mendes & Geoffrey Warburton, songwriters (Shawn Mendes)
Brandi Carlile, Dave Cobb, Phil Hanseroth & Tim Hanseroth, songwriters (Brandi Carlile)
Sarah Aarons, Jordan K. Johnson, Stefan Johnson, Marcus Lomax, Kyle Trewartha, Michael Trewartha & Anton Zaslavski, songwriters (Zedd, Maren Morris & Grey)
Lady Gaga, Mark Ronson, Anthony Rossomando & Andrew Wyatt, songwriters (Lady Gaga & Bradley Cooper)
Best New Artist
Dua Lipa
Chloe x Halle
Luke Combs
Greta Van Fleet
H.E.R.
Margo Price
Bebe Rexha
Jorja Smith
Pop
Best Pop Solo Performance
"Joanne (Where Do You Think You're Goin'?)" – Lady Gaga
"Colors" – Beck
"Havana (Live)" – Camila Cabello
"God Is a Woman" – Ariana Grande
"Better Now" – Post Malone
Best Pop Duo/Group Performance
"Shallow" – Lady Gaga & Bradley Cooper
"Fall In Line" – Christina Aguilera featuring Demi Lovato
"Don't Go Breaking My Heart" – Backstreet Boys
"'S Wonderful" – Tony Bennett & Diana Krall
"Girls Like You" – Maroon 5 featuring Cardi B
"Say Something" – Justin Timberlake featuring Chris Stapleton
"The Middle" – Zedd, Maren Morris and Grey
Best Traditional Pop Vocal Album
My Way – Willie Nelson
Love Is Here to Stay – Tony Bennett & Diana Krall
Nat King Cole & Me – Gregory Porter
Standards (Deluxe) – Seal
The Music...The Mem'ries...The Magic! – Barbra Streisand
Best Pop Vocal Album
Sweetener – Ariana Grande
Camila – Camila Cabello
Meaning of Life – Kelly Clarkson
Shawn Mendes – Shawn Mendes
Beautiful Trauma – P!nk
Reputation – Taylor Swift
Dance/Electronic Music
Best Dance Recording
"Electricity" – Silk City & Dua Lipa featuring Diplo & Mark Ronson
"Northern Soul" – Above and Beyond featuring Richard Bedford
"Ultimatum" – Disclosure featuring Fatoumata Diawara
"Losing It" – Fisher
"Ghost Voices" – Virtual Self
Silk City, producers; Josh Gudwin, mixer
Above & Beyond, producers; Above & Beyond, mixers
Guy Lawrence & Howard Lawrence, producers; Guy Lawrence, mixer
Paul Nicholas Fisher, producer; Kevin Granger, mixer
Porter Robinson, producer; Porter Robinson, mixer
Best Dance/Electronic Album
Woman Worldwide – Justice
Singularity – Jon Hopkins
Treehouse – Sofi Tukker
Oil of Every Pearl's Un-Insides – Sophie
Lune Rouge – TOKiMONSTA
Contemporary Instrumental Music
Best Contemporary Instrumental Album
Steve Gadd Band – Steve Gadd Band
The Emancipation Procrastination – Christian Scott aTunde Adjuah
Modern Lore – Julian Lage
Laid Black – Marcus Miller
Protocol IV – Simon Phillips
Rock
Best Rock Performance
"When Bad Does Good" – Chris Cornell (posthumous)
"Four Out of Five" – Arctic Monkeys
"Made an America" – The Fever 333
"Highway Tune" – Greta Van Fleet
"Uncomfortable" – Halestorm
Best Metal Performance
"Electric Messiah" – High on Fire
"Condemned to the Gallows" – Between the Buried and Me
"Honeycomb" – Deafheaven
"Betrayer" – Trivium
"On My Teeth" – Underoath
Best Rock Song
"Masseduction"
"Black Smoke Rising"
"Jumpsuit"
"Mantra"
"Rats"
Jack Antonoff & Annie Clark, songwriters (St. Vincent)
Jacob Thomas Kiszka, Joshua Michael Kiszka, Samuel Francis Kiszka, & Daniel Robert Wagner, songwriters (Greta Van Fleet)
Tyler Joseph, songwriter (Twenty One Pilots)
Jordan Fish, Matthew Kean, Lee Malia, Matthew Nicholls, & Oliver Sykes, songwriters (Bring Me the Horizon)
Tom Dalgety & A Ghoul Writer, songwriters (Ghost)
Best Rock Album
From the Fires – Greta Van Fleet
Rainier Fog – Alice in Chains
Mania – Fall Out Boy
Prequelle – Ghost
Pacific Daydream – Weezer
Alternative
Best Alternative Music Album
Colors – Beck
Tranquility Base Hotel & Casino – Arctic Monkeys
Utopia – Björk
American Utopia – David Byrne
Masseduction – St. Vincent
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sowhatisthisfor · 7 years ago
Text
LGBT-related films (worst to best)
Cos I get a lot of Qs about which LGBTQIA+ related film to watch. I tried putting together a list of films I’ve seen from worst to best. (Updated after I watched them):
Room in Rome [Julio Medem, 2010, Spain] This is porn. Nothing else. 1/10
Gigli [Martin Brest, 2003, United States] Atrocious. I have no words. 1/10
Very Good Girls [Naomi Foner Gyllenhaal, 2014, United Kingdom] Very bad film. 1/10 
Raven’s Touch [Dreya Weber and Marina Rice Bader, 2015, United States]  Yet another poorly narrated contrived drama by Bader. 2/10
Elena Undone [Nicole Conn, 2010, 2010] Very preachy, it’s like an educational video w/ characters too stupid to perceive the odds of forbidden love. 2/10
A Perfect Ending [Nicole Conn, 2012, United States] Tries too hard to be artistic. Isn’t artistic. 2/10
