Online Pharmacies and Telemedicine

Not a day goes by when our email inboxes do not fill with advertisements for prescription drugs. Many of these emails promise to deliver drugs of all classes by overnight courier without a prescription. While there are legitimate online pharmacies, and the practice of telemedicine or cyber-medicine is gaining acceptance, this change in the way medicine is being practiced is rocking the foundations of the medical establishment. Being able to consult a doctor online, and obtain prescription drugs delivered to your doorstep by UPS has broad social and legal implications. The Internet facilitates making drugs available to those who may not be able to afford to pay US prices, are embarrassed to see a doctor face-to-face, or are suffering from pain, the treatment of which puts most doctors in direct conflict with the ‘war on drugs’ but on the other hand there is the question whether these pharmacies make drugs available to recreational drug users without the oversight of a licensed medical practitioner.

The Need for Alternatives

Medical care in the US has reached a point where it is expensive and impersonal which has caused the consumer to become generally unsatisfied with the medical establishment as a whole. Examples include the huge differences between the cost of drugs in the US and Canada, long wait times in US pharmacies, and poor service in general. Perhaps realizing this, US customs appears to tolerate the millions of Americans that visit Canada every year to buy their medications, as for the most part, these ‘drug buyers’ are elderly American’s that can’t afford the high cost of filling their prescriptions in the US.

Rather than to travel to Canada or Mexico millions of Americans are now turning to the Internet for both their medical needs. Telemedicine (or cyber medicine) provides consumers with the ability to both consult with a doctor online and order drugs over the Internet at discounted prices. This has resulted in consumers turning to online pharmacies for their medical needs, and in particular pharmacies with a relationships with a physician, which allow the consumer to completely bypass the traditional brick and mortar pharmacies, with the added benefit of having their physician act as an intermediary between the consumer and the pharmacy. According to Johnson (2005) this is as a result of consumers becoming very dissatisfied when it comes to dealing with both brick and mortar pharmacies and medical practitioners. As Johnson, notes, “Consumers are more likely to know the name of their hairdresser than their pharmacist.” When Johnson (2005) rated the various professions within the health care system, he found that pharmacists had the lowest interaction with their patients than did any other group. Today, as a result of this “consumers are buying 25.5 percent of their prescriptions online, opposed to 13.5 percent of which are picked up at a brick and mortar pharmacy” (Johnson 2005).

Drugs and Society

What has brought so much attention to online pharmacies is that it is possible to obtain just about any drug without a prescription online. Many of these prescriptions are for legitimate purposes purchased through an online pharmacy because the buyer is too embarrassed to visit the doctor or for other reasons including the unavailability of FDA approved drugs to the consumer. These drugs may include steroids that due to their misuse and being classed as a classed a category three drugs, are seldom prescribed by physicians. These drugs have a useful purpose to those suffering from any wasting disease such as AIDS, they also play a role in ant-aging (FDA, 2004).

The Doctor Patient Relationship

Today a visit to a doctor is generally brief, much of the triage it is done by a nurse or a nurse practitioner with the doctor only dropping in for a few minutes, if at all. In many cases the patient is seen by a nurse practitioner. One of the arguments against telemedicine or perhaps a better term is cyber-medicine, is that the doctor does not have a physical relationship with the patients and thus is in no position to make a diagnosis, and thus can not legally prescribe drugs.

Ironically when one compares the work up that one has to go through to consult with an online physicians and compares this to a face-to-face visit with a brick and mortar doctor, one finds that the online physician, in many cases, has a better understanding of the patient’s medical condition than does the doctor who meets face-to-face with the patient. In most cases before an on-line a doctor prescribes any type of medication they insist on a full blood workup they may also require that one has additional tests performed, for example.

The AMA, the federal government, and various states claim, however, that it is illegal for a doctor to prescribe drugs without a valid doctor-patient relationship. While there are no laws at present that outlaw online pharmacies, various states have enacted legislation, or are in the process of enacting legislation to prohibit a doctor from prescribing drugs to a patient that they have not seen face to face. Some states also require that the doctor that prescribes the drugs be licensed in their state. This alone could hamper the development of cyber-medicine. According to William Hubbard (2004), FDA associate commissioner “The Food and Drug Administration says it is giving states first crack at legal action, though it will step in when states do not act” (FDA, 2004).

