How to get prescribed zithromax

Key takeaways For many of the how to get prescribed zithromax 155 million Americans who get their health insurance through an employer, the employer-sponsored plan feels like a security blanket. Look closely, as circumstances may well force you to, and the blanket may be full of holes. Tales of woe from patients who need intense care are plentiful – involving prior authorization hurdles, outright coverage denials for needed care or drugs, and until recently, surprise bills from how to get prescribed zithromax out-of-network doctors or providers at in-network facilities (Congress at last banned most such billing in the No Surprises Act, effective January 1 of this year). High and rising deductibles, out-of-pocket maximums, and premiums also cause financial hardship for millions of mostly low-income workers.Still, for the majority of employer plan enrollees whose plans cover about 85% of medical costs while the employer foots the lion’s share of the premium, the health insurance they have is not much of a worry.

And people fear losing it.That how to get prescribed zithromax was my situation until this spring. While I am self-employed, my wife Cindy has worked at the same hospital for 25 years, which has provided family insurance. In that time we’ve been blessed with pretty good health, and when we’ve needed care, we’ve obtained it without significant hassle, including an operation to remove half my thyroid back in 2004.Over the years our share of the premium crept up slowly, then jumped from about $200 a month to about $400 in 2016 when Cindy cut back her weekly work hours from 36 to 30 so she could help take care of her 90-something father. It’s now at about $450/month, which is manageable.Into an ACA marketplace enhanced by the American Rescue how to get prescribed zithromax PlanBut change comes.

Cindy is retiring this month, a little shy of her 64th birthday. The Affordable how to get prescribed zithromax Care Act was supposed to make this feasible – and since March of last year, when the American Rescue Plan provided a major boost to premium subsidies in the ACA’s health insurance marketplace, the ACA has a far more credible claim than previously to reducing “job lock.”The ARP subsidy boosts only extend through 2022. Democrats in Congress have intended to extend them further, but with their Build Back Better legislation long stalled, extension now is far from certain.The ARP reduced the percentage of income required to buy a benchmark Silver plan (the second cheapest Silver plan in each area) at every income level, and it removed the notorious income cap on subsidies. Before the ARP’s enactment in March 2021, people whose family income exceeded 400% of the Federal Poverty Level – currently $51,520 for an individual, $106,000 for a family of four – were ineligible for premium subsidies.

Since premiums rise with age – -at age 64, they’re triple what a 21 year-old pays – paying full freight was especially challenging for 60-somethings like Cindy how to get prescribed zithromax and me. At our age, unsubsidized benchmark premiums are typically $700-800 per month – each – and more in some states (that’s also about what COBRA would cost us).Now, thanks to the ARP, for anyone at any income level who lacks affordable access to other insurance, a benchmark plan costs no more than 8.5% of income, and much less at lower incomes (in fact, benchmark coverage is free up to 150% FPL). The measure that determines premium subsidies is modified adjusted gross income or MAGI – basically the AGI familiar to tax filers, with a handful of additional income sources (e.g., tax exempt interest) how to get prescribed zithromax counted.Thanks to the ARP subsidy boost, with a large payment to my individual 401k reducing our MAGI, Cindy and I can get a benchmark Silver plan for about $400 per month. And unlike in many states, here in New Jersey the plans offered by the dominant marketplace insurers have decent provider networks.Choices in the New Jersey marketplacefor one 60-something couple*Health planMonthly premium (after subsidy)Deductible.

Single personOOP max. Single personLowest-cost Bronze (HSA) – AmeriHealth$10$6,000$7,050Lowest-cost Bronze (no HSA) – Horizon BC$255$3,000$8,700Lowest-cost Silver – AmeriHealth$293$2,500$8,700Benchmark (second-lowest cost) Silver – Horizon$404$2,500$8,700* Plans how to get prescribed zithromax actively considered. Premiums are net of subsidy. Single-person deductibles and OOP maxes how to get prescribed zithromax are double for the couple.

What plan to buy?. Comfort vs. MathStill, I am entering this individual insurance with some how to get prescribed zithromax trepidation. Here’s why.For years I’ve been closely observing and writing about the Affordable Care Act, on my blog, here at healthinsurance.org, and in various other publications.

Brokers and other experts have drummed one how to get prescribed zithromax salient fact into my head. For shoppers in the ACA marketplace with income over 200% FPL ($25,760 for an individual, $53,000 for a family of four), Bronze-level plans usually make the most economic sense. Bronze plans are the cheapest of four metal levels, and Bronze deductibles average over $7,000 for how to get prescribed zithromax an individual, $14,000 for a family.The picture is different for people with income under 200% FPL. Below that threshold, secondary cost-sharing reduction subsidies, available only with Silver plans and at no extra cost to the enrollee, reduce out-of-pocket costs to levels below those of the average employer-sponsored plans, making Silver the best choice for most low-income enrollees.

CSR, which is strongest at the lowest incomes, reduces deductibles to an average below $150 at incomes up to 150% FPL and below $700 at an income in the 150-200% FPL. CSR weakens to near-insignificance at 200% FPL and phases out entirely at 250% FPL how to get prescribed zithromax. While less than a third the population lives in households with income below 200% FPL, more than half of ACA marketplace enrollees do.At higher incomes, Silver plan deductibles average more than $4,700, though in many plans a number of services, including doctor visits, are not subject to the deductible. That’s considerably lower than the Bronze average (over $7,000) – but generally not enough to justify the difference in how to get prescribed zithromax premiums.

That’s especially true because the annual out-of-pocket (OOP) maximum in Silver plans without CSR (that is, all Silver plans for people with income above 250% FPL) is generally not significantly below the Bronze plan OOP max. Both are usually north of $7,000 for an individual and often near or at the highest allowable, $8,700 per person.Because premiums rise with age, the field tilts further toward Bronze plans for older enrollees. As the premium for a benchmark Silver plan rises, so does the subsidy, since all enrollees with the same income how to get prescribed zithromax pay the same premium (a fixed percentage of income) for the benchmark plan. As the premium rises, so does the “spread” between the benchmark premium and cheaper plans.

While my wife and I would pay how to get prescribed zithromax $400 a month for benchmark Silver, we can get the cheapest Bronze plan on the market (from the same insurer) for about $10 per month. Another consideration?. HSAsStill another factor points us toward that cheaper Bronze plan. It’s a so-called high deductible health plan (HDHP) that how to get prescribed zithromax can be linked to a tax-sheltered health savings account (HSA).

These plans, which are mostly Bronze-level, conform to special IRS rules. One is that they cannot exempt any services other than the free preventive how to get prescribed zithromax screenings mandated by the ACA from the deductible ($6,000 per person in the Bronze plan we are likely to enroll in). That increases my anxiety. We’ll be paying cash for virtually all the medical care we access, unless we get ill or injured how to get prescribed zithromax enough to hit the deductible.

At the same time, HSA-linked plans, by statute, have lower out-of-pocket maximums than most Bronze or Silver plans, topping out at $7,050 per individual. That’s better than the two cheapest Silver plans, which both have OOP maxes of $8,700 per person. Finally, HSA contributions – up to $7,300 for Cindy and me – also reduce MAGI, and so the premium we will pay, as well as our taxes.With the HSA contribution figured in (I left it out of my income estimate), the Bronze HSA plan we’ve settled how to get prescribed zithromax on will probably ultimately be available for zero premium. The single-person maximum exposure, $7,050, is not much higher than what we pay in premiums in our employer-sponsored plans (about $5,400 annually) – or than what we’d pay for the benchmark Silver plan, which has a higher OOP max ($17,400 for two, vs.

$14,100 for how to get prescribed zithromax the HSA Bronze).The cheapest Silver plan available would cost us about $300 per month, with a per-person deductible of $2,500. If both of us turn out to need a lot of medical care but not too much – say, $6,000 each – we could conceivably pay less on net under that plan, which pays 60% of most costs after the deductible is met, up to the OOP cap. But the odds of that are small. And again, if one of us needs tens of thousands of dollars in care – not unusual how to get prescribed zithromax in U.S.

Medicine – we’ll pay less under the Bronze HDHP plan.Psychological factors. It’s not cheaper if it kills youThe chief argument against a high deductible how to get prescribed zithromax Bronze plan is psychological, but real. Some years ago, Dr. Ashish Jha, currently the Biden administration’s buy antibiotics policy coordinator, tried a personal family experiment – enrolling in a high-deductible plan – and wrote up the results.

Jha suffers from supraventricular tachycardia, how to get prescribed zithromax a condition that makes his heart race periodically. One morning, he woke up with his heart racing, and it persisted for about a half hour. He knew that going to the ER how to get prescribed zithromax would cost him thousands. He also knew that he would advise a patient to go.

Instead he rode it out, and his heart calmed down. €œI was lucky — I had rolled the dice and things had worked out,” Jha how to get prescribed zithromax writes.Cindy and I are both 63. That’s a bad age to be loathe to go to the ER – or to hesitate to get an unfamiliar twinge somewhere in our bodies checked out. Perhaps having money sequestered in an how to get prescribed zithromax HSA will reduce the psychological resistance – those funds are dedicated to medical fees.