Rome and Juliet 
The World Unseen [Shamim Sarif, 2007, South Africa] Well they are beautiful. Nothing else is special. 2/10
Jenny’s Wedding [Mary Agnes Donoghue, 2015, United States] In which Jenny is marrying someone she clearly has no chemistry with in a film that’s too predictable. 2/10
Bare [Natalia Leite, 2015, United States] Nothing here feels real. 2/10
I Can't Think Straight [Shamim Sarif, 2008, UK-India] Who directed this crap again? Probably the worst ensemble cast I've seen, I need to laugh. 2/10
Breaking the Girls [Jamie Babbit, 2013, United States] Crazy twists, crazy characters. 3/10 
Anatomy of a Love Seen [Marina Rice Bader, 2014, United States] Forgot the importance of continuity, it feels like the first cut. 4/10
When Night is Falling [Patricia Rozema, 1995, Canada] Kind of flat but still worth a look. 4/10 
Bloomington [Fernanda Cardoso, 2010, United States] Poorly-directed that despite the chemistry, it is still so hard to believe. 4/10
Kesäkaverit [Inari Niemi, 2014, Finland] Just another summer story. 4/10
Below Her Mouth [April Mullen, 2017, United States] Besides the sexual chemistry between its two characters, nothing much is in there. Just another erotic lesbian film that's already bordering on soft porn. Not buying the "love" there. 5/10
Imagine Me and You [Ol Parker, 2006, United States] Cliche, stereotypical. Yet I found it enjoyable. 5/10
Kiss Me [Alexandra-Therese Keining, 2011, Sweden] With a storyline so common, it could have played more with its plot. 5/10 
Lost and Delirious [Lea Pool, 2001, United States] It should be okay if it didn't try too hard on making a point. 5/10 
Freeheld [Peter Sollett, 2015, United States] Page has a flimsy character, it’s so hard to love her—that even w/ Moore’s flair, their chemistry still fails. 6/10 
High Art [Lisa Cholodenko, 1998, United States] Solid, sexy, crafted characters. a psychological rollercoaster. 6/10
Les Chansons d’amour [Christophe Honoré, 2008, France] Has an interesting take on love, intimacy, and sexual desires, but has an ensemble of half-baked characters to make it work. 6/10
Our Love Story [Lee Hyun-ju, 2017, South Korea] I would love to have liked it but the chemistry doesn’t work for me. 6/10
The Secret Diaries of Miss Anne Lister [James Kent, 2010, United Kingdom] Anne Lister in eighteen hundreds is interestingly and impressively way ahead of her time. 6.5/10 
Tipping the Velvet [Geoffrey Sax, 2002, United Kingdom] Starts off so good, but crumbles towards the end. 6.5/10 
Boy Meets Girl [Eric Schaeffer, 2015, United States] I would like it to go somewhere else, but everything is unexpected and that’s what’s best about it. 6.5/10 
Atomic Blonde [David Leitch, 2017, United States] I love it. I hate that they killed the part of her that makes her human, but I love it. 6.5/10
Heartland [Maura Anderson, 2017, United States] A lot of technical expertise is lacking but it's heartbreaking just the same. 7/10
Loving Annabelle [Katherine Brooks, 2006, United States] Despite its lack of plot, it was enough to love Annabelle. Seems half-cooked though by the end of the film. 7/10 
Affinity [Tim Fywell, 2008, United Kingdom] I’m very angry, disappointed, and affected. If that’s the goal, then it did I great job. 7/10 
Baka Bukas [Samantha Lee, 2017, Philippines] A realistic take on coming out and drifting apart. 7/10 
The Girl King [Mika Kaurismaki, 2015, Sweden, Finland] has a strong female character who does not dare conform to society’s truths. 7/10
Jorgen + Anne = Sant [Sewitsky, 2011, Norway] When it comes to love, who are we to judge? 7/10 
Show Me Love [Lucas Moodysson, 1998, Sweden] Rebellion, depression, confusion, fear, pain... This film is so sincere w/ what it wants you to understand. 7/10
That’s Not Us [William Sullivan, 2015, United States] Very real and natural, I’m nostalgic for reasons I cannot explain. 7.5/10
Stranger by the Lake [Alain Guiraudie, 2014, France] Engrossing in a strange kind of way. 7.5/10
Love, Simon [Greg Berlanti. 2018, United States] It’s a very familiar coming-of-age romance, but that familiarity is what made it stand out. 7.5/10
Ned’s Project [Lem Lorca, 2016, Philippines] Has a profound sense of lesbian issues w/ a well-thought-of character superbly portrayed by Angeli Bayani. 8/10 
Blue is the Warmest Color [Abdellatif Kechiche, 2013, France] The storyline is nothing I haven't seen before but how it's told is so sincere-it's honestly felt. 8/10