Internet Pharmacies

The reason that email boxes around the country fill up with offers to supply drugs of all kinds, at reduced prices, without prescriptions, and more is because people buy them as the billions of dollars the drug companies are making each year attest to. The Internet has become the drug store of choice for many.

Categories of Internet Pharmacies

Internet pharmacies are generally acknowledged to be comprised of the following five categories:

Internet pharmacies can be divided up into five different categories, as follows:

Licensed online pharmacies with a no medical affiliation.

Licensed online pharmacies with a medical affiliation

No record online pharmacies (NRP)

International online pharmacies (IOP)

Licensed compounding pharmacies

The licensed online pharmacies with a no medical affiliation are of course Drugstore.com, CVV, and others. They all require a prescription from a licensed doctor that the patient has a doctor patient relationship with. The prescription can be called in by the doctor.

The licensed online pharmacies with a medical affiliation often depend on a broker. The broker collects your medical information, and then assigns your case to one of their networked physicians. Many of these networked physicians are willing to prescribe pain killers as they believe that it is only through the use of these drugs that some people can live a harmonious life.

A Government Accountability Office (GAO) Committee on aging held in June 2004 found that “Unlicensed international pharmacies do not require a prescription, and are generally located off shore.” No prescription pharmacies can be found all over the world. Many of these sites have come under controversy as in some cases all it takes to have that prescription delivered to you by next day air, is to fill out a questionnaire online.

A study conducted by Henkle in 2002 to ascertain how easy it would be to obtain drugs over the Internet found that “37 of the 46″ pharmacy required a prescription from a licensed doctor. The emphasis was on the prescription and not on the doctor. Henkle (2002) in fact notes that some sites offered to recommend a doctor.” Henkle (2002) was able to obtain prescription drugs from nine sites outside the US during the study, without a prescription.

Online pharmacies with a doctor affiliation

There are a number of online pharmacies, with a medical affiliation is that take great pain to differentiate themselves form unlicensed overseas pharmacies. These pharmacies, stress that they are “American based companies that provides consumer’s easy access to FDA approved online prescriptions over the Internet and are quick to point out that “An online consultation can be just as relevant as an in-person consultation.” It is interesting to note that many of these online pharmacies also point out that “While they are committed to making access to online prescriptions easier, they believe that the Internet can not replace the importance of regular doctor visits to fully evaluate your health and any medical conditions.” Many of these online pharmacy sites also makes a wealth of drug information available on its web site that enables the consumer to educate themselves on drugs that may have been prescribed. The Internet has for all intensive purposes is quickly replacing the brick and mortar base physician as a patient’s primary health care provider.

A sales pitch, of course, or is it? Most of the legitimate online pharmacies ensure that they comply with state and federal regulation. The doctors are licensed in all 50 states and their pharmacies are too. These legitimate Internet pharmacies cater to those that are looking for a better price; for some it comes down to making the choice of eating cat food on crackers in order to afford their medications because of the high US drug prices. In other cases patients resort to cyber-medicine to avoid the embarrassment of having to deal with a physician or pharmacy that may be judgmental. Many of these online pharmacies will arrange a consult with a licensed, medical doctor over the phone and will then fill the prescription accordingly.

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Should You Join A Prepaid Legal Plan Service?

A legal plan service or membership program, is a concept that has been around for a number of years. Legal plans became popular in Europe in the 1930′s, and they remain popular and well-known there today. In America, legal plans have also become increasingly popular, as more companies have offered different plans, and individuals and business have seen their value. Legal plans work by providing basic coverage and attorney services for a membership, or a prepaid fee, that is usually paid monthly or yearly. By paying the membership fee, you have access to an attorney and their services, where without the plan you would have to pay, in some cases, a substantial fee. Having a legal plan service can make good sense, but it won’t solve all your legal issues.

Most of these plans focus on preventative legal care, so you can get legal assistance and advice before you start having legal difficulties. They also cover some basic issues that many individuals or businesses need legal assistance with. You will be able to have a free consultation with an attorney at no additional cost, often initially by phone. You can usually call the attorney on as many different legal issues as you want, you will receive a free consultation for each question or issue. This can be a powerful tool, as you can often get many of your legal questions or issues handled this way.

