内容摘要：. Slow food. Slow travel. And when it comes to the home, “slow decorating.”

. Slow food. Slow travel. And when it comes to the home, “slow decorating.”

, or PBMs, help employers and insurers decide which drugs are covered for millions of Americans.And the lack of transparency around fees and low reimbursements from PBMs is one of the biggest financial pressures for rural pharmacies, said Delesha Carpenter of the University of North Carolina at Chapel Hill, who leads a research alliance of

The Basin Pharmacy is seen in Basin, Wyo. (AP Photo/Mike Clark)The Basin Pharmacy is seen in Basin, Wyo. (AP Photo/Mike Clark)But Greg Lopes, a spokesman for the Pharmaceutical Care Management Association that represents PBMs, disputed PBMs’ role in closures and noted that some companies work with rural pharmacies to get higher reimbursements for drugs.

Jones came back to the Basin area after pharmacy school. His daughter Camilla would come into the pharmacy with him on Sundays and he’d quiz her on different medications.She’s now the president-elect of the state pharmacy association and helps run the Basin pharmacy.

“We’ve definitely tried to do everything we can to run lean to find other options to try and make money to keep our doors open so we can continue to serve patients,” Camilla Hancock said. “But when you’re working so hard and you’re trying your darndest to accomplish these things, and you just kind of get kicked in the gut over and over, it’s really disheartening.”

If it weren’t for the “devastating” impact on his daughter’s future, Jones admitted, “I’d pack it in.”Edwards told The Associated Press in an email that he “interacted with zero patients that were not already infected with measles” during the time he was infectious. “Therefore, obviously, there were no patients that were put in danger of acquiring measles since they already had measles.”

But Jessica Steier, a public health scientist, said the video shows Edwards in the room with people who do not appear sick, including parents of sick children and the people who visited the clinic from Children’s Health Defense. She also questioned what steps Edwards was taking to confirm people were sick with measles, rather than relying on guesswork.Steier, who runs the Science Literacy Lab and co-wrote

, said while there may be some extraordinary emergencies where it would be appropriate for a sick doctor to work, this is not one of those situations because there is no shortage of providers who are not infected. She also pointed out that the video shows Edwards was not wearing a mask.“You have the HHS secretary lifting him up,” she said. “You know, it’s so, so dangerous. I really feel for the people who are on the ground.”