Pride [Matthew Warchus, 2014, United Kingdom] In which inspiring LGBT people fight for the rights of another oppressed community. A film about acceptance, respect, solidarity, and finding friendship amidst homophobia and union battles. It is truly uplifting and heartwarming. 8/10 
Beach Rats [Eliza Hittman, 2017, United States] Overall, a substantial commentary on the stigma of homosexuality and its effect on why people choose to hide. 8/10
Changing Partners [Dan Villegas, 2017, Philippines] uses strong dialogues and character play that makes it rare and magical. 8/10
Battle of the Sexes [Jonathan Dayton, Valerie Faris, 2017, United States] Makes me feel bad for not being alive yet when it happened. Ace. 8/10
Grandma [Paul Weitz, 2015, United States] I love the story, I love how it unfolds, and I love how it will live in me for sure. 9/10
Ang Huling Cha Cha ni Anita [Sigrid Andrea Bernardo, 2013, Philippines] Sometimes, it's the little heartache that reminds you of who you are. Absolutely astounding cinema. 9/10
The Hours [Stephen Daldry, 2002, United States] It has a perfect pinch of sadness which I am deeply in love with-sadness that's actually quiet yet blissful. 9.5/10
First Girl I Loved [Kerem Sanga, 2016, United States] a tender coming-of-age drama that tackles discovering self identity and the fear that comes with that realization. So raw, it’s thrilling. 9.5/10
Beats Per Minute (BPM) [Robin Campillo, 2017, France] Goosebumps. This is a film clear of its objective, it is exhilarating and exhausting in the good kind of way. 9.5/10
Thelma [Joaquim Trier, 2017, Norway] Meticulously-crafted film that questions fundamentalism as a basis for joy and purity. I yearn for films as poetic as this. 9.5/10
Moonlight [Barry Jenkins, 2017, United States] A rare impressionistic film on a man’s struggle to finding himself, something so rich in poetry and visual excellence, it’s spell-binding. 10/10
Fingersmith [Aisling Walsh, 2005, United Kingdom] Well-written, intensely-directed, and strongly-acted. Easily a favourite. 10/10 
Respire [Mélanie Laurent, 2015, France] With its overall well-observed direction, it’s compelling both visually and story-wise. 10/10
Call Me By Your Name [Luca Guadagnino, 2017, Italy, Brazil, France, United States] Its authenticity is incredibly palpable, I can taste it in my mouth. Something made with much love, my heart aches. Timothée Chalamet is remarkable. That last frame is unforgettable. 10/10
The Handmaiden [Park Chan-wook, 2016, South Korea] Lavish, sensual, beyond clever. Having watched and read Fingersmith won’t make this gem a tad predictable. Park Chan-wook’s adaptation even exceeded my expectations. 10/10
The Duke of Burgundy [Peter Strickland, 2015, United Kingdom] Remarkable. A film so beautiful, it’s so hard to forget. I love this too much, it’s almost haunting. 10/10
Carol [Todd Haynes, 2015, United States] a tough film w/ first-rate performances by both Blanchett & Mara that utterly make up for its minor dull moments. 10/10
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anxietywellness · 7 years ago
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New Post has been published on Anxiety Wellness
New Post has been published on http://anxietywellness.org/recent-posts/inadequate-treatment-for-concussion-called-a-public-health-crisis/
Inadequate Treatment for Concussion Called A ‘Public Health Crisis’
More than half of concussion patients seen at top-level trauma centers appear to fall off the radar shortly after diagnosis, allowing for the potential development of long-term problems, according to a new study by researchers at the University of California, San Francisco (UCSF) and the University of Southern California.
Growing evidence, including two UCSF studies published earlier this month, shows that traumatic brain injuries are tied to an increased risk for neurodegenerative and psychiatric disorders, such as dementia and Parkinson’s disease.
Among 831 patients treated in hospital emergency departments for mild traumatic brain injury (TBI), only 44 percent saw a physician or other medical provider within three months, according to the findings published in the journal JAMA Network Open.
“The focus of concussion has been directed at a very narrow segment of the population — football players and professional athletes,” said the study’s co-author Geoffrey Manley, M.D., Ph.D., a professor of neurosurgery in the UCSF Department of Neurological Surgery and member of the UCSF Weill Institute for Neurosciences.