But it’s still real money. If we don’t spend it, we can roll it into our how to get prescribed zithromax retirement funds when we reach Medicare age. Being willing to spend it still requires a psychological adjustment.If a Silver plan for $300 per month were our only choice, I’d probably be reasonably content. The prospect of paying next to nothing for an HDHP Bronze plan makes me nervous.

But it’s hard to escape the how to get prescribed zithromax math.Assessing the ACA marketplaceTwo things are notable about the private plans subsidized by the ACA as enhanced by the ARP. First, for almost all comers, plans with an affordable premium are available – in fact, Bronze plans with zero premium, or close to it, are available pretty high up the income ladder, especially for older adults. Second, out-of-pocket costs are how to get prescribed zithromax high. At incomes over 200% FPL, it’s hard to avoid out-of-pocket maximums below $7,000 for an individual and $14,000 for a couple or family.Why are out-of-pocket costs in these subsidized plans so high?.

Several reasons. First, American healthcare is just expensive – we pay almost triple the OECD average per capita, while using less care per capita how to get prescribed zithromax than the OECD average. Second, to avoid all-out opposition to health reform from the healthcare industry (and in a failed attempt to win Republican buy-in), the Democrats who created the Affordable Care Act created a marketplace of private plans, paying commercial rates to providers – which average about twice Medicare rates for hospital payments and perhaps 130-160% of Medicare for physicians. Finally, healthcare scholars advising the ACA’s drafters believed that subjecting enrollees to high out-of-pocket costs – giving them ‘skin in the game” – was an effective way to reduce unnecessary care and so control costs (an idea substantially discredited by multiple studies indicating that enrollees faced with high out-of-pocket costs skip necessary as well as unnecessary care).My wife and I are entering what two or three decades ago might have been how to get prescribed zithromax understood as a moderate or even mainstream Republican health insurance utopia.

We are paying close to nothing in premiums, and we are massively incentivized to save a huge chunk of our income in tax-sheltered accounts to keep it that way. The federal government is kicking in $1400 a month. We are on the hook for up to $14,100 how to get prescribed zithromax in out-of-pocket expenses. If we’re healthy and don’t come near that threshold, we’ll pay cash for every medical service we access except for free preventive screenings.I am very glad that the ACA was enacted and that Republicans failed to repeal it in 2017.

(My personal welfare aside, the ACA’s core programs saved the country from a surge in the uninsured population during the zithromax.) As how to get prescribed zithromax Cindy and I enter our life’s final quarter (or third, if we’re actuarially lucky), I’m grateful that affordable coverage is available in the hold-your-breath-till-Medicare years that will shield us from costs that could seriously impact our long-term financial health.I can imagine a simpler and more cost-effective system – one that pays uniform rates to healthcare providers and offers a very short menu of affordable choices with low out-of-pocket costs to all Americans. But given the health system we have, and current political realities, my personal ask is more immediate and plausible. Extend the ARP subsidy boosts. They’ve given the ACA a credible claim to live up to its name.Andrew Sprung how to get prescribed zithromax is a freelance writer who blogs about politics and healthcare policy at xpostfactoid.

His articles about the Affordable Care Act have appeared in publications including The American Prospect, Health Affairs, The Atlantic, and The New Republic. He is the how to get prescribed zithromax winner of the National Institute of Health Care Management’s 2016 Digital Media Award. He holds a Ph.D. In English literature from the University of Rochester..

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Nora Gossett, 7, reacts as she receives the Pfizer-BioNTech buy antibiotics treatment from Sophia Jan, MD, while her father Jeff Gossett, MD, holds her hand at Cohen Children's Medical Center as treatments were approved for children aged 5-11, amid the antibiotics disease zithromax, in New Hyde Park, New York, November 4, 2021.Andrew Kelly | ReutersPfizer and BioNTech's two-dose buy antibiotics treatment provided very little protection for children aged 5 to 11 during the wave of zithromax sudden death omicron in New York, according to a study published Monday.The New York State Department of Health found that the effectiveness of Pfizer's treatment against buy antibiotics plummeted from 68% to 12% for kids in that age group during the omicron surge from Dec. 13 through Jan zithromax sudden death 24. Protection against hospitalization dropped from 100% to 48% during the same period.The study has not yet undergone peer review, the academic gold standard. Due to the public health urgency of the zithromax, scientists have been publishing the results of their studies before such review.The team of zithromax sudden death public health officials who conducted the study said the dramatic drop in treatment effectiveness among children 5 to 11 years old was likely due to the lower dosage they received.

Kids in this age group are given two 10-microgram shots, while children aged 12 to 17 receive 30-microgram shots.The researchers also compared 11 and 12 year olds during the weekend ended Jan. 30. They found the treatment effectiveness plunged to 11% for the low-dosage group but offered 67% protection to the group that received the higher dose."Given rapid loss of protection against s, these results highlight the continued importance of layered protections, including mask wearing, for children to prevent and transmission," the public health officials wrote in the study.For children aged 12 to 17 years old, treatment effectiveness against dropped from 66% to 51% from December through the end of January. Protection against hospitalization dropped from 85% to 73% for teenagers during the same period.The data comes as New York City plans to end its school mask mandate by March 7, with California doing the same four days later.

State governments are easing mandates and restrictions as buy antibiotics s decline dramatically after the omicron variant swept the nation in December and Januarybuy antibiotics s are down 91% from a zithromax high in January. The U.S. Reported a daily average of nearly 66,000 new s on Sunday, compared to the more than 802,000 on Jan. 15, according to a CNBC analysis of data from Johns Hopkins University.The U.S.

Suffered a spike in hospitalizations of children with buy antibiotics during the omicron wave. The Food and Drug Administration sought to fast track Pfizer's treatment for kids aged six months through 4 years old this month in response to the number of children hospitalized with buy antibiotics.However, the FDA and Pfizer decided to put those plans on hold after data on the first two doses did not meet expectations. The FDA is now waiting to see clinical trial data on a third dose for the youngest kids, which is expected in April.CNBC Health &. ScienceNew York City Mayor Eric Adams told CNBC on Monday he wants to encourage new business formation in the Big Apple, including in nascent industries like cryptocurrency.In an interview on "Squawk on the Street," the Democratic Adams lamented that "the layers of bureaucracy" that he believes stand in the way of entrepreneurship in the nation's financial center.'Compassionate capitalist'"I'm a compassionate capitalist.

I don't know what the heck happened to our country where the foundation of our existence has been on capitalism," Adams said on "Squawk on the Street." "Why are we apologizing for being capitalists?. We're working hard. We're opening small businesses, and hopefully one day opening corporations," he added. "We should encourage new businesses to be here, but be compassionate in our actions."Mandates ending a 'symbol'Adams' comments come after he recently announced the country's most populous city would lift its indoor treatment requirement on March 7, as long as buy antibiotics cases continue to decrease.

The city's mask mandate in its public school system, the nation's largest, is tentatively set to be lifted that same day.Adams said he thinks the removal of face-covering requirements sends a signal that stretches beyond health metrics. "When we take off the masks, we're going to start to show we're open. We're ready to do business," he said. "It's just symbol that we are back," he added.'Stop the normality' of disfunctionThe mayor and New York Gov.

Kathy Hochul also recently announced an effort to remove from the subway homeless people who appear to be using the trains as shelter. The move comes as city-goers have reported more violent incidents on the subway and around the city in the past year, including the death of Michelle Alyssa Go, whom a homeless man shoved into the path of an incoming train earlier this month.Some businesses also have become more concerned about theft. Adams said that like with the problem of subway safety, the "normalcy" of being fearful needs to be put to an end."We're eroded our expectation to be safe, to be able to have a business, that erosion must stop, and we were there before, during the mid-'80s," said Adams, a former New York City police captain. "We have to stop the normality of the city, of being dysfunctional."Another priority Adams said he's focused on is getting New Yorkers back to in-person work.

He expressed concerns about the economic future of the city's central business districts like Midtown if the buy antibiotics-era surge in remote work remains a long-term fixture."We have to see the financial ecosystem and we are in this together. New York City runs on being in the office," Adams said..

Nora Gossett, 7, reacts as she receives the Pfizer-BioNTech buy antibiotics treatment from Sophia Jan, MD, while her father Jeff Gossett, MD, holds her hand at Cohen Children's Medical Center as treatments were approved for children aged 5-11, amid the antibiotics disease zithromax, how to get prescribed zithromax in New Hyde Park, New York, November 4, 2021.Andrew Kelly | ReutersPfizer and BioNTech's two-dose buy antibiotics treatment provided very little protection for children aged 5 to 11 during the wave of omicron in New York, according to a study published Monday.The New York State Department of Health found that the effectiveness of Pfizer's http://basementgold.com/ treatment against buy antibiotics plummeted from 68% to 12% for kids in that age group during the omicron surge from Dec. 13 through Jan 24 how to get prescribed zithromax. Protection against hospitalization dropped from 100% to 48% during the same period.The study has not yet undergone peer review, the academic gold standard. Due to the public health urgency of the zithromax, scientists have been publishing the results of their studies before such review.The team of public health officials who conducted the study said the dramatic drop in treatment effectiveness among how to get prescribed zithromax children 5 to 11 years old was likely due to the lower dosage they received.

