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E20-005 - Backup and Recovery Foundations(R) Associate - Dump Information

Vendor : EMC
Exam Code : E20-005
Exam Name : Backup and Recovery Foundations(R) Associate
Questions and Answers : 120 Q & A
Updated On : December 14, 2018
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E20-005 Questions and Answers

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E20-005 Backup and Recovery Foundations(R) Associate

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E20-005 exam Dumps Source : Backup and Recovery Foundations(R) Associate

Test Code : E20-005
Test Name : Backup and Recovery Foundations(R) Associate
Vendor Name : EMC
Q&A : 120 Real Questions

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EMC EMC Backup and Recovery

EMC Backup and healing consumers e book | killexams.com Real Questions and Pass4sure dumps

EMC was all about disk arrays. around 10 years back, it embarked on a methodology to cover the complete storage market, together with backup application and recuperation. This manifests these days within the EMC Backup and recuperation techniques (BRS) division. as well as application, this unit offers deduplication and backup home equipment and lots extra.

in keeping with BJ Jenkins, BRS methods president, there are five separate areas in BRS:

  • facts area, which is primarily customary for deduplication on the target
  • Avamar, ordinary for deduplication on the supply
  • NetWorker, for backup software
  • Disk Library, for backup for mainframe environments
  • Disk coverage guide (DPA), which is a tool to examine and improved manager backup environments
  • Jenkins stated that deduplication has been steadily consuming away at the tape market, which has fallen from an 11.9 % share of the external storage market in the 1999 to 4.6 percent in 2010, in response to IDC. The fastest transforming into area of the backup market is purpose-developed backup home equipment, which IDC talked about have grown right into a $1.6 billion market with EMC owning sixty four p.c. as a result, EMC has risen to No. 1 in backup, ahead of Symantec and IBM.

    EMC Disk Library http://o1.qnsr.com/log/p.gif?;n=203;c=204655439;s=10655;x=7936;f=201806121855330;u=j;z=TIMESTAMP;a=20400368;e=i

    EMC Disk Library is a heavy-responsibility VTL product. The DL5200 has a starting cost of $four hundred,000. When thoroughly configured at 686 TB, that can upward thrust to over $2 million. The business positions it as enabling the backup of facts that does not lend itself to high rates of deduplication due to facts constitution or retention policies. EMC Disk Library for mainframe (DLm) is a backup gadget designed for the mainframe environment that leverages facts domain deduplication know-how. The DLm has a beginning price of $337,000. When completely configured at three.8 PB of logical capability, that can upward push to over $2 million.

    EMC NetWorker

    Networker came to EMC throughout the Legato acquisition in 2003. it is a normal backup software that works with tons of of company apps. Jenkins described it as a full-carrier backup, combining disk and tape backup capabilities. if you use tape, Networker is the EMC answer to install. The Networker company may additionally go away, besides the fact that children.

    "Networker and Avamar are coming collectively over time," spoke of Jenkins. "each use raise, which got here from information area."

    raise become designed to circulation the bulk of the work from the target gadget upstream to the backup media server. It thereby reduces the load on the backup server and frees up greater bandwidth. The intent: up to now, a complete backup changed into transmitted over the community to a deduplication appliance, which then sorted out which data to keep and which ones have been already saved. as a result, handiest information that goes to be kept on a backup equipment is relayed over the wires.

    those using NetWorker backup utility now have enhance protected as a free addition. once installed, any records domain packing containers in the LAN will recognize it. additional, IT directors can log onto NetWorker and manage deduplication and replication at once from the NetWorker console.

    more recently, NetWorker's capabilities had been prolonged to supply excessive performance and digital server software insurance plan. NetWorker edition 7.6 SP2 provides assist for vStorage API for statistics coverage (VADP) to integrate with a VMware virtual infrastructure.

    NetWorker Module for Microsoft functions 2.three also offers assist for change and SharePoint Server 2010, plus windows Server 2008 R2 and windows DR.

    EMC Avamar

    EMC Avamar is terribly tons a made from a disk-primarily based world. Designed basically for disk, it deduplicates records at the source before it is transmitted to the backup server or storage media.

    "Use situations center of attention on faraway workplace/department office (ROBO), NAS, backing up of computers, laptops and VMware environments," referred to Jenkins. "It offers in most cases in file information."

    He explained that Avamar relieves stress on the community via deduplicating data earlier than you send it anyplace. it's attainable as utility-handiest or as an appliance.

    recent traits include integration with statistics area systems, developments for VMware and VCE vBlock backup and support for the EMC VNX family. The latest hardware edition of Avamar time-honored as the Avamar data store doubles potential to 124 TB per system.

    EMC facts area

    Like Avamar, data domain changed into additionally intention-constructed for disk -– this time as a backup equipment. It contains variable deduplication -– what this ability is that it might probably deduplicate files or sections of information right down to 8k or 15k segments. That helps a lot in minimizing traffic. if you make a minor tweak to heaps of information, some deduplication items will relay all of every file or a very good component of it. With facts area, only the small modified segments are transmitted.