“Everyone who falls off their bike or slips off their skateboard or down the steps needs to be aware of the potential risks of concussion.”
Manley called the gap in care a “public health crisis.” He is the principal investigator of TRACK-TBI, which has collected and analyzed clinical data on close to 3,000 traumatic brain injury patients from 18 top-level trauma centers nationwide.
“If physicians did not follow up on patients in the emergency department with diabetes and heart disease, there would be accusations of malpractice,” he said. “For too many patients, concussion is being treated as a minor injury.”
Among the patients who did see a health care provider within three months, only 15 percent visited a clinic that specialized in concussion or traumatic brain injuries. Approximately half saw a general practitioner, who may or may not have training in managing this condition.
Perhaps most disturbing was the finding that even among patients with more serious signs and symptoms, many had no further care after hospital discharge. For example, the CT scans of 236 patients indicated a lesion, but 40 percent of these did not see a health care provider within three months after discharge.
In addition, 279 patients showed three or more moderate-to-severe post-concussive symptoms, but 41 percent of these did not see a physician or health provider within three months after discharge. In fact, around half of the patients were discharged without a handout explaining symptoms and red flags requiring follow-up.
“The lack of follow-up is concerning because these patients can receive adverse and debilitating symptoms for a very long time,” said lead author Seth Seabury, Ph.D., director of the Keck-Schaeffer Initiative for Population Health Policy at the University of Southern California. “Even patients who reported experiencing significant post-concussive symptoms often failed to see a provider. This reflects a lack of awareness among patients and providers that their symptoms may be connected to brain injury.”
Concussion and other more serious forms of traumatic brain injury affect between 3.2 million and 5.3 million Americans, according to the Centers for Disease Control and Prevention.
Undiagnosed and untreated traumatic brain injuries are extremely common in the homeless and incarcerated populations, said Manley, chief of neurosurgery at the Zuckerberg San Francisco General Hospital and Trauma Center.
“We have all these people untreated and no real system of care,” he said. “Even in the best trauma centers in the country, patients with concussion are not getting the follow-up care they desperately need.”
Among the study subjects, who had been recruited from 11 trauma centers throughout the country, the average age was 40; 58 percent were white and 65 percent were male. Around one-third suffered moderate-to-severe post-concussive symptoms. In total, 59 percent of the concussions resulted from a road traffic incident; versus 24 percent from falls and 6 percent from assaults.
Source: University of California- San Francisco
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For new ships
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By Order:
- Freya x Stella (@twsted-princess)
- Quinn x Jessica (@in-that-deep-blue-sea)
- Geoffrey x Julian (@fumikomiyasaki)
- Nocturne x Victoria (@rosietrace)
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sakuramidnight15 · 3 years ago
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-HSA OC Information-
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Character Bio
Name: Dorothea Koizumi
(Japanese: ドロテア小泉)
Romaji: Dorotea Koizumi
Quote: “Oh shut the fuck off, it's your fault that you lost the bet. Now settle your fat ass down and pay up, slut."
V/A: Yoshino Nanjou (Japanese)
Gender: Female
Age: 19-Physical (???-Actually)
Birthday: October 13
Star Sign: Libra
Eye Color: Spanish Carmine
??? (Unknown Eye Color)
Hair Color: Wisteria Purple
Height: 184 cm
Race: Jinx Demon
Species: Sinner Type
Homeland: Dungeon Inkhell
Family: Grayson Andino (Father)
Isamu Koizumi (Father)
Penelope Andino (Older Sister)
Olive Koizumi (Younger Brother)
Aiya Koizumi (Aunt)
Wilma Schaeffer (Aunt)
Misaki Koizumi (First Cousin)
Geoffrey Shaeffer (Second Cousin)
_________________________________________
School Status and Fun Facts
Dorm: Höllejigoku
School Year: Third
Class: 3-D
Student no. 2
Occupation: Student
Vice-dorm Leader
Manager of the Casino Division
Dorm's Dealer
Part-time Model
Club: Literature Club
Best Subject: Weapon Class, Social Media and Math
Dominant Hand: Ambidextrous (Right hand mostly)
Favorite Food: Fried Frog Legs, Kimchi, Sour Cream Chips, Brussel Sprouts, Blackberry Juice, Black Crow Pie, Dead Monster's Flesh,
Least Favorite Food: Pasta, Hard Bread (Like a Rock that can break your teeth), Fish, Mustard, Sweet Milk,
Likes: Pranks (Demontical/Sinister but harmless), Family(Doesn't show it or express it, but in secret), Fashion (In any types), Gambling (Mostly), Winning in Fights (Physical or Magic), Dancing, Anime and Cosplaying (Mostly),
Dislikes: Chaos, Spoiled Brats (Mostly), Losing (Mostly), People thinking that she calculated the results for the bets wrong (Mostly), Getting Chased, Pranks backfired, Getting Scolded,
Hobbies: Reading anime mangas (Mostly), Cosplaying (Mostly), Getting the lastest Gossip or Trend, Dancing on stage, Gambling (The higher risks, the more crazier she gets, Mostly), Teasing other in a friendly manner or not,
Talents: Sinner Mode, Demon Abilities, Excited Mode (When she's gambling in high bests), Iron Legs and Teeth, Inner Shadow Control, Dark Abilities, Lie detector,
Nicknames: Dorothy or Dottie (From her friends and family)
Dorothea-senpai or Koizumi-senpai (From the freshmen students)
Manager (From her dorm mates)
Dola (From her cousin, Geoffrey)
Other Nicknames:
Dory (From the Main Trio and Manase)
Fashion Partner and Bestie (From Marleigh)
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Appearance and Personality
Appearance: Dorothea has a slender but slightly curvy female body build with black demon-like skin. She has long and somewhat thick wisteria purple hair which she ties it into two spike buns. She has spanish carmine colored eyes which they can turn into a unknown color when using her demon abilities. Dorothea is your typical sweet girl but is known to be trouble-some and ruthless.