Kids in this age group are given two 10-microgram shots, while children aged 12 to 17 receive 30-microgram shots.The researchers also compared 11 and 12 year olds during the weekend ended Jan. 30. They found the treatment effectiveness plunged to 11% for the low-dosage group but offered 67% protection to the group that received the higher dose."Given rapid loss of protection against s, these results highlight the continued importance of layered protections, including mask wearing, for children to prevent and transmission," the public health officials wrote in the study.For children aged 12 to 17 years old, treatment effectiveness against dropped from 66% to 51% from December through the end of January. Protection against hospitalization dropped from 85% to 73% for teenagers during the same period.The data comes as New York City plans to end its school mask mandate by March 7, with California doing the same four days later.

State governments are easing mandates and restrictions as buy antibiotics s decline dramatically after the omicron variant swept the nation in December and Januarybuy antibiotics s are down 91% from a zithromax high in January. The U.S. Reported a daily average of nearly 66,000 new s on Sunday, compared to the more than 802,000 on Jan. 15, according to a CNBC analysis of data from Johns Hopkins University.The U.S.

Suffered a spike in hospitalizations of children with buy antibiotics during the omicron wave. The Food and Drug Administration sought to fast track Pfizer's treatment for kids aged six months through 4 years old this month in response to the number of children hospitalized with buy antibiotics.However, the FDA and Pfizer decided to put those plans on hold after data on the first two doses did not meet expectations. The FDA is now waiting to see clinical trial data on a third dose for the youngest kids, which is expected in April.CNBC Health &. ScienceNew York where can you get zithromax City Mayor Eric Adams told CNBC on Monday he wants to encourage new business formation in the Big Apple, including in nascent industries like cryptocurrency.In an interview on "Squawk on the Street," the Democratic Adams lamented that "the layers of bureaucracy" that he believes stand in the way of entrepreneurship in the nation's financial center.'Compassionate capitalist'"I'm a compassionate capitalist.

I don't know what the heck happened to our country where the foundation of our existence has been on capitalism," Adams said on "Squawk on the Street." "Why are we apologizing for being capitalists?. We're working hard. We're opening small businesses, and hopefully one day opening corporations," he added. "We should encourage new businesses to be here, but be compassionate in our actions."Mandates ending a 'symbol'Adams' comments come after he recently announced the country's most populous city would lift its indoor treatment requirement on March 7, as long as buy antibiotics cases continue to decrease.

The city's mask mandate in its public school system, the nation's largest, is tentatively set to be lifted that same day.Adams said he thinks the removal of face-covering requirements sends a signal that stretches beyond health metrics. "When we take off the masks, we're going to start to show we're open. We're ready to do business," he said. "It's just symbol that we are back," he added.'Stop the normality' of disfunctionThe mayor and New York Gov.

Kathy Hochul also recently announced an effort to remove from the subway homeless people who appear to be using the trains as shelter. The move comes as city-goers have reported more violent incidents on the subway and around the city in the past year, including the death of Michelle Alyssa Go, whom a homeless man shoved into the path of an incoming train earlier this month.Some businesses also have become more concerned about theft. Adams said that like with the problem of subway safety, the "normalcy" of being fearful needs to be put to an end."We're eroded our expectation to be safe, to be able to have a business, that erosion must stop, and we were there before, during the mid-'80s," said Adams, a former New York City police captain. "We have to stop the normality of the city, of being dysfunctional."Another priority Adams said he's focused on is getting New Yorkers back to in-person work.

He expressed concerns about the economic future of the city's central business districts like Midtown if the buy antibiotics-era surge in remote work remains a long-term fixture."We have to see the financial ecosystem and we are in this together. New York City runs on being in the office," Adams said..

What is Zithromax?

AZITHROMYCIN is a macrolide antibiotic that interferes with the growth of bacterial cells. It is used to treat bacterial s in many different parts of the body. Azithromycin also treats sexually transmitted vaginal or urinary tract s caused by chlamydia. It will not work for colds, flu, or other zithromax s.

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A box of the Novavax buy antibiotics zithromax 500mg online treatment arranged at a pharmacy in Schwenksville, Pennsylvania, US, on Monday, Aug. 1, 2022.Bloomberg | zithromax 500mg online Bloomberg | Getty ImagesBiotechnology company Novavax announced on Friday that its buy antibiotics treatment has been authorized for emergency use by the U.S Food and Drug Administration for adolescents between the ages of 12 and 17.In July, Novavax's two-dose buy antibiotics treatment for adults ages 18 and over got its emergency approval from the FDA.Having more treatment options for adults and children will "hopefully help increase vaccination rates, particularly as we prepare for ongoing surges of buy antibiotics with the start of fall and the back-to-school season," Stanley C. Erck, president and CEO of Novavax, said in a zithromax 500mg online statement.Novavax was one of the original participants in the U.S. Government's race to develop a buy antibiotics treatment in 2020, receiving $1.8 billion in taxpayer funding from Operation Warp Speed. However, the small Maryland biotech company struggled zithromax 500mg online to quickly get manufacturing in place and its clinical trial data read out much later than rivals Pfizer or Moderna.Dr.

Peter Marks, a senior FDA official, has said that Novavax's treatment would potentially appeal to unvaccinated people who would prefer a shot that is not based on the messenger RNA technology used by Pfizer and Moderna.How zithromax 500mg online Novavax is differentThe Novavax shot is based on more conventional protein technology used for decades in hepatitis B and HPV treatments, while Pfizer and Moderna are the first FDA-approved treatments to use mRNA.Pfizer and Moderna's treatments use mRNA, a molecule encoded with genetic instructions, to tell human cells to produce copies of a zithromax particle called the spike protein. The immune system responds to these copies of the spike, which prepares the human body to attack the actual zithromax.Novavax makes copies of the zithromax spike outside human cells. The genetic code for the spike is put into an insect zithromax that infects moth cells, which produce copies that are then purified and extracted during zithromax 500mg online the manufacturing process. The finished spike copies are injected zithromax 500mg online into the human body, inducing an immune response against buy antibiotics.The Novavax treatment also uses an additional ingredient called an adjuvant, which is extracted and purified from the bark of a tree in South America, to induce a broader immune response. The shots consist of 5 micrograms of the spike copy and 50 micrograms of the adjuvant.Effectiveness and safetyTwo doses of the Novavax treatment were 90% effective at preventing illness from buy antibiotics across the board and 100% effective at preventing severe illness, according to clinical trial data from the U.S.

And Mexico zithromax 500mg online. However, the trial was conducted from December 2020 through September 2021, months before the omicron variant zithromax 500mg online became dominant.Novavax did not present any data on the shot's effectiveness against the variant at the FDA committee meeting in June. However, the zithromax 500mg online treatment will likely have lower effectiveness against omicron as is the case with Pfizer and Moderna's shots. Omicron is so distinct from the original strain of buy antibiotics that the antibodies produced by the treatments have trouble recognizing and attacking the variant.Novavax published data in December showing that a third shot boosted the immune response to levels comparable to the first two doses which had 90% effectiveness against illness. The company plans to ask zithromax 500mg online the FDA to authorize a third dose of its treatment.FDA authorization of Novavax's treatments comes as the U.S.

Is preparing to update buy antibiotics shots to target zithromax 500mg online the omicron BA.4 and BA.5 variants to increase protection against the zithromax. Novavax's treatment, like all the other shots, is based on the original version of the zithromax that first emerged in Wuhan, China. The effectiveness of buy antibiotics treatments against mild illness has slipped substantially as the zithromax has evolved, though they still generally protect against severe disease.Novavax presented data at an FDA committee meeting in late June demonstrating that a third dose of its treatment produced zithromax 500mg online a strong immune response against omicron and its subvariants. Committee members were impressed by the company's data on omicron.The Novavax treatment also appears to carry a risk of heart inflammation for younger men, known as myocarditis and pericarditis, similar to zithromax 500mg online Pfizer and Moderna's shots. Myocarditis is an inflammation of the heart muscle and pericarditis is inflammation of the outer lining of the heart.FDA officials flagged four cases of myocarditis and pericarditis from Novavax's clinical trial in young men ages 16 to 28.

People who develop heart inflammation as a side effect of buy antibiotics treatments are usually hospitalized for several days as a precaution but then recover.The FDA has issued a zithromax 500mg online fact sheet for health-care providers warning that clinical trial data indicates there is an increased risk of myocarditis with the Novavax treatment. People who experience chest pain, shortness zithromax 500mg online of breath and feelings of a fluttering or pounding heart should immediately seek medical attention, according to the FDA.In the case of the mRNA shots, the CDC has found that the risk of myocarditis is higher from buy antibiotics than vaccination. Myocarditis is usually caused by viral s..

A box of the Novavax buy antibiotics treatment arranged at Cialis cost per pill a pharmacy in Schwenksville, Pennsylvania, how to get prescribed zithromax US, on Monday, Aug. 1, 2022.Bloomberg | Bloomberg | Getty ImagesBiotechnology company Novavax announced on Friday that its buy antibiotics treatment has been authorized for emergency use by the U.S Food and Drug Administration for adolescents between the ages of 12 and 17.In July, Novavax's two-dose buy antibiotics treatment for adults ages 18 and over got its emergency approval from the FDA.Having more treatment options for adults and children will "hopefully help increase vaccination how to get prescribed zithromax rates, particularly as we prepare for ongoing surges of buy antibiotics with the start of fall and the back-to-school season," Stanley C. Erck, president and CEO of Novavax, said in a statement.Novavax was one of the original how to get prescribed zithromax participants in the U.S. Government's race to develop a buy antibiotics treatment in 2020, receiving $1.8 billion in taxpayer funding from Operation Warp Speed.

