内容摘要：But rural pharmacies’ business models face unrelenting pressures to the point that sometimes they have to close. Several largely rural states have some of the lowest number of pharmacies per ZIP code, according to an AP analysis of data from 49 states and the National Council for Prescription Drug Programs.

But rural pharmacies’ business models face unrelenting pressures to the point that sometimes they have to close. Several largely rural states have some of the lowest number of pharmacies per ZIP code, according to an AP analysis of data from 49 states and the National Council for Prescription Drug Programs.

“I have noted you’ve been unable, in most instances, to answer any specific questions related to your agency,” said Sen. Angela Alsobrooks, a Maryland Democrat.The secretary, in turn, pushed back — saying he had not had time to answer specific questions — and at points questioning lawmakers’ own grasp of health policy.

Kennedy testified to explain his downsizing of the department — from 82,000 to 62,000 staffers — and argue on behalf of the White House’s requested budget, which includes a $500 million boost for Kennedy’s “Make America Healthy Again” initiative to promote nutrition and healthier lifestyles while making deep cuts to infectious disease prevention, medical research and maternal health programs.He revealed that he persuaded the White House to back down from one major cut: Head Start, a federally-funded preschool program for low-income families across the country.But lawmakers described how thousands of job losses at the health department and funding freezes have impacted their districts.

One Washington state mother, Natalie, has faced delays in treatment for stage 4 cancer at the National Institutes of Health’s Clinical Center, said Democratic Sen. Patty Murray. The clinical center is the research-only hospital commonly known as the “House of Hope,” but when Murray asked Kennedy to explain how many jobs have been lost there, he could not answer. The president’s budget proposes a nearly $20 billion slash from the NIH.“You are here to defend cutting the NIH by half,” Murray said. “Do you genuinely believe that won’t result in more stories like Natalie’s?” Kennedy disputed Murray’s account.

Democrat Rep. Bonnie Watson-Coleman of New Jersey asked “why, why, why?” Kennedy would lay off nearly all the staff who oversee the Low Income Home Energy Assistance Program, which provides $4.1 billion in heating assistance to needy families. The program is slated to be eliminated from the agency’s budget.

Kennedy said that advocates warned him those cuts “will end up killing people,” but that President Donald Trump believes his energy policy will lower costs. If that doesn’t work, Kennedy said, he would restore funding for the program.She understands that some people have a different gauge of what is life-threatening and an emergency. But it’s still frustrating when someone phones the emergency number to say they’re locked out of their house and cold or their dog jumped in a river and won’t swim back — calls she also fielded.

“We just ask everybody to find alternative pathways before phoning for an ambulance,” she said. “The ambulance service is for those who are experiencing life-threatening problems.”Worrall’s craziest call came one afternoon when a man phoned to say his son’s pet alligator had escaped and was hiding under the sofa.

“I asked if he’d been hurt, and he said, no. He was scared,” Worrall recounted.He wanted paramedics to help him corral the toothy reptile.