    "no longer all deduplication is a similar," observed Jenkins. "With variable size and inline processing, we've trade main performance and scale."

    He introduced that the leading use circumstances for information domain are databases, electronic mail, transactional procedures, giant info, Sharepoint and other Microsoft functions, Oracle, and SAP.

    There are seven items within the records domain family unit. The DD 610, DD630 and DD670 are deduplication appliances. The DD610, for instance, can dangle up to 6 TB and has a starting rate of $20,000.

    The DD860 and DD890 are controller most effective products. The latter has a beginning price of $300,000 and might take care of 384 TB of statistics. The starting expense is $750,000 for a worldwide Deduplication Array, which could hang up to 768 TB. statistics domain Archiver supports up to 768 TB of uncooked exterior storage. It can also be configured with up to 128TB of raw storage within the active tier, and the final external storage in the archive tier. The entry DD Archiver controller has a U.S. checklist cost of $160,000.

    facts insurance policy advisor

    information insurance plan guide is a tool to help assess the backup atmosphere. It contains reporting of such gadgets as how lengthy the backup took and if it turned into a success. in addition, DPA gives scheduling and administration features. EMC has integrated DPA with EMC Unisphere, which will also be used to manipulate distinct EMC instruments.

    "DPA lets you measurement the environment, remember the impact of deduplication and notice how a whole lot capacity you need," said Jenkins. "it's principally for greater environments."

    The newest edition of DPA has aid for Avamar 6.0 and NetWorker 7.6 SP2, together with new reporting elements and ability-based licensing.

    Drew Robb is a freelance writer specializing in know-how and engineering. presently dwelling in California, he's originally from Scotland, the place he obtained a degree in geology and geography from the school of Strathclyde. he is the creator of Server Disk administration in a windows atmosphere (CRC Press).

    follow enterprise Storage forum on Twitter


    Dell EMC Avamar | killexams.com Real Questions and Pass4sure dumps

    Dell EMC Avamar is a hardware and utility statistics backup product.

    Avamar started as a private enterprise and changed into among the first companies to promote records deduplication utility for backup facts. EMC received Avamar for its deduplication expertise in 2006, greater than a decade before Dell's blockbuster acquisition of EMC.

    Dell EMC Avamar can be used in a whole lot of data storage environments, and is attainable in built-in hardware and application or software-handiest alternatives. Avamar utility provides source-primarily based deduplication, cutting back information on the server earlier than the records is moved to the backup goal. that's distinctive than the Dell EMC data domain platform that performs goal-primarily based deduplication at the disk backup appliance.

    Avamar backups

    Dell EMC Avamar performs full every day backups. retaining each day finished backups enables for a single-step recuperation technique.

    All Dell EMC Avamar deployments use variable length information deduplication to cut back redundant copies, which shortens backup windows and cuts lower back on bandwidth use by using simplest storing enjoyable changes. In faraway environments, Avamar can use present native enviornment network and extensive enviornment community bandwidth. Avamar uses RAID and RAIN know-how to cut back redundant facts and increase fault tolerance.

    Use circumstances

    Dell EMC Avamar has a big selection of use situations counting on the ambiance it is used in. purchasers can use Avamar for:

    Avamar for backup and healing

  • Virtualized environments
  • NAS backups
  • Laptops and pcs
  • faraway office backups
  • company-vital purposes
  • Cloud catastrophe restoration
  • Deployment options

    Avamar may also be used with a number of applications, with utility modules for items from other vendors equivalent to IBM, Oracle, OpenStack and Microsoft.

    Dell EMC Avamar has four distinct deployment alternatives, counting on the purchaser's hardware preferences or purchasable components:

  • Avamar data store combines Avamar utility and a purpose-constructed backup equipment as a one-stop, built-in product. This option is most appropriate for these seeking to reduce down on setup time and evade working to combine the Dell EMC application with distinct hardware companies. Avamar facts save may also be scaled to 124 TB of deduplicated potential.
  • Avamar virtual edition includes the backup application and a digital appliance, which can also be deployed in Azure, Hyper-V or vSphere.
  • Avamar company edition is designed for midmarket agencies that may well be dealing with confined components. The company edition includes a aim-developed backup equipment and simplified administration.
  • Avamar can also be integrated with a actual Dell EMC statistics area system for added scalability and performance.

    management

    Avamar servers are managed through a single centralized console. As with the vendor's facts domain device, Dell EMC Backup and healing manager is used to manage and display screen Avamar. No license is required to deploy Backup and recuperation supervisor for Avamar.


    EMC NetWorker Drives Backup Transformation | killexams.com Real Questions and Pass4sure dumps

    EMC supplier announced that EMC NetWorker commercial enterprise backup utility users are deploying integrated options from EMC to finished extremely a hit backup redesign initiatives. Dramatically quicker backup and recoveries, simplified administration, decreased local community site visitors, automated disaster recovery, tape removing and cost mark downs are among the many advantages these users are reporting. proven client success is a testomony to the continued enhancements EMC has made to NetWorker, which might be enabling users to address their statistics insurance policy needs with fundamental-to-manage, subsequent technology backup and recuperation options.  