Personality: Dorothea is the middle child and second daughter in her giant family. Her whole family runs a modeling studio, where she often helps her fathers with the clothes and posing for the models. She often admires her older sister's skills as a designer, which she never expressed it and got teased for it. This states the fact she's in a good relationship with each of her family members, but mostly for Geoffrey, who happens to be her favorite cousin/family member.
She has somewhat of a sweet girl but does have devilish/sinful personality, both on the outside and inside of herself. Dorothea is known to be sarcastic, mean and pretty ruthless towards others. Known to be a typical but rather a demon bully or mean girl. Especially for her demonic pranks and schemes, looked pretty dangerous but is actually harmless.
Is indeed very troublesome than the rest in the academy, she managed to get away with every demonical scheme or pranks she planned on someone that catches her interests and does not care of what others think of her. But on some days, she would get caught easily by the Dominguez twins and her cousin in the attempts of her escape, much to her dismay.
Like her dorm mates, she's pretty hard to approach due to her personality and status as a demon and also being a mean girl around, but her dorm mates has the exception, especially for the twins and her cousin.
Despite her devil/troublesome attitude, she seems to take her job as the vice-dorm leader seriously, but still uses her usual personality. Takes her job as the current manager and dorm dealer of the game and rules quite easily. Will play nicely but not when someone is being pain in the butt on her.
Secretly, Dorothea is easy on the freshmen students in the dorm only, but also the other dorms as well but sometimes. She seems to have a big-sister or motherly personality but no one saws it but doesn't express much it though, which she's thinks it's kinda embarrassing to show it. Plus, she and her cousin often chat together on the daily basis.
Play your cards nicely when she's around. Since Dorothea is troublesome, she's known to be cold and shows no indeed mercy if you're on her bad side. This girl loves to toy you down till you break if you ever cross with her, especially in the casino division itself.
Definitely goes wild and madness, makes you wanna run away but this demon will catch you. This demon girl wanna make your life like the hell down below itself.
Cheeky but dreadfully a troublesome demon here, Dorothea can make your day as hellful as she wants to. If she gets approval from Casimir and Cattleya first.
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Trivia
-The name 'Dorothea' is female given name: from a Greek word meaning “gift of God.” While her surname 'Koizumi' is a Japanese surname, meaning 'small spring'.
-She's based on King Dice (From Cuphead) and Millie (From Helluva Boss)
-Dorothea has a gambling addict. Making her a complusive gambler, it makes her go wild indeed for any risks taken indeed. Aside from that, she seems to have a anime addict as well. Rambles on both of them in one breath.
-Since she's like a mean girl, expect insults and curses from her mouth straight at you. If you're on her bad side.
-She knows the Main Trio, alongside with Manase and Marleigh. Often duels with Lynette, Kiara and Amelia or okay games with them. She and Marleigh making clothes together, and then anime cosplaying with Manase in secret!
-She and Marleigh often dragged kidnapped or adducts Manase when it comes to important fashion emergencies. This happened on the daily when Manase is busy with her dorm duties or not.
-Follows Casimir's and Cattleya's orders in the dorm. She definitely doesn't want to disappoint and anger them.
-She's been friends with the twins since childhood.
-Dororhea's voice sounds pretty charming and cool, but the tone changes when she's pissed off. Which is why I chose Yoshino Nanjou to be her voice actor.