Other services are also included in legal plans. Normally a free will will be included, with yearly updates. Many plans will also write a letter or a make a call on your behalf. This is a valuable service if you are having a dispute, as an awareness of attorney representation can clear up many issues with a 3rd party. In addition, you will also have coverage for contract or document review, where your attorney will review documents, such as agreements or sales contracts, and answer any of your questions. If you need more legal assistance, such as an appearance in court, or extra legal help, you will get a discount on the attorney’s hourly fee.

There are a variety of legal plans available. The most basic plan is the individual or family plan, but many legal service plans also offer business coverage, where they provide basic legal services tailored for a business. There are even more specialized legal plans available, such as one designed just for truck drivers. A great way to join is to see if you workplace offers a plan as an employee benefit package, many do. In many cases, you can join for free or reduced cost.

There are some limitations. Prepaid legal services are not designed to solve preexisting or ongoing legal issues. There focus is on preventative care and access to an attorney for a consultation. If you have a major legal issue, such as a law suit, a divorce, or bankruptcy, a legal plan will be of limited assistance, although you will probably get a discount of the hourly rate you would normally pay an attorney. A legal plan service is a way for middle class Americans to have the access to attorneys that used to be the province of the wealthy. Having a plan is a great way to help keep yourself out of legal trouble with preventative assistance, but it won’t solve all of your legal problems.

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Expert Legal Help From True Lawyers

Have you ever imagined what will happen if you are sued or an arrest warrant is issued against you? The first thing that would come to your mind is to hire a lawyer, who shall provide the legal help. Often we come across situations where we find ourselves engulfed into legal matters. At these situations the best possible thing we can do is to find an attorney to cope with the trouble. The best place to find an attorney, among the various sources, is the attorney directory. Here the lawyers and attorneys are listed as per their specialization in different legal issues like registration, consumer protection, child custody, divorce etc. So whether you have any complain against a product, you want to file a divorce, or there is an arrest warrant for you, you can always seek Legal help from the true lawyers.

In our everyday life, we often come in close interaction with law and being a good citizen we must abide by the law of the state we live in. But sometimes we get a brush with the law like we get sued or sacked for no apparent reason. In the world of web you have ready access to any Lawyer Directory or Attorney Directory and when you feel the need for an attorney now you can just click one of these directories to find true lawyers and attorneys. Many lawyers are registered members of these online Lawyers directory and attorney directory, thereby providing us the most authentic and complete legal help.

The true lawyers apply the legal theories and knowledge to solve legal disputes and advance the interest of their clients who seek legal help. There are matters like registration and parking summons for vehicle owners and we need not always seek help from an attorney in such cases; we can always depend on self-help. But if the things go worse you must ask an attorney for legal help regarding the legal aspects of these issues. Sometimes it may happen that we have many ways to resolve a legal issue or that we are in jeopardy about what to do in a particular legal turmoil. In such a situation we can ask a lawyer about our queries on the specific legal issues or can hire a lawyer to present our case in the court. Entrepreneurs and businessmen usually prefer to ask an attorney regarding the intricacies of a legal issue before arriving at any legal decision.

For entrepreneurs and businessmen, legal help can be sought in matters related to estate planning, partnership deeds, financial agreements and business negotiations and transactions. Having wide knowledge about the law of the land and regular interaction with various legal issues, the true lawyers are the best professionals who can give expert advice to their clients and advance the interest of the clients. Professional legal help from the true lawyers can help us make the best benefit out of the rules and regulations imposed by the government.

Being a country comprising of fifty states, United States has a complicated legal system as all the fifty states have their own constitutions other than the common constitution of the nation. There are several laws that differ in different states, and it is not possible for a common man to know and understand all these law properly. For this reason we seek legal help from the true lawyers and attorneys whom we can find from the attorney directory or lawyers directory.