    Shane Jackson, vice chairman, marketing, EMC Backup restoration techniques Division noted that EMC embarked upon a mission to integrate its entire portfolio of backup and restoration items once we fashioned the Backup healing systems division 2 years ago. The tightly integrating backup hardware and software would deliver powerful capabilities and advantages to customers as they re-architected their IT infrastructures to tackle facts increase, virtualization initiatives and an more and more intolerable set of administration complexities.  the integration of NetWorker and information area products via facts area enhance utility become only one of the initiatives undertaken.  nowadays, with ongoing enrichment of NetWorker elements and functionality, valued clientele are leveraging NetWorker to create particularly automated, disk-based mostly backup and recovery infrastructures.  These redecorate efforts are enabling clients to minimize backup instances, recuperate statistics abruptly, and efficaciously replicate backup facts for catastrophe recuperation the usage of current network supplies.  No competitor offers the degree of integration or breadth of backup portfolio that EMC brings to the table.

    Panattoni expertise neighborhood is a California-primarily based outsourced company of IT services to Panattoni industrial true property and development agencies globally.  The enterprise first deployed NetWorker to consolidate its disparate backup systems.  at the moment the business turned into nevertheless backing as much as tape and the use of third celebration tape management functions that had been proving to be increasingly problematical when restores have been required.  as the company all started to virtualize its statistics center environment, it known as in 4 distinct vendors to present disk-based mostly backup solutions that used deduplication and determined that EMC facts domain® was the premiere and strong answer.   Panattoni deployed its first data area equipment in its European information center and integrated this equipment with NetWorker via DD boost utility.   presently after, they did the equal of their simple united states facts middle.  next, move web page replication between both facts centers was carried out for disaster healing.  

    nowadays, Panattoni retains 320 terabytes of backups on just 15 terabytes of records domain disk means and its worldwide full backup window has been cut in half to simply 12 hours.  Time spent administering backups has dropped to essentially zero, and all points of their facts insurance policy are extremely computerized and centrally managed from a single NetWorker console.

    Kris Jensen, Director of Infrastructure, Panattoni technology neighborhood stated “I cannot overstate how easy it now could be for us to tackle our backup and replication approaches with NetWorker and information area integrated by the use of DD raise software. administration time for data insurance plan has been decreased to well-nigh zero.  really, NetWorker and records domain are actually so tightly wound together that I examine them as a single solution.  I’ve already recommended NetWorker built-in with information domain to friends at other businesses because it’s been rock solid.  everything is faster, with absolute improvements throughout the board.”

    Randy Forgeur, Senior community Administrator, Panattoni know-how community mentioned “From NetWorker, i can create all backup routines, deploy cloning tasks, and verify which pieces of data I need to ship from our European operation to the united states. I don’t need to contact tapes, or agonize about backup great.  also, I don’t should go to varied areas to peer that my backups and replication have completed effectively.  It’s all on the NetWorker console. Twice every week I walk in, make sure it’s set up, and ignore it. It’s that professional.”

    A&N Media, the buyer media enterprise of DMGT plc., is a famous UK-primarily based media company it's in the procedure of evolving its IT infrastructure to a cloud-primarily based model.   The enterprise’s IT community, A&N Media IT functions, initiated an entire backup redecorate to dispose of tape, in the reduction of expenses, enrich reliability and get rid of the executive burden linked to more than 1,seven-hundred tapes.  NetWorker become the one factor of their latest infrastructure that they decided to hold.  A&N Media leveraged their long standing funding in NetWorker to architect a brand new backup and healing infrastructure that covered an information domain DD670 deduplication storage equipment integrated with NetWorker via DD boost utility.  moreover sooner, greater authentic backups, a massive influence of this challenge is that the EMC backup and healing answer enabled A&N Media to put into effect a network-primarily based disaster recuperation method with replication between two facts facilities within the London area.  

    grant Altson, techniques manager, A&N Media noted that the mixture of NetWorker and information area has delivered a dramatic development in our backup and healing success price, and with DD raise application we’ve viewed decreased inner community bandwidth consumption, as a result of DD enhance distributes materials of the deduplication procedure to the storage node.  

    "Our historic tape-based mostly atmosphere couldn't sustain with our information growth and continuing on with a tape became conveniently now not a manageable course for us.  It’s super to look EMC continuing to put money into NetWorker and integrating it with products like facts domain.  the integration of the EMC backup and healing portfolio has revitalized our hobby in the use of NetWorker as a foundation as we evolve our backup infrastructure," mentioned Altson.

    EMC NetWorker business backup utility offers seamless integration with the trade’s two main information deduplication solutions:  EMC information domain and EMC Avamar®.  Integrating NetWorker with EMC backup and recuperation items permits consumers to lengthen the energy of NetWorker to handle distinctive and evolving commercial enterprise backup and restoration needs from a standard administration interface. 