However, the small Maryland biotech company struggled to quickly get manufacturing in how to get prescribed zithromax place and its clinical trial data read out much later than rivals Pfizer or Moderna.Dr. Peter Marks, a senior FDA official, has said that how to get prescribed zithromax Novavax's treatment would potentially appeal to unvaccinated people who would prefer a shot that is not based on the messenger RNA technology used by Pfizer and Moderna.How Novavax is differentThe Novavax shot is based on more conventional protein technology used for decades in hepatitis B and HPV treatments, while Pfizer and Moderna are the first FDA-approved treatments to use mRNA.Pfizer and Moderna's treatments use mRNA, a molecule encoded with genetic instructions, to tell human cells to produce copies of a zithromax particle called the spike protein. The immune system responds to these copies of the spike, which prepares the human body to attack the actual zithromax.Novavax makes copies of the zithromax spike outside human cells. The genetic code for the how to get prescribed zithromax spike is put into an insect zithromax that infects moth cells, which produce copies that are then purified and extracted during the manufacturing process.

The finished spike copies are injected into the human body, inducing an immune response against buy antibiotics.The Novavax treatment also uses an additional ingredient called an adjuvant, which is extracted and how to get prescribed zithromax purified from the bark of a tree in South America, to induce a broader immune response. The shots consist of 5 micrograms of the spike copy and 50 micrograms of the adjuvant.Effectiveness and safetyTwo doses of the Novavax treatment were 90% effective at preventing illness from buy antibiotics across the board and 100% effective at preventing severe illness, according to clinical trial data from the U.S. And Mexico how to get prescribed zithromax. However, the trial was conducted from December 2020 through September 2021, months before the omicron variant became dominant.Novavax did not present any data on the how to get prescribed zithromax shot's effectiveness against the variant at the FDA committee meeting in June.

However, the treatment will likely have lower effectiveness against omicron as is the case with Pfizer and Moderna's how to get prescribed zithromax shots. Omicron is so distinct from the original strain of buy antibiotics that the antibodies produced by the treatments have trouble recognizing and attacking the variant.Novavax published data in December showing that a third shot boosted the immune response to levels comparable to the first two doses which had 90% effectiveness against illness. The company plans to ask the FDA how to get prescribed zithromax to authorize a third dose of its treatment.FDA authorization of Novavax's treatments comes as the U.S. Is preparing to update buy antibiotics shots to target how to get prescribed zithromax the omicron BA.4 and BA.5 variants to increase protection against the zithromax.

Novavax's treatment, like all the other shots, is based on the original version of the zithromax that first emerged in Wuhan, China. The effectiveness of buy antibiotics treatments against mild illness has slipped substantially as the zithromax has evolved, though they still generally protect against severe disease.Novavax presented data at an FDA committee meeting how to get prescribed zithromax in late June demonstrating that a third dose of its treatment produced a strong immune response against omicron and its subvariants. Committee members were impressed by the company's data on omicron.The Novavax treatment also appears to carry a risk of heart inflammation for younger men, known as myocarditis and pericarditis, similar to Pfizer and how to get prescribed zithromax Moderna's shots. Myocarditis is an inflammation of the heart muscle and pericarditis is inflammation of the outer lining of the heart.FDA officials flagged four cases of myocarditis and pericarditis from Novavax's clinical trial in young men ages 16 to 28.

People who develop heart inflammation as a side effect of buy antibiotics treatments are usually hospitalized for several days as a precaution but then recover.The FDA has issued a fact sheet for health-care providers warning that clinical trial data indicates there is an increased risk of myocarditis with the Novavax how to get prescribed zithromax treatment. People who experience chest pain, shortness of breath and feelings of a fluttering or pounding heart should immediately seek medical attention, according to the FDA.In the case of the mRNA shots, the CDC has found how to get prescribed zithromax that the risk of myocarditis is higher from buy antibiotics than vaccination. Myocarditis is usually caused by viral s..

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In a drab hearing room in Austin, Tex., order zithromax members of the State Board of Education, seated at small desks arranged in a broad, socially distanced http://pattijohnstondesigns.com/how-to-get-cialis-online/ circle, debated whether eighth grade science students should be required to “describe efforts to mitigate climate change.” One board member, a longtime public school science teacher, argued in favor of the proposed new requirement. Another, an in-house attorney for Shell Oil Company, argued to kill it. The attorney order zithromax won.

In the end, the board voted to require that eighth grade science students “describe the carbon cycle” instead. Over the past two years school board meetings around the country have erupted into shout fests over face masks, reading lists and whether to ban education about structural racism in classrooms. In Texas, a quieter political agenda played out during the lightly attended process to set science education order zithromax standards—guidelines for what students should learn in each subject and grade level.

For the first time, the state board considered requiring that students learn something about human-caused climate change. That requirement came under tense dispute between industry representatives interested in encouraging positive goodwill about fossil fuels and education advocates who think students should learn the science underlying the climate crisis unfolding around them. Standards adoptions are an exercise in bureaucracy, order zithromax but the results wield great power over what is taught in classrooms.

Publishers consult them as they write textbooks. State education officials use them as the basis of standardized tests. School districts call on them order zithromax as they shape curricula.

Teachers refer to them as they devise lesson plans. Every state adopts its own standards, but Texas adoptions have long had influence far beyond the state's borders. In 2020 two major education advocacy groups—the National Center for Science Education and the Texas Freedom order zithromax Network—hired experts to grade the science standards of all 50 states and Washington, D.C., based on how they covered the climate crisis.

Thirty states and D.C. Made As or Bs. Texas was one of six states that made order zithromax an F.

But because Texas is one of the largest textbook purchasers in the nation—and because its elected 15-member State Board of Education has a history of applying a conservative political lens to those textbooks—publishers pay close attention to Texas standards as they create materials they then sell to schools across America. As a former science textbook editor once told me, “I never heard anyone explicitly say, ‘We can't talk about environmentalism because of Texas.’ But we all kind of knew. Everybody kind of knows.” In this way, the proceedings in an Austin boardroom influence what millions of children nationwide order zithromax are taught.

Most Americans favor teaching kids about the climate crisis. A 2019 nationwide poll by NPR/Ipsos found that nearly four in five respondents—including two of three Republicans—thought schoolchildren should be taught about climate order zithromax change. When the Texas Education Agency surveyed science educators across the state about what should be added to the standards, one in four wrote in asking for climate change or something adjacent, such as alternative energy.

No one asked for more content on fossil fuels. And yet, as I learned when I watched 40 hours of live and archived board hearings, reviewed scores of public records and interviewed 15 people involved in the standard-setting process, members of the fossil-fuel industry participated in each stage of the Texas science standards adoption process, working to influence what children learn order zithromax in the industry's favor. Texas education officials convened teams of volunteers to rewrite the existing standards, and industry members volunteered for those writing teams and shaped the language around energy and climate.

Industry members rallied to testify each time proposals to revise standards got a public hearing. When the board considered the rewritten standards for final approval, the order zithromax industry appealed to members to advance their favored amendments, ensuring that the seemingly local drama in Austin will have outsized consequences. For at least a decade the fossil-fuel industry has tried to green its public image.

The Texas proceedings show that its actions do not always reflect that image. In little-watched venues, the industry continues to downplay the crisis it has wrought, impeding efforts to provide clear science about that crisis order zithromax to a young generation whose world will be defined by it. The last time the board overhauled the Texas Essential Knowledge and Skills (TEKS) for Science, in 2009, it was chaired by Don McLeroy, a dentist from east-central Texas.

McLeroy made his views on science education clear when he declared at one meeting, “Somebody's got to stand up to experts!. € The order zithromax board spent much of that adoption cycle clashing over evolution, but it also required that high school environmental science students debate something scientists hadn't debated for a long time. Whether global warming is happening.

McLeroy told a reporter he was pleased because “conservatives like me think the evidence is a bunch of hooey.” At the end of 2019, when it was time to begin another overhaul, McLeroy was gone. The board made it clear to the 85 volunteers recruited by the Texas Education Agency to draft the new standards that it hoped there would not be order zithromax a fight over evolution again. It soon became clear the group would fight about climate science instead.

To start the process, board members carved order zithromax the standards into three tranches that they would consider one at a time. First, high school core sciences, then high school elective sciences and finally grades K–8 sciences. The board would give each tranche to writing teams composed of volunteers.

Professional content advisers, most nominated by board members, would provide order zithromax feedback to the board on proposed changes. Over the summer of 2020 one team took on the first tranche, the high school core subjects. Biology, chemistry, physics, and an integrated chemistry and physics class.

The core order zithromax science standards were important for two reasons. The classes had sky-high enrollment. Every year nearly half a million students took biology alone.

And what happened with these classes would set the tone for the high order zithromax school electives and for K–8. To the climate education advocates' dismay, when the Texas Education Agency posted the writing groups' results on its Web site in July 2020, the draft standards didn't contain a single reference to modern-day climate change. But there was still a chance to fix that omission.