The directories help us to find an attorney from the state where we have faced the legal issues. Not every lawyers in a state deal with all legal issues; many of them specialize in different subjects like administration, transportation, tax, wills and probate, adoption, divorce, business laws etc. If we have some legal issues dealing with transportation law there is no point in going to an attorney who specializes in administrative laws or to ask an attorney specializing in divorce cases for the legal help. For this the Attorney directories provide a list of specialized lawyers who can be helpful for us in resolving the legal issues we have. After we find an attorney suitable for our job we can contact them and let the lawyer know about the legal issue. In the later stage we can ask an attorney to give expert opinion in this matter and with them we can even have the benefit of Attorney Referral service.

If the lawyer dealing with the legal issues feels that his or her opinion must be seconded by another attorney or that he or she is unable to find a solution for the legal issue, he or she may go for an attorney referral, i.e. they will refer another attorney to deal with the case. Generally the referred attorneys are very experienced and can provide the specific legal help. When the matter is related to tax planning, estate planning, drafting will or trust, business negotiations or personal matters like divorce or adoption, what is sought most is the legal help from the true lawyers.

When we feel that our reputation, finance or job is at the stake, we cannot help but find an attorney to provide us with the required legal help that will be beneficial to resolve those legal issues. With the online Attorney directory, an attorney can expect to be consulted 24 hours a day and seven days a week by the common people seeking legal help. This will add to the reputation of the lawyers. By registering in any lawyers directory the lawyers can expand their client base significantly. They can take the benefit of online chat to stay in touch with the client all the time to provide them with the necessary legal help. Also the clients can get in touch with a lawyer instantly if they feel that they need an attorney now.

All of us can have a close interaction with the law at any point of time. It is therefore necessary to know something about the law. When we are empowered with the law we can deal with many legal issues by ourselves. But if we feel that we really need legal help we can always bank on the true lawyers.

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How Photo Editing Industries Can Aid Web Merchants

Images say a lot of things about objects we can’t touch or feel

directly. Photos have various values to a person and a business. While

a ordinary man conserve the images of his family members and best

friends so that he can cherish those invaluable moments forever, a

businessman uses photos for print advert, online promotion and much

more.Actually, the whole business of e-commerce depends on the best

quality of the product photos displayed on the site. If clients are

not pleased with the images of the products they want to buy, they may

basically never buy from the site. However, it is not always possible

to get perfect photographs of products and that is why business often

hire photo editing services industries to add glitz and glamour to the

snaps.Here are several of the advantages you can enjoy by hiring an

image editing organization.

# Get superior images: If you want to use item photos in your website

design, the photo editing organization can help you in quite a few

ways. All you need to do is send them the snapshots and inform the

qualifications. They will reduce the photos, without losing their

quality so that the photos load faster in your website and do not

consume much bandwidth. The Photo Editing service company will use a

image editing software to remove the blemishes and crop insignificant

areas to make sure when viewers see the photos, they pay concentration

to the main subject. For example, if you sell apparels from your site,

the photo editing supplier can remove red eye blemish, resize images,

develop the whiteness of teeth, add spark to the eyes and make sure

that models wearing your clothes look wonderful on screen.

# Background removal service: Occasionally you click a great image,

but due to the reduced background, the photo loses its appeal. It’s

impossible for every business to select a pretty location for their

photo-shoot due to lack of budget. Therefore, they should take the

help of photo editing professional to add the required background to

their photos. Such as, you should have noticed that furniture

companies always display their products in adequately decorated rooms.

If you have a furniture business, but you can’t afford to rent a

stunning apartment for your photo-shoot, there is nothing to concern.

Take the images with any kinds of background and let the image editors

do their job. They will remove the unimposing background from the

photos and insert the photo of a gorgeous apartment. Your clients will

be impressed to see how attractive the sofa or dining table looks in a

superior apartment and will contact your company directly to place an

order.The most significant advantage of hiring a professional

organization for photo editing services is that they can do anything

with the images. Whether you want a collage, black & white and colour

version of the same images, convert images into web or add

supplementary elements to the images for enhancing their visual

appeal, the image editing supplier serves you in every possible way to

make sure your business gets the awareness of the targeted

audience.Clipping path Service India & Clipping path Creative is a

Famous image editing companies in ASIA Continent. Those companies

Provide all kinds of image editing service like Clipping path service,

Background removal, Colour Correction, Neck joint, Photo Retouching,

Image masking, Shadow making service and Ecommerce image optimization

services with low cost possible and excellent turnaround.

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