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    The Health 202: Health insurance still costs too much. But Congress probably won't fix it | killexams.com real questions and Pass4sure dumps

    THE PROGNOSIS

    House Minority Leader Nancy Pelosi (D-Calif.), left, Senate Minority Leader Chuck Schumer (D-N.Y.) and Sen. Patty Murray (D-Wash.) attend the 2018 State of the Union address. (Win McNamee/Getty Images)

    For all the Obamacare political battles over the past decade, a harsh reality remains: Health insurance is still unaffordable for many Americans. And it’s unclear whether a soon-to-be-divided Congress will do much about it.

    I wrote in Monday’s Health 202 that the Affordable Care Act’s marketplaces are looking more stable than ever before, given that average premiums dipped for the first time and plan offerings increased rather than diminished. That’s broadly true — but it’s also true that consumers in some U.S. counties are still seeing big price hikes. In fact, several of you wrote me to say your premiums are still rising by double digits.

    — Fairfax, Va., resident Susan wrote that the monthly premium for a Kaiser plan for herself and her child is increasing 30 percent from last year and that she isn’t eligible for any subsidies to pad the extra expense.

    “This is the second year in a row of 30 percent premium increases!” Susan wrote. “I currently have Kaiser’s cheapest silver plan, but their bronze offering isn’t going to be the ‘answer’ — it is only about $60 per month cheaper. And premiums aren’t much lower if I switched to Cigna (and started over with all new doctors).”

    — Another reader, named Fern, said she enrolled in Oregon’s marketplace because she wants to support the ACA. But the premiums for her "Providence Bronze-level plan" went up 33 percent. “Not sure where premiums were lower, but I want to move there,” she wrote to me.

    The big picture here is that despite the recent good news, premiums are still 75 percent higher on average than when the marketplaces opened in 2014. And that’s not the only way consumers are feeling pinched on health-care costs. Out-of-pocket spending — the extra costs associated with a plan such as deductibles and coinsurance — has accelerated for the past three years across all types of health insurance, including for employer-sponsored coverage.

    American families paid an average of $625 in out-of-pocket costs in 2017, up 8.5 percent from the year prior, according to a health-care spending report by the JPMorgan Chase Institute. Out-of-pocket spending as a percentage of income also ticked up slightly.

    Particularly hard-hit by the increases are low-income families, who are seeing larger cost increases relative to their income. Thirty percent of Americans say health-care costs make it hard for them to pay for basic necessities, and nearly 1 in 4 non-elderly adults say they forgo necessary medical care because of cost.

    “Health coverage still is too expensive, and I think everyone recognizes that,” Shawn Gremminger, senior director of federal relations at Families USA, told me.

    But he also acknowledged that other health-care issues — such as protecting people with preexisting conditions and expanding Medicare — have been getting a lot more attention lately on Capitol Hill. “On the other hand … I haven’t heard as much screaming on the Hill about it as we have [heard] on preexisting conditions and Medicare,” Gremminger said.

    Drug costs are also top of list for lawmakers in both parties and, come January, could be the most likely issue to prompt a bipartisan response from the Republican-led Senate and the Democratic-led House. But the cost of health insurance is a big, outstanding problem that some lawmakers haven’t forgotten, even though a bipartisan effort toward that end failed spectacularly earlier this year.

    A hearing of the Senate Health, Education, Labor and Pensions Committee. (J. Scott Applewhite/AP)

    This morning, Sen. Lamar Alexander (R-Tenn.), chairman of the Senate Health, Education, Labor and Pensions Committee, is holding a fifth hearing on health-care costs. He previously forged an agreement with the committee’s top Democrat, Sen. Patty Murray (Wash.), to stabilize the marketplaces. But that effort collapsed when Republicans repealed the ACA’s penalty for being uninsured and added in antiabortion language, enraging Democrats, who then backed away.

    Murray plans to push at the hearing for a return to the bipartisan effort, in remarks shared in advance with The Health 202.

    “Mr. Chairman, I’m hopeful we can revive those discussions in the new Congress, and find a way past the ideological standoffs of the past,” Murray said, according to the prepared remarks.

    A Senate Democratic aide told me “there’s cause to believe there is momentum” on the Alexander-Murray effort. Yet it’s unclear whether the two senators have even resumed conversations about a stabilization package. And Democrats and Republicans often have widely differing views on the range of medical benefits health plans should be required to cover — which, of course, has a huge impact on plans’ cost.

    Many Democrats and liberals would like to expand the availability of insurance subsidies, ensuring that middle-class Americans can get more government assistance in affording their coverage. That’s a no-go for most Republicans, however, who didn’t like Obamacare’s subsidy system to begin with. They’d rather expand health savings accounts, although that’s an approach Democrats say doesn’t go nearly far enough.

    In any case, Democrats clearly feel they have the upper hand on health care after their victories in the midterm elections, in which they pummeled Republicans over protecting people with preexisting conditions.

    “Voters’ anger about Republicans’ health-care sabotage just handed the GOP its biggest electoral defeat in generations,” said Henry Connelly, a spokesman for likely new House Speaker Nancy Pelosi (D-Calif.). “Republicans should recognize they need to reverse course and start working constructively with Democrats to lower premiums and out-of-pocket costs for all Americans.”