The state board would present the draft standards for public testimony, order zithromax hearings and amendments. The first major hearing took place in September 2020, held in person and virtually on Zoom because of the buy antibiotics zithromax. More than 30 teachers, parents and other education advocates showed up to testify that the climate crisis has biological, chemical and physical aspects that make it relevant to all the core classes.

Three and a half hours into that meeting, order zithromax however, someone with a different message appeared on the Zoom screen. Robert Unger, a silver-haired engineer from Dallas who had worked for the oil and gas industry for more than 45 years. He was representing the Texas Energy Council, and he had some suggestions.

The Texas Energy Council is a coalition of about 35 industry organizations, predominantly from the order zithromax oil and gas sector, collectively made up of more than 5,000 members. Some months earlier the council had begun recruiting volunteers to participate in the standards adoption process. €œThe earth sciences and the oil/gas industry in particular have suffered significant degradation order zithromax in the K–12 curriculum over time,” a page on the council's Web site said.

In hopes of reversing that trend, the council enlisted 17 people—geoscientists, petroleum engineers, professors, attorneys and other fossil-fuel careerists—who, the site said, “shared its vision of ensuring that oil/gas is portrayed in a balanced fashion as a critical contribution to the Texas, U.S. And worldwide energy mix.” Unger had helped organize the volunteers. (Several members of the organization, order zithromax including Unger, declined to be interviewed for this story.

In an e-mail exchange, Michael Cooper, president of the council, took issue with some of this article's findings but said he would be unable to provide a comprehensive response without reviewing a complete draft.) Unger asked the board to remove a line in the introductory material for each of the high school core classes that discussed social justice and ethics, terms he said “do not belong in the course material.” Instead, he said, the standards should include the concept of cost-benefit analysis. Most board members had expressed little reaction to the many people testifying in favor of climate education, but Unger's testimony got their attention. Longtime Republican member Barbara Cargill, a former biology teacher from north of Houston serving her last order zithromax few months on the board, asked Unger how cost-benefit analysis might be incorporated into the science TEKS.

He gave an example. The main benefit of fossil fuels is the energy they produce, and the costs are “environmental issues that our industry is already regulating.” But oil and gas aren't the only fuels with a cost, Unger said. Take solar order zithromax.

€œIt seems like the benefits are wonderful, but the costs, in fact, are the mining of rare minerals to create batteries,” he said. €œWind equally has cost and benefit to it.” A science teacher could weigh these things with students, he noted, “and not get into the ambiguities of social injustice and social ethics.” Cargill promised to consider Unger's proposal. All sources order zithromax of energy come with costs.

But a fixation on “cost-benefit analysis” is a plank in a raft of arguments supporting what climate scientist Michael Mann has called “inactivism”—a tactic that doesn't deny human-caused climate change but downplays it, deflects blame for it and seeks to delay action on it. Sure, this brand of thinking goes, fossil fuels have their ills. But what form order zithromax of energy doesn't?.

Mann and others have criticized such arguments for their false equivalencies. The environmental and health costs of rare earth minerals for certain renewable energy sources are small compared with those of fossil fuels. The next day, order zithromax when the board met to consider amendments to the standards, Cargill delivered.

She proposed removing social justice from the standards and adding cost-benefit analysis. Fellow Republican Pat Hardy, a retired history teacher and curriculum developer representing suburbs near Dallas–Fort order zithromax Worth, eagerly supported the addition. €œPeople talk about electric cars like they're saving the universe,” Hardy said, captured on a video of the meeting.

€œAnd the answer is no, they are not.” The board voted to accept the changes. It was the Texas Energy Council's first order zithromax major victory. The climate education advocates did get a win on the final day of the hearings.

Marisa Pérez-Díaz, a Democratic board member from San Antonio and the youngest Latina to ever be elected to any state's education board, had heard their pleas. She proposed adding the words “and global climate change” to the end of a standard that asked students to examine a variety of order zithromax human impacts on the environment. Remarkably, the board approved the motion.

It wasn't a big win. The wording applied to just one standard, for the integrated physics and chemistry course, which is taken by a fifth order zithromax of the students who take biology. But for the advocates it was a hopeful sign—certainly a step up from “a bunch of hooey.” In the following months, as the board considered the next two tranches—the high school electives and the K–8 standards—Texas Energy Council volunteers showed up at meeting after meeting.

Sometimes they pursued changes that the climate education advocates found reasonable, such as requiring that students learn the laws of geology and encouraging the use of resources such as museums and mentors. But they kept a relentless focus on adding cost-benefit analysis to the standards, and they added new order zithromax petitions. They insisted on removing the terms “renewable” and “nonrenewable” to describe different energy sources.

They preferred to describe all the options as “natural resources.” And they frequently brought up energy poverty—the lack of access to affordable electricity. €œEnergy poverty is one of the gravest but least talked-about dangers facing humanity,” testified Jason Isaac, director of an energy initiative for a conservative think order zithromax tank, at one meeting. He suggested just one solution.

€œRight here in Texas the key to ending global energy poverty lies under our feet.” The climate education advocates on the board expected to lose some of these battles. But they hoped the Texas Energy Council volunteers would stand down when it came to order zithromax including clear information about the science of the climate crisis. During the next set of deliberations, it became evident that would not be the case.

In January 2021 the board held the first hearings for high school electives. Environmental science, aquatic science, earth science and order zithromax astronomy. Far fewer students take the electives than take biology, chemistry or physics, but the earth science and environmental science course standards were the only ones that already mentioned climate change.

In the months leading up to the hearings, the 23 people on the electives writing teams had met about every two weeks to order zithromax draft the new standards. The old standards for the earth science course had asked students to “analyze the empirical relationship between the emissions of carbon dioxide, atmospheric carbon dioxide levels, and the average global temperature trends over the past 150 years,” a reference to the period since industrialization, during which atmospheric carbon dioxide levels have soared. That language didn't sit well with William J.

Moulton, a longtime geophysicist for the petroleum industry order zithromax. Encouraged by the Texas Energy Council, he and several other industry representatives had applied to the Texas Education Agency for a seat on a writing group and had been placed. Moulton was on the team rewriting the earth science and astronomy courses.

Moulton agreed that climate change should be mentioned in some way because students would order zithromax hear about it anyway. But he felt students should not be led to believe the science is settled. He argued that the phrase “the past 150 years” should be removed.

The group agreed order zithromax to that change and to several of Moulton's other language tweaks. When those already diluted standards came before the board in January, four other Texas Energy Council volunteers appeared on Zoom, all recommending amendments. One person said the standards should focus on the dangers of rare earth minerals.

Another said it was important for children to learn that the inception of the fossil-fuel order zithromax industry stopped the practice of whaling for blubber that could be turned into fuel. €œOil and gas literally saved the whales,” she said. The industry also had a new champion on the board.

Will Hickman, who had just been elected in November 2020 for a district outside of order zithromax Houston. Hickman's experience in education included serving on parent groups at his kids' schools, coaching community sports and teaching Sunday school. He'd held the same day job since 2004.

Senior legal order zithromax counsel at Shell Oil. In the January hearing, Hickman's first, his opening question was where in the proposed standards he could find the advantages and disadvantages of various forms of energy. The next order zithromax day he offered an example that might be raised in class.

€œEveryone thinks renewable power's a great idea, and Germany adopted it on a large scale,” he said. €œBut the cost-benefit—it ended up raising their power prices to about 2.5 times our power prices.” The writing committees had already included a reference to cost-benefit analysis in the “scientific and engineering practices” section of each of the elective courses, and the standard for the environmental science course had a second mention. But at the next board hearings, in April, order zithromax Hickman pressed for more.

Another member, Rebecca Bell-Metereau, a professor of English and film at Texas State University, who had just been elected to represent Austin, pressed back. €œThe very phrase ‘costs and benefits’ places the primary emphasis on money, not on society or well-being or human health.” The board nonetheless approved a motion by Hickman to add another mention of costs and benefits, to aquatic sciences. Moulton began showing up at the order zithromax board hearings with additional proposed changes.

His colleagues on the writing group had accepted some of his suggestions but not all of them, so he wanted the board to consider adding them as amendments. In the final hearing in June, board member Hardy asked Moulton if he'd heard the “newest stuff that's been coming out on climate,” which, she said, was that the climate crisis was not unfolding as scientists had predicted. Moulton suggested that the consensus order zithromax about warming had been exaggerated by scientists in pursuit of grant money.

Hardy began proposing amendments word for word from Moulton's suggestions. This elicited an outcry from Bell-Metereau. €œDo you not think that if someone's area of order zithromax work is in fossil fuels that they might have some bias on this issue?.

€ she asked Hardy. €œIt might be that I have a bias for the fossil-fuel industry,” Hardy answered. Bell-Metereau and others on the board threatened to delay the entire adoption if Hardy insisted on moving order zithromax the changes forward.

Ultimately Hardy dropped the proposals. But Moulton and the council had already succeeded in important ways. The new electives standards had multiple references to cost-benefit order zithromax analysis.

The terms “renewable energy” and “nonrenewable energy” were removed in several places. The single mention of the effects of burning fossil fuels in the old standards was gone, and the strongest description of climate change order zithromax had been weakened. The climate education advocates had failed to install a robust presentation of the science surrounding the climate crisis in any of the high school core or elective classes, as they had watched the Texas Energy Council volunteers achieve one goal after another.