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Third one done! Last one! (@hourglassstationacademy)
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Character Info
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MC List
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Twisted Wonderland
Chizuko Miyato (TW MC) - [Battle Stage],
Tatsuo Kimoto (TW MC) - [Battle Stage],
Lynette Mitchell (TW MC) - [Battle Stage],
Mireille Blanchefleur (TW MC) -
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Royal Sword Academy
Westyn Hashimoto (RSA MC) -
Hei-Ran Sowol (RSA MC) -
____________________________________
Hourglass Station Academy
Haruki Aikawa (HSA MC) -
Sasuke Aikawa (HSA MC) -
Freya Hoshino (HSA MC) -
Ember Frostine and Chione Frostine (HSA MCs) -
____________________________________
Deaths Academy Combat
Eldoris Treyton (DAC MC) -
Fursat Clodwal (DAC MC) -
____________________________________
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OC List
____________________________________
Twisted Wonderland
Kiara Winston (TW OC) - [Battle Stage],
Amelia Kimura (TW OC) - [Battle Stage],
Quinn Cromwell (TW OC) -
Marleigh Gonzales (TW OC) -
Naoki Flores (TW OC) -
____________________________________
Diamond Crown Academy
Arianna Suzuki (DCA OC) -
Valencia Winston (DCA OC) -
Sylvie Vespertine (DCA OC) -
Felicity Akinari (DCA OC) -
____________________________________
Hourglass Station Academy
Akio Kingsley (HSA OC) -
Yaeko Akamine (HSA OC) -
Cynthia Tamami (HSA OC) -
Saburou Lewis (HSA OC) -
Hibiki Nakamura (HSA OC) -
Fuyuhiko Huxley (HSA OC) -
Whitney Elsher (HSA OC) -
Sienna Belladonna (HSA OC) -
Elijah Rodriguez (HSA OC) -
Yuzuki Furukawa (HSA OC) -
Irelyn Mendoza (HSA OC) -
Aimi Hestia (HSA OC) -
Celestine Fujimura (HSA OC) -
Jovanni Santiago (HSA OC) -
Doremi Lennon (HSA OC) -
Izumi Fukuda (HSA OC) -
Chouka Memphis (HSA OC) -
Sayoko Cerulean (HSA OC) -
Khamari Nephele (HSA OC) -
Eugene Chariton (HSA OC) -
Chenoa Acquarone (HSA OC) -
Riyon Gushiken (HSA OC) -
____________________________________
Deaths Academy Combat
Brendon Astlabor (DAC OC) -
____________________________________
Royal Sword Academy
Noelle Madison (RSA OC) -
Harper Persephone (RSA OC) -
Sonia Julianne (RSA OC) -
Souta Hirawa (RSA OC) -
Keisuke Iglesias (RSA OC) -
Aine Chauveron (RSA OC) -
Achlys Esmeray (RSA OC) -
Miriam Camellia (RSA OC) -
Isamu Agni (RSA OC) -
Venomia Fleur (RSA OC) -
Lucia Primrose (RSA OC) -
Caoimhe Dulcie (RSA OC) -
Vendetta Estée (RSA OC) -
____________________________________
Dorm Sorted OCs
Haru Kurayami (TW OC) - [Battle Stage],
Rosabel Akuma (TW OC) -
Chiharu Serrano (TW OC) -
Miyoko Herrera (TW OC) -
Daphne Chisaka (TW OC) -
Nerine Cassidy (TW OC) -
Manase Lindsay (TW OC) -
____________________________________
Fandorm Sorted OCs
Casimir Dominguez (HSA OC) -
Cattleya Dominguez (HSA OC) -
Dorothea Koizumi (HSA OC) -
Geoffrey Schaeffer (HSA OC) -
Hiromi Saotome (HSA OC) -
Toshihiro Finley (HSA OC) -
Shirrira Kimana (HSA OC) -
Nocturne Chansen (HSA OC) -
Othenio Chansen (HSA OC) -
Castiel Ortiz (RSA OC) -
Deangelo Celino (RSA OC) -
Fenella Ragni (RSA OC) -
Ismene Yukimura (RSA OC) -
Clementine Perez (DAC OC) -
Allison Hill (DAC OC) -
Akira Brooklynn (DAC OC) -
Himari Reyes (DAC OC) -
____________________________________
Staff OCs
Sunako Hiyama (HSA Staff OC) -
Alzir Otieno (HSA Staff OC) -
Tristan Daemon (HSA Staff OC) -
Hotaru Junya (DAC Staff OC) -
____________________________________
Creator List
Creator of the Seventh Rift - [Here]
____________________________________
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sakuramidnight15 · 4 years ago
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MCs and OCs Backstories (By Order)
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MCs List
_________________________
Twisted Wonderland
Chizuko Miyato -Here
Tatsuo Kimoto -Here
Lynette Mitchell -Here
Mireille Blanchefleur -Here
_________________________
Royal Sword Academy
Westyn Hashimoto -Here
Hei-Ran -Here
_________________________
Hourglass Station Academy
Freya Hoshino -Here
Haruki Aikawa -Here
Sasuke Aikawa -Here
Ember Frostine and Chione Frostine -Here
_________________________
Deaths Academy Combat
Eldoris Treyton -Here
Fursat Clodwal -Here
_________________________
Akuneko
Eislyn Philomel -Here
_________________________
Obey Me
Heather Calfuray -Here
_________________________
Food Fantasy
Yvette C. Allen -Here
_________________________
Fate Series
Madeleine -Here
_________________________
Persona Series
Lyra Amano -Here
_________________________
Genshin Impact
Selene -Here
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OCs List
_________________________
DCA OCs
Arianna Suzuki -Here
Valencia Winston -Here
Sylvie Vespertine -Here
Felicity Akinari -Here
_________________________
HSA OCs