    Of course, the Trump administration argues it is already doing things to lower insurance costs. It has issued new regulations allowing the expansion of short-term health plans and other kinds of leaner, cheaper insurance. On Thursday, it will outline specific ways states can back away from Obamacare insurance regulations through receiving what are known as “1332 waivers.”

    Despite President Trump's claims that these moves have given Americans more affordable insurance options, actual implementation has been much slower. Seema Verma, administrator of the Centers for Medicare and Medicaid Services, told reporters Tuesday she’s unsure how many short-term plans are even for sale because the regulation wasn’t finalized until well into this year.

    “It’s not clear how many plans are being offered,” Verma said. “I think you will see more movement, probably, in the following year.”

    You are reading The Health 202, our must-read newsletter on health policy. Not a regular subscriber?

    Sign Up! Our newest 202 newsletter is launching Tuesday, Dec. 4: The Technology 202 by Cat Zakrzewski. Cat worked at The Wall Street Journal covering venture capital in Silicon Valley before joining The Washington Post to launch this new venture. She’ll be covering the dynamic and evolving relationship between Washington and technology companies, delving into everything from proposed privacy regulations to artificial intelligence and quantum computing. Get your copy here.

    AHH, OOF and OUCH

    Protesters chant as Republican and Democratic House members walk down the steps of the Capitol in Washington on May 4, 2017, after the Republican health-care bill passed in the House. (Susan Walsh/AP)

    AHH: In its first tracking poll since the midterm elections, the Kaiser Family Foundation finds a majority of Americans want Democrats to use their new House majority to work with Republicans to address heath care.

    Health care came in second for the issue respondents wanted to see Congress act on in 2019. When asked to detail in their own words the issue that Congress should work on in the next session, 21 percent said immigration or border security, while 20 percent said health care. Gun control came in third, with 8 percent of respondents' support.

    Specifically asked which health-care issues they would like to see Congress tackle, 19 percent of those surveyed said health-care cost and affordability issues, while 10 percent mentioned the ACA and 6 percent said Medicare.

    But  respondents weren't confident lawmakers would actually act. Thirty-four percent of those surveyed said they were “not very confident” and 35 percent said they were “not at all confident” that Congress can come up with bipartisan solutions on health care. Just 6 percent said they were “very confident” that both parties would be able to work together on bipartisan legislation.

    This file photo shows an EpiPen epinephrine auto-injector, a Mylan product, in Hendersonville, Tex. (Mark Zaleski/AP)

    OOF: The Food and Drug Administration three months ago touted its approval of a generic version of the EpiPen that it said would produce a “lower-cost option” for those in need of the allergy relief device.

    But the generic version that Teva Pharmaceutical launched has the same wholesale price of $300 for its generic version as Mylan charges for its generic version of the emergency allergy shot.

    “The pricing appears to undercut a notion promoted by FDA officials that approving more generics can help relieve the pocketbook pressure many Americans feel over the cost of their medicines,” Stat’s Ed Silverman reports. “In announcing the approval last August, FDA Commissioner Scott Gottlieb noted that such moves were part of an ‘overarching effort to remove barriers’ to access to ‘critically important’ drugs.”

    “Of course, consumers may very well pay less than $300,” Silverman adds. “In fact, several large retailers sell EpiPen for $150 when including a coupon, according to GoodRx. But the opaque pharmaceutical pricing and supply chain may well lower the price of the Teva product.”

    Linda Cahn, a consultant who advises health plans and employers on pharmacy benefit contracts, told Stat the “list prices of most generic drugs, they are actually different from actual sales price, so we don’t know yet what the consumer might pay until you see what price the company charges wholesalers and markups that are taken.”

    A firefighter searches for human remains in a trailer park destroyed in the Camp Fire, in Paradise, Calif.  (John Locher/AP)

    OUCH: The search for the victims of California’s deadliest fire is slowing, with rescue teams finding fewer and fewer human remains each day. As of Monday, there were 203 people still missing, the Los Angeles Times’s Rong-Gong Lin II reports.

    And authorities are “coming to terms with the possibility that the search for victims of the Camp fire might never be complete and that some human remains won’t ever be recovered,” Lin writes.

    DNA analysis is being  used to identify the victims. “Investigators have had an extraordinarily difficult time sifting through ashes to find remains,” Lin reports. “The heat of the fire left remains so charred that only bones, or even bone fragments, have been recovered. Without intact skulls being found, investigators can’t use dental records to make identifications, and instead have had to resort to the extraordinary use of extracting DNA samples from the victims and attempting to match them to genetic material of families using rapid DNA analysis.”

    AGENCY ALERT

    Seema Verma, administrator of the Centers for Medicare and Medicaid Services, is interviewed by The Health 202's Paige Winfield Cunningham. (Kate Patterson for The Washington Post)

    — CMS administrator Verma said the agency is examining the reasons behind the loss of coverage for thousands of Medicaid beneficiaries in Arkansas since the state’s new work requirements were put into place. But she reiterated strongly support for the new policy even if there might be some hitches in how it's initially carried out.