But they held out hope for the K–8 standards. Nearly every middle schooler takes the same sciences, and the classes cover weather and climate order zithromax systems, an obvious and effective place to discuss the crisis for a generation of students that would have to live with its consequences. On a 96-degree day at the end of August 2021, the board held a public hearing on the K–8 standards, in person and virtually.

The writing groups had labored over the drafts, adding a single passage mentioning climate change. Eighth grade science students, the draft declared, would be expected to “use scientific evidence to describe how human activities can influence order zithromax climate, such as the release of greenhouse gases.” One writing group, which included the executive director of a natural gas foundation, had also appended a note stating it had not been able to reach consensus on a proposal to add another line. €œResearch and describe the costs and benefits of reducing greenhouse gas emissions versus global energy poverty.” Credit.

Taylor Callery At the hearing, two of the professional content advisers who had reviewed the standards gave the board radically different opinions. Ron Wetherington, a retired anthropology order zithromax professor from Southern Methodist University nominated by Pérez-Díaz, argued that the climate standards needed significant strengthening. Among other things, he advocated that the word “can” be dropped from the phrase “describe how human activities can influence climate.” “Can” implies that something is a possibility, but an abundance of evidence shows that the influence is already taking place.

He also asked the board to add an expectation that students explore efforts to mitigate the crisis. Because students would learn that it's happening, he posited, they should learn what people are doing order zithromax to fix it. Gloria Chatelain, a longtime educator and CEO of her own consulting firm called Simple Science Solutions, who had been nominated by Hardy and Cargill, stood in absolute opposition.

She began her testimony by praising the “absolutely amazing job” the Texas Energy Council had already done in improving the standards. She also said human-caused climate change order zithromax should be treated very lightly in middle school, if at all. €œOur goal is not to produce angry children but children who love science.

We're challenging them to go solve some of these exciting problems but not turn them into Gretas,” she said, referring to the teenage climate activist Greta Thunberg of Sweden. Instead, she contended, the board should add an expectation order zithromax that students “research and describe the role of energy in improving the quality of life in reducing malnutrition and global poverty,” language the council had suggested. €œI think it needs to go in, guys.

It's very, very order zithromax important that we address it,” Chatelain said. For three days that week the board considered the K–8 language. Over the protests of Democrats, Hardy moved to add “cost-effectiveness” to each middle school class.

She and Hickman persuaded the conservative board majority to change multiple order zithromax references to renewable and nonrenewable energy to “natural resources” in the elementary standards. On the second day climate education advocates landed two unexpected victories. Pérez-Díaz proposed rewording the climate standard to “describe how human activities over the past 150 years, including the release of greenhouse gases, influence climate.” Then she proposed adding a separate line.

€œDescribe efforts to mitigate climate change, including a reduction in greenhouse gas emissions.” The amendments both carried order zithromax. But on the third day the board axed the reference to the past 150 years and added the word “can” back in. The details of recent climate change, Hardy argued, would simply be too hard for eighth graders to grasp.

Aicha Davis, a board member from Dallas who spent 11 years teaching science before pursuing her order zithromax Ph.D. In education leadership and policy, spoke up. €œWith all respect to my colleague, you've never taught eighth grade science,” she said, her voice tinged with forbearance.

€œWe absolutely can't let the oil order zithromax and gas industry dictate what our kids need to learn when it comes to science. It shouldn't be about the Texas Energy Council. It should be about what's best for our students.” Neither scientists nor educators had voiced concern about teaching climate change to eighth graders, she noted.

€œSo let's call this what it order zithromax is. At this point we're only making votes based on what oil and gas wants us to do.” Hickman, the Shell attorney, turned on his microphone. €œA few thoughts and reactions,” he said.

€œOne is I think our permanent school fund is generally funded by oil and gas,” referring to a major source of education funding maintained in part by proceeds from fossil order zithromax fuels reaped from public lands. €œAll of us are probably going to get home using oil and gas.... If all order zithromax of this is true—greenhouse gases are evil—what do we do?.

Do we ban gasoline and stop using gasoline-powered cars?. Do we ban diesel for trucks?. How do we order zithromax get our Amazon and Walmart purchases?.

€ The board chair suggested they table the issue until the final round of hearings, scheduled for November 2021. As they waited for the last round, the National Center for Science Education and the Texas Freedom Network organized. They recruited 67 Texan climate scientists to join a letter asking, among other things, that the word “can” be dropped from the climate passage and that the mitigation language stay put not only because order zithromax it consisted of “basic knowledge” that every citizen should have but because it would provide students with a sense of hope.

Nevertheless, the final round of deliberations in November was a slaughter. Climate change had been added in a limited way to the standards, and the conservative majority supported that. But it rejected a motion to strike the word “can.” It blocked a motion to remove cost-benefit analysis from the middle school order zithromax sciences.

It approved new language about “the critical role of energy resources” to modern life. It inserted a reference to rare earth elements. It introduced order zithromax the concept of global energy poverty.

Last, Hickman moved to drop the climate mitigation standard that Pérez-Díaz had managed to add in September, arguing that the subject was more appropriate for social studies than for science and that it “just seems above and beyond for an eighth grade student and teacher.” The board Democrats fought the change, but they were outnumbered. The board replaced the mitigation standard with the line “Describe the carbon cycle.” The Texas Energy Council and two allied organizations issued a press release praising the State Board of Education for adopting standards that “emphasize the critical role of energy in modern life.” The Texas Freedom Network hit a more ambivalent note in its year-end report. €œThe State Board of Education order zithromax could have—and should have—done much better.

But our campaign resulted in new science standards that for the first time make clear to Texas public school students that climate change is real and that human activity is the cause.” The fossil-fuel industry, like some others, has worked for decades to get its messages in front of schoolchildren. I have found examples across the U.S. Petroleum companies order zithromax regularly fund teacher trainings incentivized by free classroom supplies.

Industry organizations have spent millions of dollars producing and distributing energy lesson plans. I witnessed an oil and gas industry employee give a PowerPoint presentation radically downplaying the climate crisis order zithromax to a class of seventh graders. Even with abundant online educational materials, just 9 percent of high school science teachers say they never use a textbook.

The nation's most popular middle school science textbooks are replete with language that conveys doubt about climate change, subtly or otherwise. In one textbook that, as of 2018, was in a quarter of the order zithromax nation's middle schools, students read that “some scientists propose that global warming is due to natural climate cycles.” In fact, the number of climate scientists who support that idea is effectively zero. Texas isn't the only major buyer of textbooks.

Other large states such as California have adopted standards that embrace the science of climate change, leading to a divide. Textbook publishers create one set of products to sell order zithromax in Texas and states that lean the same way and a second set of products for states aligned with California. This poses an equity problem.

The education a child receives on an issue central to the modern world depends on what state they happen to live in. In April 2022 the Texas Education Agency issued a call for textbooks based on the order zithromax new standards. Publishers have a year to submit materials to the agency.

Review panels, made up of educators, will search the textbooks for errors and rate how closely they follow the standards. Then the materials go before the state board for approval or order zithromax rejection. Texas school districts have the option of establishing their own textbook adoption process but still must choose books that comply with the standards.

Most just defer to the board's choices. The new science textbooks should be on classroom shelves starting in order zithromax the fall of 2024. The Texas Energy Council's Moulton told me he found the standards adoption process energizing, and he hopes to stay involved.

As soon as he gets the chance, he said, he'll start reviewing the new textbooks and will head back to the board to give them his thoughts..

In a drab hearing room in Austin, Tex., members of the State Board of Education, seated at small desks arranged in a broad, socially distanced circle, debated whether eighth grade science how to get prescribed zithromax students should be required to “describe efforts to mitigate climate change.” One board member, a longtime public school science teacher, argued in favor of the proposed new requirement. Another, an in-house attorney for Shell Oil Company, argued to kill it. The attorney how to get prescribed zithromax won.

In the end, the board voted to require that eighth grade science students “describe the carbon cycle” instead. Over the past two years school board meetings around the country have erupted into shout fests over face masks, reading lists and whether to ban education about structural racism in classrooms. In Texas, a quieter political agenda played out during the lightly attended process to set science education how to get prescribed zithromax standards—guidelines for what students should learn in each subject and grade level.

For the first time, the state board considered requiring that students learn something about human-caused climate change. That requirement came under tense dispute between industry representatives interested in encouraging positive goodwill about fossil fuels and education advocates who think students should learn the science underlying the climate crisis unfolding around them. Standards adoptions are an exercise in bureaucracy, but the results wield great power over what how to get prescribed zithromax is taught in classrooms.

Publishers consult them as they write textbooks. State education officials use them as the basis of standardized tests. School districts call on them as they how to get prescribed zithromax shape curricula.

Teachers refer to them as they devise lesson plans. Every state adopts its own standards, but Texas adoptions have long had influence far beyond the state's borders. In 2020 how to get prescribed zithromax two major education advocacy groups—the National Center for Science Education and the Texas Freedom Network—hired experts to grade the science standards of all 50 states and Washington, D.C., based on how they covered the climate crisis.

Thirty states and D.C. Made As or Bs. Texas was one of six states that made an F how to get prescribed zithromax.