Akio Kingsley -Here
Yaeko Akamine -Here
Cynthia Tamami -Here
Saburou Lewis -Here
Hibiki Nakamura -Here
Fuyuhiko Huxley -Here
Whitney Elsher -Here
Sienna Belladonna -Here
Elijah Rodriguez -Here
Yuzuki Furukawa -Here
Irelyn Mendoza -Here
Aimi Hestia -Here
Celestine Fujimura -Here
Jovanni Santiago -Here
Doremi Lennon -Here
Izumi Fukuda -Here
Chouka Memphis -Here
Sayoko Cerulean -Here
Khamari Nephele -Here
Eugene Chariton -Here
Chenoa Acquarone -Here
Riyon Gushiken -Here
_________________________
DAC OCs
Brendon Astlabor -Here
_________________________
TW OCs
Kiara Winston -Here
Amelia Kimura -Here
Quinn Cromwell -Here
Marleigh Gonzales -Here
Naoki Flores -Here
_________________________
RSA OCs
Noelle Madison -Here
Harper Persephone -Here
Sonia Julianne -Here
Souta Hirawa -Here
Keisuke Iglesias -Here
Aine Chauveron -Here
Achlys Esmeray -Here
Miriam Camellia -Here
Isamu Agni -Here
Venomia Fleur -Here
Lucia Primrose -Here
Caoimhe Dulcie -Here
Vendetta Estée -Here
_________________________
Dorm Sorted OCs
-Terrovania: (From @terrovaniadorm)
Haru Kurayami -Here
Rosabel Akuma -Here
Chiharu Serrano -Here
Miyoko Herrera -Here
-Anamosica: (From @dangerouspeanutstudent)
Daphne Chisaka -Here
-Corfringusdale: (From @stestylius)
Nerine Cassidy -Here
-Monsville: (From @fumikomiyasaki)
Manase Lindsay -Here
_________________________
Unknown OCs
??? and ??? -Here
??? and ??? -Here
_________________________
Fandorm Sorted OCs
Casimir Dominguez -Here
Cattleya Dominguez -Here
Dorothea Koizumi -Here
Geoffrey Schaeffer -Here
Hiromi Saotome -Here
Toshihiro Finley -Here
Shirrira Kimana -Here
Nocturne Chansen -Here
Othenio Chansen -Here
Castiel Ortiz -Here
Deangelo Celino -Here
Fenella Ragni -Here
Ismene Yukimura -Here
Clementine Perez -Here
Allison Hill -Here
Akira Brooklynn -Here
Himari Reyes -Here
_________________________
Staff OCs
Sunako Hiyama -Here
Alzir Otieno -Here
Tristan Daemon -Here
Hotaru Junya -Here
_________________________
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gordonwilliamsweb · 5 years ago
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For 2020, California Goes Big On Health Care
California is known for progressive everything, including its health care policies, and, just a few weeks into 2020, state leaders aren’t disappointing.
The politicians’ health care bills and budget initiatives are heavy on ideas and dollars — and on opposition from powerful industries. They put California, once again, at the forefront.
The proposals would lower prescription drug costs, increase access to health coverage, and restrict and tax vaping. But most lawmakers agree that homelessness will dominate the agenda, including proposals to get people into housing while treating some accompanying physical and mental health problems.
“This budget doubles down on the war on unaffordability — from taking on health care costs and having the state produce our own generic drugs to expanding the use of state properties to build housing quickly,” Gov. Gavin Newsom said in a letter to the legislature, which accompanied the $222.2 billion budget proposal he unveiled last Friday. About a third of that money would be allocated to health and human services programs.
But even with a Democratic supermajority in the legislature, these proposals aren’t a slam-dunk. “There are other factors that come into play, like interest groups with strong presence in the Capitol,” including Big Pharma and hospitals, said Shannon McConville, a senior researcher at the nonpartisan Public Policy Institute of California.
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Drug Pricing
Newsom’s plan to create a state generic drug label is perhaps his boldest health care proposal in this year’s budget, as it would make California the first state to enter the drug-manufacturing business. It may also be his least concrete.
Newsom wants the state to contract with one or more generics manufacturers to make drugs that would be available to Californians at lower prices. Newsom’s office provided little detail about how this would work or which drugs would be produced. The plan’s cost and potential savings are also unspecified. (Sen. Elizabeth Warren of Massachusetts, who is seeking the Democratic presidential nomination, proposed a similar plan at the federal level.)
Because the generics market is already competitive and generic drugs make up a small portion of overall drug spending, a state generic-drug offering would likely result in only modest savings, said Geoffrey Joyce, director of health policy at USC’s Leonard D. Schaeffer Center for Health Policy & Economics.
However, it could make a difference for specific drugs such as insulin, he said, which nearly doubled in price from 2012 to 2016. “It would reduce that type of price gouging,” he said.