    “We are looking closely at the people that have left the program to understand the reasons why they have left the program,” Verma told reporters at a breakfast roundtable at the American Enterprise Institute, adding that it’s “not clear” why people had dropped from the program. More than 12,000 people have been removed from the state's Medicaid program for failing to meet the state’s new requirements. 

    Verma said the administration wants “to do more than just hand out Medicaid cards." “We know that work is something that contributes to positive health outcomes, so when you’re administering the Medicaid program that’s an important objective — to improve people’s health and health outcomes, we know work has an impact on that, and that’s why there’s the tie-in," she said. 

    — Verma also said in response to a reporter question that there is a backup plan in case a judge strikes down the ACA's protections for people with preexisting conditions in the Texas-led lawsuit against the health-care law. A ruling is expected any day now.

    “Yes, we do have contingency plans,” Verma said. “We want to make sure people with preexisting conditions have protections, and we want to make sure people have access to affordable coverage.”

    TRUMP TEMPERATURE

    President Trump speaks to the media from the Roosevelt Room at The White House. (Ricky Carioti/The Washington Post)

    — The Trump administration’s proposed “public charge” regulation could cost the Medicaid coverage of hundreds of thousands of community health center patients nationwide, according to a new analysis from George Washington University School of Public Health. It also found the proposal would result in 6,000 lost jobs and up to $624 million in losses to community health center revenue.

    The administrations' proposed change would make it harder for immigrants to come to or stay in the United States if they need to use public assistance programs such as Medicaid, food stamps or public-housing programs. Enrollment in such programs would become a factor weighed heavilyin deciding whether an immigrant deserves legal status, as The Health 202 has explained.

    “Because the communities in which health centers operate also tend to have sizable immigrant populations, policies that either directly or indirectly implicate their Medicaid enrollment are likely to produce significant spillover effects,” the analysis reads. “While the public charge rule does not treat health centers as a type of public benefit that counts toward a determination of public charge status, this analysis underscores that its indirect effect could be considerable if large numbers of patients affected by the rule begin to disenroll.”

    INDUSTRY RX

    — Chinese researcher He Jiankui defended his work during his first public appearance since he claimed to have successfully helped produce the world’s first genetically edited babies.

    “[T]he Stanford-trained bioengineering professor said he felt ‘proud’ of his work and its implications for public health in the face of nearly universal condemnation,” our Post colleagues Gerry Shih and Carolyn Y. Johnson report.

    He also apologized for the “leaking” of news of his report before it passed peer review, adding it had been submitted to a journal.

    “We should, for millions of families with inherited disease, show compassion,” the scientist told an audience at the Second International Summit on Human Genome Editing in Hong Kong. “If we have this technology, we can make it available earlier. We can help earlier those people in need.”

    During his talk, He explained his research, including that eight couples with fathers with well-controlled HIV and noninfected mothers were involved in a clinical trial, and that one dropped out. “There were 31 embryos created through in vitro fertilization, and 70 percent were successfully edited,” Shih and Johnson write. “He showed data indicating that he had not detected unintended genetic changes caused by CRISPR/Cas-9, the gene-editing tool that he used — although it remains to be seen whether outside scientists will find the evidence convincing.”

    “The disclosure this week of He’s research — carried out in southern China mostly under a shroud of secrecy — has sparked urgent debate about the ethics of gene-editing and raised the prospect of a future in which parents produce ‘designer babies’ with selectively improved traits like intelligence or strength,” they add.

    OPIOID OPTICS

    Kenny Sawyer of Newport, N.H., has been employed by Hypertherm for eight years and has been sober for 10. Hypertherm, which makes industrial cutting tools, is among the workplaces that hire people in recovery from drug and alcohol addictions and emphasizes support for such employees. (John Tully/For The Washington Post)

    — Dozens of employers in New Hampshire are taking part in a new approach to job opportunities for people who are recovering from drug and alcohol addiction, billing themselves are “recovery friendly” workplaces.

    “These workplaces are willing to overlook employment gaps and some brushes with police that accompany drug use,” our Post colleague Lenny Bernstein reports. “They encourage open discussion of addiction in the workplace to reduce stigma. Perhaps most significantly, they treat substance abuse and relapse as medical issues like surgery or maternity — a time for the company to support, not abandon, the employee.”

    And it’s happening in a state where about 60,000 people are in recovery and in 2016, had the nation’s third-highest rate of drug overdose deaths, our colleague reports. But he also adds New Hampshire’s 2.7 percent unemployment rate is even lower than the national rate.

    “One of the most important things that people in recovery talk about is how it feels, with their self-worth and identity, getting employed again,” David Mara, New Hampshire’s drug czar, told Bernstein.

    “There is no good data on whether former substance abusers make more reliable workers or perform better at their jobs than other employees, according to the Recovery Research Institute,” Bernstein reports. “But employers, researchers and government officials suggested that successfully helping an employee with a substance abuse problem breeds allegiance to the company… That doesn’t mean the approach always works.”