But because Texas is one of the largest textbook purchasers in the nation—and because its elected 15-member State Board of Education has a history of applying a conservative political lens to those textbooks—publishers pay close attention to Texas standards as they create materials they then sell to schools across America. As a former science textbook editor once told me, “I never heard anyone explicitly say, ‘We can't talk about environmentalism because of Texas.’ But we all kind of knew. Everybody kind of knows.” how to get prescribed zithromax In this way, the proceedings in an Austin boardroom influence what millions of children nationwide are taught.

Most Americans favor teaching kids about the climate crisis. A 2019 nationwide poll by NPR/Ipsos found that how to get prescribed zithromax nearly four in five respondents—including two of three Republicans—thought schoolchildren should be taught about climate change. When the Texas Education Agency surveyed science educators across the state about what should be added to the standards, one in four wrote in asking for climate change or something adjacent, such as alternative energy.

No one asked for more content on fossil fuels. And yet, as I how to get prescribed zithromax learned when I watched 40 hours of live and archived board hearings, reviewed scores of public records and interviewed 15 people involved in the standard-setting process, members of the fossil-fuel industry participated in each stage of the Texas science standards adoption process, working to influence what children learn in the industry's favor. Texas education officials convened teams of volunteers to rewrite the existing standards, and industry members volunteered for those writing teams and shaped the language around energy and climate.

Industry members rallied to testify each time proposals to revise standards got a public hearing. When the board considered the rewritten standards for final approval, the industry appealed to members to advance their favored amendments, ensuring that the seemingly local drama in how to get prescribed zithromax Austin will have outsized consequences. For at least a decade the fossil-fuel industry has tried to green its public image.

The Texas proceedings show that its actions do not always reflect that image. In little-watched venues, the industry continues to downplay the crisis it has wrought, impeding efforts to provide clear science about that crisis to a young generation whose world how to get prescribed zithromax will be defined by it. The last time the board overhauled the Texas Essential Knowledge and Skills (TEKS) for Science, in 2009, it was chaired by Don McLeroy, a dentist from east-central Texas.

McLeroy made his views on science education clear when he declared at one meeting, “Somebody's got to stand up to experts!. € The board spent much of that adoption cycle clashing over evolution, but it also required that how to get prescribed zithromax high school environmental science students debate something scientists hadn't debated for a long time. Whether global warming is happening.

McLeroy told a reporter he was pleased because “conservatives like me think the evidence is a bunch of hooey.” At the end of 2019, when it was time to begin another overhaul, McLeroy was gone. The board made it clear to the 85 volunteers recruited by the Texas Education Agency to draft the new standards that it hoped there would not be a fight how to get prescribed zithromax over evolution again. It soon became clear the group would fight about climate science instead.

To start the process, board members carved how to get prescribed zithromax the standards into three tranches that they would consider one at a time. First, high school core sciences, then high school elective sciences and finally grades K–8 sciences. The board would give each tranche to writing teams composed of volunteers.

Professional content advisers, most nominated by board members, would provide feedback to the how to get prescribed zithromax board on proposed changes. Over the summer of 2020 one team took on the first tranche, the high school core subjects. Biology, chemistry, physics, and an integrated chemistry and physics class.

The core science how to get prescribed zithromax standards were important for two reasons. The classes had sky-high enrollment. Every year nearly half a million students took biology alone.

And what happened with these classes would set the tone for how to get prescribed zithromax the high school electives and for K–8. To the climate education advocates' dismay, when the Texas Education Agency posted the writing groups' results on its Web site in July 2020, the draft standards didn't contain a single reference to modern-day climate change. But there was still a chance to fix that omission.

The state board would how to get prescribed zithromax present the draft standards for public testimony, hearings and amendments. The first major hearing took place in September 2020, held in person and virtually on Zoom because of the buy antibiotics zithromax. More than 30 teachers, parents and other education advocates showed up to testify that the climate crisis has biological, chemical and physical aspects that make it relevant to all the core classes.

Three and a half hours into that meeting, however, someone with a different message appeared on how to get prescribed zithromax the Zoom screen. Robert Unger, a silver-haired engineer from Dallas who had worked for the oil and gas industry for more than 45 years. He was representing the Texas Energy Council, and he had some suggestions.

The Texas Energy Council is a coalition of about 35 industry organizations, predominantly from the oil and how to get prescribed zithromax gas sector, collectively made up of more than 5,000 members. Some months earlier the council had begun recruiting volunteers to participate in the standards adoption process. €œThe earth sciences how to get prescribed zithromax and the oil/gas industry in particular have suffered significant degradation in the K–12 curriculum over time,” a page on the council's Web site said.

In hopes of reversing that trend, the council enlisted 17 people—geoscientists, petroleum engineers, professors, attorneys and other fossil-fuel careerists—who, the site said, “shared its vision of ensuring that oil/gas is portrayed in a balanced fashion as a critical contribution to the Texas, U.S. And worldwide energy mix.” Unger had helped organize the volunteers. (Several members how to get prescribed zithromax of the organization, including Unger, declined to be interviewed for this story.

In an e-mail exchange, Michael Cooper, president of the council, took issue with some of this article's findings but said he would be unable to provide a comprehensive response without reviewing a complete draft.) Unger asked the board to remove a line in the introductory material for each of the high school core classes that discussed social justice and ethics, terms he said “do not belong in the course material.” Instead, he said, the standards should include the concept of cost-benefit analysis. Most board members had expressed little reaction to the many people testifying in favor of climate education, but Unger's testimony got their attention. Longtime Republican member Barbara Cargill, a former biology teacher from north of Houston serving her last few how to get prescribed zithromax months on the board, asked Unger how cost-benefit analysis might be incorporated into the science TEKS.

He gave an example. The main benefit of fossil fuels is the energy they produce, and the costs are “environmental issues that our industry is already regulating.” But oil and gas aren't the only fuels with a cost, Unger said. Take solar how to get prescribed zithromax.

€œIt seems like the benefits are wonderful, but the costs, in fact, are the mining of rare minerals to create batteries,” he said. €œWind equally has cost and benefit to it.” A science teacher could weigh these things with students, he noted, “and not get into the ambiguities of social injustice and social ethics.” Cargill promised to consider Unger's proposal. All sources of energy come how to get prescribed zithromax with costs.

But a fixation on “cost-benefit analysis” is a plank in a raft of arguments supporting what climate scientist Michael Mann has called “inactivism”—a tactic that doesn't deny human-caused climate change but downplays it, deflects blame for it and seeks to delay action on it. Sure, this brand of thinking goes, fossil fuels have their ills. But what form of energy how to get prescribed zithromax doesn't?.

Mann and others have criticized such arguments for their false equivalencies. The environmental and health costs of rare earth minerals for certain renewable energy sources are small compared with those of fossil fuels. The next day, when the board met to consider amendments to the how to get prescribed zithromax standards, Cargill delivered.

She proposed removing social justice from the standards and adding cost-benefit analysis. Fellow Republican how to get prescribed zithromax Pat Hardy, a retired history teacher and curriculum developer representing suburbs near Dallas–Fort Worth, eagerly supported the addition. €œPeople talk about electric cars like they're saving the universe,” Hardy said, captured on a video of the meeting.

€œAnd the answer is no, they are not.” The board voted to accept the changes. It was how to get prescribed zithromax the Texas Energy Council's first major victory. The climate education advocates did get a win on the final day of the hearings.

Marisa Pérez-Díaz, a Democratic board member from San Antonio and the youngest Latina to ever be elected to any state's education board, had heard their pleas. She proposed adding the words “and global climate change” to the end of a standard that asked students to examine a variety of how to get prescribed zithromax human impacts on the environment. Remarkably, the board approved the motion.

It wasn't a big win. The wording applied to just one standard, for the integrated physics and chemistry course, which is taken by a fifth of the students who how to get prescribed zithromax take biology. But for the advocates it was a hopeful sign—certainly a step up from “a bunch of hooey.” In the following months, as the board considered the next two tranches—the high school electives and the K–8 standards—Texas Energy Council volunteers showed up at meeting after meeting.

Sometimes they pursued changes that the climate education advocates found reasonable, such as requiring that students learn the laws of geology and encouraging the use of resources such as museums and mentors. But they kept a relentless focus on adding cost-benefit analysis to the how to get prescribed zithromax standards, and they added new petitions. They insisted on removing the terms “renewable” and “nonrenewable” to describe different energy sources.

They preferred to describe all the options as “natural resources.” And they frequently brought up energy poverty—the lack of access to affordable electricity. €œEnergy poverty is one of the gravest but least talked-about dangers facing humanity,” testified Jason Isaac, director of an how to get prescribed zithromax energy initiative for a conservative think tank, at one meeting. He suggested just one solution.

€œRight here in Texas the key to ending global energy poverty lies under our feet.” The climate education advocates on the board expected to lose some of these battles. But they hoped the Texas Energy Council volunteers would stand how to get prescribed zithromax down when it came to including clear information about the science of the climate crisis. During the next set of deliberations, it became evident that would not be the case.

In January 2021 the board held the first hearings for high school electives. Environmental science, aquatic science, earth science and how to get prescribed zithromax astronomy. Far fewer students take the electives than take biology, chemistry or physics, but the earth science and environmental science course standards were the only ones that already mentioned climate change.