Representatives of Big Pharma said they’re more concerned about a Newsom proposal to establish a single market for drug pricing in the state. Under this system, drug manufacturers would have to bid to sell their medications in California, and would have to offer prices at or below prices offered to any other state or country.
Californians could lose access to existing treatments and groundbreaking drugs, warned Priscilla VanderVeer, vice president for the Pharmaceutical Research and Manufacturers of America, the industry’s lobbying arm.
This proposal could “let the government decide what drugs patients are going to get,” she said. “When the governor sets an artificially low price for drugs, that means there will be less money to invest in innovation.”
Newsom’s drug pricing proposals build on his executive order from last year directing the state to negotiate drug prices for the roughly 13 million enrollees of Medi-Cal, the state’s Medicaid program for low-income residents. He also ordered a study of how state agencies could band together — and, eventually, with private purchasers such as health plans — to buy prescription drugs in bulk.
Homelessness
California has the largest homeless population in the nation, estimated at more than 151,000 people in 2019, according to the U.S. Department of Housing and Urban Development. About 72% of the state’s homeless slept outside or in cars rather than in shelters or temporary housing.
Newsom has asked for $1.4 billion in the 2020-21 state budget for homelessness, most of which would go to housing and health care. For instance, $695 million would boost health care and social services for homeless people via Medi-Cal. The money would fund programs such as recuperative care for homeless people who need a place to stay after they’ve been discharged from the hospital, and rental assistance if a person’s homelessness is tied to high medical costs.
A separate infusion of $24.6 million would go to the Department of State Hospitals for a pilot program to keep some people with mental health needs out of state hospitals and in community programs and housing.
Surprise Bills
California has some of the strongest protections against surprise medical bills in the nation, but millions of residents remain vulnerable to exorbitant charges because the laws don’t cover all insurance plans.
Surprise billing occurs when a patient receives care from a hospital or provider outside of their insurance network, and then the doctor or hospital bills the patient for the amount insurance didn’t cover.
Last year, state Assembly member David Chiu (D-San Francisco) introduced legislation that would have limited how much hospitals could charge privately insured patients for out-of-network emergency services. The bill would have required hospitals to work directly with health plans on billing, leaving the patients responsible only for their in-network copayments, coinsurance and deductibles.
But he pulled the measure because of strong opposition from hospitals, which criticized it as a form of rate setting.
Chiu said he plans to resume the fight this year, likely with amendments that have not been finalized. But hospitals remain opposed to the provision that would cap charges, a provision that Chiu says is essential.
“We continue to fully support banning surprise medical bills, but we believe it can be done without resorting to rate setting,” said Jan Emerson-Shea, a spokesperson for the California Hospital Association.
Medi-Cal For Unauthorized Immigrants
California is the first state to offer full Medicaid benefits to income-eligible residents up to age 26, regardless of their immigration status.
Now Democrats are proposing another first: California could become the first to open Medicaid to adults ages 65 and up who are in the country illegally.
Even though Medicaid is a joint state-federal program, California must fund full coverage of unauthorized immigrants on its own.
Newsom set aside $80.5 million in his 2020-21 proposed budget to cover about 27,000 older adults in the first year. His office estimated ongoing costs would be about $350 million a year.
Republicans vocally oppose such proposals. “Expanding such benefits would make it more difficult to provide health care services for current Medi-Cal enrollees,” state Sen. Patricia Bates (R-Laguna Niguel) said in a prepared statement.
Vaping
Dozens of California cities and counties have restricted the sale of flavored tobacco products in an effort to curb youth vaping.
But last year, state legislators punted on a statewide ban on flavored tobacco sales after facing pressure from the tobacco industry.
Now, state Sen. Jerry Hill (D-San Mateo) is back with his proposed statewide flavor ban, which may have more momentum this year. Since last summer, a mysterious vaping illness has sickened more than 2,600 people nationwide, leading to 60 deaths, according to the Centers for Disease Control and Prevention. In California, at least 199 people have fallen ill and four have died.
Hill’s bill would ban retail sales of flavored products related to electronic cigarettes, e-hookahs and e-pipes, including menthol flavor. It also would prohibit the sale of all flavored smokable and nonsmokable tobacco products, such as cigars, cigarillos, pipe tobacco, chewing tobacco, snuff and tobacco edibles.
Newsom has also called for a new tax on e-cigarette products — $2 for each 40 milligrams of nicotine, on top of already existing tobacco taxes on e-cigarettes. The tax would have to be approved by the legislature as part of the budget process and could face heavy industry opposition.
Tobacco-related bills are usually heard in the Assembly Governmental Organization Committee, “and that is where a lot of tobacco legislation, quite frankly, dies,” said Assembly member Jim Wood (D-Healdsburg), who supports vaping restrictions.
This KHN story first published on California Healthline, a service of the California Health Care Foundation.
For 2020, California Goes Big On Health Care published first on https://nootropicspowdersupplier.tumblr.com/
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