    — And here are a few more good reads from The Post and beyond: 

    MEDICAL MISSIVES

    A vaccine and new treatments are on hand, but the outbreak is in an area rife with unpredictable gunfire, bandits and suspicion of outsiders.

    The New York Times

    During the previous flu season, 329 Californians under 65 died from flu-related complications, but state officials acknowledge that is just a fraction of the actual death toll. Why? The state’s pub…

    California Healthline

    Public Safety

    The facility’s gates had been closed after an initial report Tuesday of a possible shooter prompted a police response.

    Peter Hermann and Dan Morse

    Unilever is in talks to acquire GlaxoSmithKline’s nutrition business, people familiar with the matter said, a deal that would hand the consumer-goods giant one of India’s best-known brands.

    Wall Street Journal

    The U.S. Food and Drug Administration said on Tuesday it had found high levels of heavy metals such as lead and nickel in some kratom products, following field investigations.

    Reuters

    When Polly Varnado's 9-year-old daughter was diagnosed with Type 1 diabetes, it didn't take long for the family to hear about insulin pumps.

    Associated Press

    The quality of the data is low, and there's too little of it, to draw any firm conclusions about what He's team accomplished, experts told STAT.

    Stat

    HEALTH ON THE HILL

    The senator said he was taking the temperature around the country to see whether he would be the strongest candidate to take down Trump.

    Politico

    STATE SCAN

    The autopsy raised questions about how Roxsana Hernandez Rodriguez, 33, a transgender woman from Honduras, was treated in custody before she died from illness.

    The New York Times

    DAYBOOK

    Today

  • The Senate Health, Education, Labor and Pensions Committee holds a hearing on reducing health-care costs.
  • Coming Up

  • The Senate Armed Services Committee holds a hearing on the nomination of Thomas McCaffery to be assistant secretary of defense for health affairs on Thursday.
  • SUGAR RUSH

    Here's alook at holiday decorations at the White House over the years: 


    SDG&E takes $379 million wildfire dispute to California Supreme Court; complains about appeals court judge | killexams.com real questions and Pass4sure dumps

    San Diego Gas & Electric is taking its fight to have ratepayers shoulder $379 million in costs related to 2007’s deadly wildfires to the California Supreme Court, and the utility says a local appeals court judge who recently ruled against the utility should have recused herself from the case.

    Writing for California’s 4th District Court of Appeal in San Diego earlier this month, Associate Justice Patricia Benke denied SDG&E a hearing that would have had the appeals court review a decision by the California Public Utilities Commission that in a 5-0 vote rejected the utility’s request to pass along the $379 million through rates.

    In a 48-page filing before the state’s high court, SDG&E attorneys not only argued that the appeals court denial and the commission ruling were incorrect but said Benke should not have taken part in the case because Benke and her husband sued SDG&E over a house lost in the Guejito Fire — one of the three blazes that ripped through San Diego County in October 2007.

    Benke’s “failure to recuse was prejudicially unfair and should be reviewed,” SDG&E’s attorneys wrote.

    Patricia Benke

    Courtesy photo

    Patricia Benke, Associate Justice for California’s 4th District Court of Appeal in San Diego.

    Patricia Benke, Associate Justice for California’s 4th District Court of Appeal in San Diego. (Courtesy photo)

    Benke did not comment to an email from the Union-Tribune sent through the Judicial Council Public Affairs office, but a review of court data showed that Donald and Patricia Benke were among some 50 plaintiffs filing suit in October 2009 against SDG&E, Sempra (the utility’s parent company), Cox Enterprises and CoxCom Inc.

    According to Benke’s brother, J.R. Jacobs, the home in Rancho Bernardo was originally owned by the siblings’ father, Joseph Jacobs. After his death, the house was handed to J.R. Jacobs and Benke through the family’s trust. Benke never lived in the house, which was destroyed in the Guejito Fire.

    Cathal Conneely, spokesman for the judicial council, said justices are prohibited from commenting on pending cases or cases expected to be heard soon.

    Conneely said no single justice can rule against a petitioner in a case before the Court of Appeal and a majority is required to render a decision.

    The SDG&E case that Benke delivered was “read and considered” by Benke, Terry B. O'Rourke and William Dato who came back with a unanimous decision.

    “They (SDG&E) should not have attacked the judge,” said Michael Aguirre, an attorney who represented ratepayer advocate Ruth Hendricks on behalf of ratepayers in a lawsuit dealing with the 2007 fires. “It’s going to backfire on them because there are two other judges that ruled against them and that’s all that matters … That’s why we have three-judge panels.”

    Aguirre said he will file a response to SDG&E’s petition to the state Supreme Court.

    The bulk of SDG&E’s petition, filed Monday, reiterated arguments the utility made before the California Public Utilities Commission, or CPUC. A core issue revolves around the legal doctrine called “inverse condemnation.”

    If a public improvement leads to an individual suffering losses, the concept of inverse condemnation allows a government entity or publicly owned utility — such as the Los Angeles Department of Water and Power — to recoup those costs by raising taxes or increasing rates.

