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RECYCLABLES


                                               tightening up their own rules about what
                                               kinds of waste they are willing to accept.
                                                 These changes have put some U.S.-based
                                               recyclers out of business, but it may have
        Dear EarthTalk: Since China stopped    strengthened those left standing, since they
      accepting American recyclables for       have been forced to find new ways of
      processing in 2017, is it still worthwhile for  dealing with the waste streams they are
      us to even bother recycling here in the U.S.?  responsible for collecting and processing.
              — Jim M., Norfolk, VA            Instead of shipping it all off, they are
        The short answer is yes, it’s still    recycling as much as possible themselves.
      worthwhile for us to recycle, even if it’s not  While China’s “National Sword” program
      as easy and more expensive than it used to  may have been a headshot to the American
      be—especially when you consider the costly  waste industry, the result might just be a
      and environmentally dubious alternative of  greener, cleaner, more self-sufficient
      creating new products out of all-virgin  United States.
      materials. That said, China’s decision to stop  American consumers and businesses can
      accepting most recyclables from other    help bolster recycling efforts by sorting
      countries beginning in January 2018 did send  waste appropriately—don’t mix soiled
                                                                                                 Diabetes Medication
                                                                                                 Diabetes Medication
                                                                                                 Diabetes Medication
                                                                                                 Diabetes Medication
      shockwaves around the world. For the     food containers in with recyclables, keep         Diabetes Medication
      previous 25 years, China was gladly      non-recyclable plastics out of the blue bins,
      importing more than half of the world’s  etc.—and encouraging friends and      Attention Diabetics!  New Drug Plan
      plastic garbage for reprocessing into new  neighbors to do the same so that more of  Program Lowers Cost of Lantus for as  formularies in order to meet all health
      products.                                what we do discard can live another day  little as $6.00 -  $11.00          needs and budgets.  On our Cigna-
                                               and provide other consumers with a guilt-                                   HealthSpring Rx Secure-Extra plan,
        It seemed like a win-win situation, but the  free way to enjoy whatever came in that                               which is available nationally, this drug
      Chinese started to tire of dealing with a  plastic bottle or cardboard box.         Increased Congressional scrutiny of  (Lantus Solostar Inj 100.ml) is available
                                                                                     drug pricing practices, particularly for the
      deluge of soiled recyclables from abroad.                                      pricing of insulin, appears to be     for as low as a $6 copay as long as
      Also, years of economic growth and rising  CONTACTS: “After China’s import ban,  prompting some insurers to lower the cost
      consumption means the Chinese are now    where to with the world’s waste?”     of insulin on which so many diabetics  customers use a preferred pharmacy and
      producing plenty of waste on their own; they  dw.com/en/after-chinas-import-ban-  depend to control their blood sugar.  In  they are not in the donut hole or
      no longer need to rely on waste imports to  where-to-with-the-worlds-waste/a-  April of this year, Cigna and Express  catastrophic phase.  The cost-share is more
      keep their recycling plants humming. It’s for  48213871; World Bank’s “What a Waste 2.0:  Scripts announced one such plan to reduce  for customers in most of our other plans,
      these reasons that the Chinese government  A Global Snapshot of Solid Waste    out-of-pocket costs for insulin for some  including our MAPD (Medicare
      invoked its “National Sword” policy, banning  Management to 2050,”             customers.                            Advantage Prescription Drug) plans.
      the import of 24 types of solid waste and  openknowledge.worldbank.org/handle/       In comparing frequently prescribed     Unlike some senior advocacy
      setting a much tougher standard for      10986/30317.                          drugs for The Senior Citizen League’s
      contamination levels on the recyclables it                                                                           groups, TSCL does NOT receive any
      would accept. Waste handlers in the U.S. and  EarthTalk® is produced by Roddy Scheer  (TSCL) 2019 drug price comparison report,  income from drug makers.  If you are
      other developed countries where landfill  & Doug Moss for the 501(c)3 nonprofit  we found a new drug plan pricing    a diabetic and take Lantus Solostar,
      space is short were left in the lurch and forced  EarthTalk. To read more, check out https:/  program with estimated co-pays for  we strongly recommend that you get
      to rethink how to move much of their     /emagazine.com. To donate, visit https://  Lantus Solostar so low, that it  help and compare ALL of your drug
      “feedstock” along now that China is no   earthtalk.org. Send questions to:     prompted Advisor editor, Mary Johnson, to  plan options during the upcoming
      longer willing to take it.               question@earthtalk.org.               contact the drug plan to confirm accuracy.   Medicare fall Open Enrollment
                                                                                          Here’s why.  Last year, the lowest cost  period that starts October 15  and
                                                                                                                                                   th
        In the meantime, a few Southeast Asian  Medication Part D
                                              Medication Part D
                                              Medication Part D
                                              Medication Part D
                                                                                                                                            th,
      countries (Malaysia, Thailand, Vietnam,  Medication Part D                     drug plan charged about $80 for 100/ML  ends on December 7  to learn if the
                                                    Drug Plans
      Indonesia and India) stepped up to fill the   Drug Plans                       of Lantus Solostar.  This year, the lowest  Cigna-HealthSpring Rx Secure plan
                                                     Drug Plans
                                                    Drug Plans
                                                     Drug Plans
      void by taking larger loads of our waste. But                                  cost plan Cigna-HealthSpring Rx Secure —  can lower your drug costs.  While co-
      poorly run waste management practices and   Part D plan changes become effective  Extra Part D plan charges copays as low as  pays may change for 2019, it’s worth
      lack of government oversight lead to      on January 1, 2020.  You can get top-  $6.00 - $11.00 for Lantus Solostar.  The  the effort since other plans still
      conditions where only about 10 percent of  notch free one-on-one counseling and  highest cost plan, which does not cover
      potentially recyclable waste sent to these  help to switch to better drug plans                                      charge higher co-pays.
      countries gets recycled. According to a recent                                 Lantus, charges the full price, $383.18 per  REMINDER:  Original Medicare
      World Bank report, much of what doesn’t get  through your state health insurance  100/ML.                            coupled with a Part D Prescription
      recycled ends up in “unregulated dumps or is  assistance program, many of which       Jennifer Luddy, Director of External  Drug plan is an appropriate solution.
      openly burned…[creating] serious health,  operate through Area Agencies on     Affairs for Cigna replied to our inquiry  Another option could be a Medicare
      safety and environmental consequences.” But  Aging.                            saying: Cigna Medicare PDP has a number of  Advantage Plan which is considered
      more recently, many of these countries are   Local program contact info can be  different Prescription Drug Plan offerings with  Part C and normally includes Part D
      now following in China’s footsteps by     found at https://www.shiptacenter.org.  different premiums, deductibles and  coverage. Important to check
                                                                                                                           formulary to confirm your meds.
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      November 2019                                                                                                                                      9
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