    But California’s three investor-owned utilities — SDG&E, Pacific Gas & Electric and Southern California Edison — do not have the power to raise taxes and must receive approval from the utilities commission to increase rates.

    In its decision last year, the utilities commission said inverse condemnation did not apply to SDG&E in the 2007 wildfires. The commission used a “prudent manager” standard in denying the utility’s request to recover $379 million through higher rates paid by its customers.

    All five commissioners agreed with an administrative law judge who said SDG&E "did not reasonably manage and operate its facilities" leading up to the Witch, Guejito and Rice fires that killed two people, injured 40 firefighters and forced more than 10,000 to seek shelter at Qualcomm Stadium. The three fires combined to destroy more than 1,300 homes.

    SDG&E wanted the CPUC to have a rehearing but was turned down in July. It then went to the court of appeals only to have Benke, et al., deny the utility a hearing. Now it will take another bite at the apple by asking the California Supreme Court to take the case.

    “California courts have applied inverse condemnation to privately owned public utilities in past (court) decisions on the assumption that the CPUC will permit utilities to spead those costs through rates,” SDG&E spokeswoman Allison Torres said in an email.

    “However, since the court of appeals has upheld (the) CPUC’s decision to deny cost recovery, it has created a conflict with past decisions that deserves clarification.”

    PG&E and Southern California Edison are closely watching the SDG&E case, especially as lawsuits pile up in the aftermath of the Camp Fire in Butte County that has killed at least 88 and the Woolsey Fire in Los Angeles and Ventura counties that destroyed about 1,500 structures.

    The utilities say they risk bankruptcy but others, including April Maurath Sommer, executive director and lead counsel for the Protect Our Communities Foundation, an environmental group based in San Diego County, say the CPUC made the right call.

    An attorney, Maurath Sommer called SDG&E’s filing with the state Supreme Court a long shot.

    “But I guess looking at the bigger context, looking at the huge amount of money that is involved with the utilities being held, appropriately, responsible for creating fire disasters, I think this is a sign of their desperation,” she said.

    SDG&E spent $2.4 billion to resolve more than 2,000 lawsuits related to the 2007 wildfires but the utility insists the blazes were ignited by factors beyond its control — including extreme Santa Ana winds, a lashing wire owned by Cox Communications that hit an SDG&E power line and a tree limb that fell onto an SDG&E line due to high winds.

    SDG&E officials have pointed out the Federal Energy Regulatory Commission, which regulates interstate transmission rates, granted SDG&E settlement payments through rates that eventually came to $80 million and found “the record indicates SDG&E behaved as a reasonable, prudent utility in the maintenance of its lines prior to the wildfires.”

    During the most recent legislative session in Sacramento, Gov. Jerry Brown supported changing inverse condemnation and implementing a “reasonableness test” for utilities but those efforts were rebuffed. Instead, a scaled-back bill passed that allows companies to borrow money for 2017 wildfire costs while using money collected from ratepayers to pay back the loan.

    CAPTION

    Hundreds of San Diego hotel workers marched in downtown San Diego to pressure Marriott hotels to improve pay and working conditions for low wage workers.

    Hundreds of San Diego hotel workers marched in downtown San Diego to pressure Marriott hotels to improve pay and working conditions for low wage workers.

    CAPTION

    The Supreme Court on Monday struck down a federal law that bars gambling on football, basketball, baseball and other sports in most states, giving states the go-ahead to legalize betting on sports.

    The Supreme Court on Monday struck down a federal law that bars gambling on football, basketball, baseball and other sports in most states, giving states the go-ahead to legalize betting on sports.

    CAPTION

    Viasat is a global communications company working to connect the unconnected throughout the world. As part of our mission, we're bringing low-cost, high-speed satellite internet to rural towns throughout Mexico. We believe that everyone, everywhere deserves the opportunity to add their voice to the global conversation. (Courtesy of Viasat)

    Viasat is a global communications company working to connect the unconnected throughout the world. As part of our mission, we're bringing low-cost, high-speed satellite internet to rural towns throughout Mexico. We believe that everyone, everywhere deserves the opportunity to add their voice to the global conversation. (Courtesy of Viasat)

    CAPTION

    San Diego has agreed to sell 16 lots in Nestor for $1 each, in the pursuit of affordable housing. The nonprofit San Diego Community Land Trust plans to build three and four-bedroom homes there for people with moderate incomes. That means a family of five with an income of up to $102,750.

    San Diego has agreed to sell 16 lots in Nestor for $1 each, in the pursuit of affordable housing. The nonprofit San Diego Community Land Trust plans to build three and four-bedroom homes there for people with moderate incomes. That means a family of five with an income of up to $102,750.

    CAPTION

    Toys R Us still sells about 20% of the toys bought in the U.S., according to an analyst at Jefferies LLC.

    Toys R Us still sells about 20% of the toys bought in the U.S., according to an analyst at Jefferies LLC.

    rob.nikolewski@sduniontribune.com

    (619) 293-1251 Twitter: @robnikolewski


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