In the months leading up to the hearings, the 23 people on the how to get prescribed zithromax electives writing teams had met about every two weeks to draft the new standards. The old standards for the earth science course had asked students to “analyze the empirical relationship between the emissions of carbon dioxide, atmospheric carbon dioxide levels, and the average global temperature trends over the past 150 years,” a reference to the period since industrialization, during which atmospheric carbon dioxide levels have soared. That language didn't sit well with William J.

Moulton, a longtime geophysicist for the petroleum industry how to get prescribed zithromax. Encouraged by the Texas Energy Council, he and several other industry representatives had applied to the Texas Education Agency for a seat on a writing group and had been placed. Moulton was on the team rewriting the earth science and astronomy courses.

Moulton agreed that climate change should be mentioned in some way how to get prescribed zithromax because students would hear about it anyway. But he felt students should not be led to believe the science is settled. He argued that the phrase “the past 150 years” should be removed.

The group agreed to how to get prescribed zithromax that change and to several of Moulton's other language tweaks. When those already diluted standards came before the board in January, four other Texas Energy Council volunteers appeared on Zoom, all recommending amendments. One person said the standards should focus on the dangers of rare earth minerals.

Another said it was important for children to learn that the inception of the fossil-fuel industry stopped the practice of whaling for blubber that how to get prescribed zithromax could be turned into fuel. €œOil and gas literally saved the whales,” she said. The industry also had a new champion on the board.

Will Hickman, who had just been elected in November 2020 how to get prescribed zithromax for a district outside of Houston. Hickman's experience in education included serving on parent groups at his kids' schools, coaching community sports and teaching Sunday school. He'd held the same day job since 2004.

Senior legal counsel at Shell how to get prescribed zithromax Oil. In the January hearing, Hickman's first, his opening question was where in the proposed standards he could find the advantages and disadvantages of various forms of energy. The next how to get prescribed zithromax day he offered an example that might be raised in class.

€œEveryone thinks renewable power's a great idea, and Germany adopted it on a large scale,” he said. €œBut the cost-benefit—it ended up raising their power prices to about 2.5 times our power prices.” The writing committees had already included a reference to cost-benefit analysis in the “scientific and engineering practices” section of each of the elective courses, and the standard for the environmental science course had a second mention. But at how to get prescribed zithromax the next board hearings, in April, Hickman pressed for more.

Another member, Rebecca Bell-Metereau, a professor of English and film at Texas State University, who had just been elected to represent Austin, pressed back. €œThe very phrase ‘costs and benefits’ places the primary emphasis on money, not on society or well-being or human health.” The board nonetheless approved a motion by Hickman to add another mention of costs and benefits, to aquatic sciences. Moulton began showing up at the board how to get prescribed zithromax hearings with additional proposed changes.

His colleagues on the writing group had accepted some of his suggestions but not all of them, so he wanted the board to consider adding them as amendments. In the final hearing in June, board member Hardy asked Moulton if he'd heard the “newest stuff that's been coming out on climate,” which, she said, was that the climate crisis was not unfolding as scientists had predicted. Moulton suggested that the consensus about warming had been exaggerated by scientists in pursuit of how to get prescribed zithromax grant money.

Hardy began proposing amendments word for word from Moulton's suggestions. This elicited an outcry from Bell-Metereau. €œDo you not think that if someone's area of work is how to get prescribed zithromax in fossil fuels that they might have some bias on this issue?.

€ she asked Hardy. €œIt might be that I have a bias for the fossil-fuel industry,” Hardy answered. Bell-Metereau and others on how to get prescribed zithromax the board threatened to delay the entire adoption if Hardy insisted on moving the changes forward.

Ultimately Hardy dropped the proposals. But Moulton and the council had already succeeded in important ways. The new how to get prescribed zithromax electives standards had multiple references to cost-benefit analysis.

The terms “renewable energy” and “nonrenewable energy” were removed in several places. The single mention of the effects of how to get prescribed zithromax burning fossil fuels in the old standards was gone, and the strongest description of climate change had been weakened. The climate education advocates had failed to install a robust presentation of the science surrounding the climate crisis in any of the high school core or elective classes, as they had watched the Texas Energy Council volunteers achieve one goal after another.

But they held out hope for the K–8 standards. Nearly every middle schooler takes the same sciences, and the classes cover weather and climate systems, an obvious and effective place to discuss the crisis for a generation of students how to get prescribed zithromax that would have to live with its consequences. On a 96-degree day at the end of August 2021, the board held a public hearing on the K–8 standards, in person and virtually.

The writing groups had labored over the drafts, adding a single passage mentioning climate change. Eighth grade science students, the draft declared, would be expected to “use scientific evidence how to get prescribed zithromax to describe how human activities can influence climate, such as the release of greenhouse gases.” One writing group, which included the executive director of a natural gas foundation, had also appended a note stating it had not been able to reach consensus on a proposal to add another line. €œResearch and describe the costs and benefits of reducing greenhouse gas emissions versus global energy poverty.” Credit.

Taylor Callery At the hearing, two of the professional content advisers who had reviewed the standards gave the board radically different opinions. Ron Wetherington, a retired anthropology professor from Southern how to get prescribed zithromax Methodist University nominated by Pérez-Díaz, argued that the climate standards needed significant strengthening. Among other things, he advocated that the word “can” be dropped from the phrase “describe how human activities can influence climate.” “Can” implies that something is a possibility, but an abundance of evidence shows that the influence is already taking place.

He also asked the board to add an expectation that students explore efforts to mitigate the crisis. Because students would learn that it's how to get prescribed zithromax happening, he posited, they should learn what people are doing to fix it. Gloria Chatelain, a longtime educator and CEO of her own consulting firm called Simple Science Solutions, who had been nominated by Hardy and Cargill, stood in absolute opposition.

She began her testimony by praising the “absolutely amazing job” the Texas Energy Council had already done in improving the standards. She also said human-caused climate change should be treated very lightly in middle school, if how to get prescribed zithromax at all. €œOur goal is not to produce angry children but children who love science.

We're challenging them to go solve some of these exciting problems but not turn them into Gretas,” she said, referring to the teenage climate activist Greta Thunberg of Sweden. Instead, she contended, the board should add an expectation that students “research and describe the role of energy in improving the quality of life in reducing malnutrition and global poverty,” language the council had how to get prescribed zithromax suggested. €œI think it needs to go in, guys.

It's very, very important that we address it,” Chatelain said how to get prescribed zithromax. For three days that week the board considered the K–8 language. Over the protests of Democrats, Hardy moved to add “cost-effectiveness” to each middle school class.

She and Hickman persuaded the conservative board majority to change multiple references to renewable and how to get prescribed zithromax nonrenewable energy to “natural resources” in the elementary standards. On the second day climate education advocates landed two unexpected victories. Pérez-Díaz proposed rewording the climate standard to “describe how human activities over the past 150 years, including the release of greenhouse gases, influence climate.” Then she proposed adding a separate line.

€œDescribe efforts how to get prescribed zithromax to mitigate climate change, including a reduction in greenhouse gas emissions.” The amendments both carried. But on the third day the board axed the reference to the past 150 years and added the word “can” back in. The details of recent climate change, Hardy argued, would simply be too hard for eighth graders to grasp.

Aicha Davis, a board member from Dallas who spent 11 years teaching science before pursuing her Ph.D how to get prescribed zithromax. In education leadership and policy, spoke up. €œWith all respect to my colleague, you've never taught eighth grade science,” she said, her voice tinged with forbearance.

€œWe absolutely can't let the oil and gas industry how to get prescribed zithromax dictate what our kids need to learn when it comes to science. It shouldn't be about the Texas Energy Council. It should be about what's best for our students.” Neither scientists nor educators had voiced concern about teaching climate change to eighth graders, she noted.

€œSo let's call this what it is how to get prescribed zithromax. At this point we're only making votes based on what oil and gas wants us to do.” Hickman, the Shell attorney, turned on his microphone. €œA few thoughts and reactions,” he said.

€œOne is I think our permanent school fund is generally funded by oil and gas,” referring to a major source of education funding how to get prescribed zithromax maintained in part by proceeds from fossil fuels reaped from public lands. €œAll of us are probably going to get home using oil and gas.... If all how to get prescribed zithromax of this is true—greenhouse gases are evil—what do we do?.

Do we ban gasoline and stop using gasoline-powered cars?. Do we ban diesel for trucks?. How do we how to get prescribed zithromax get our Amazon and Walmart purchases?.

€ The board chair suggested they table the issue until the final round of hearings, scheduled for November 2021. As they waited for the last round, the National Center for Science Education and the Texas Freedom Network organized. They recruited 67 Texan climate scientists to join a letter asking, among other things, that the word “can” be dropped from the climate passage and that the mitigation language how to get prescribed zithromax stay put not only because it consisted of “basic knowledge” that every citizen should have but because it would provide students with a sense of hope.

Nevertheless, the final round of deliberations in November was a slaughter. Climate change had been added in a limited way to the standards, and the conservative majority supported that. But it rejected a motion to strike the word “can.” It blocked how to get prescribed zithromax a motion to remove cost-benefit analysis from the middle school sciences.

It approved new language about “the critical role of energy resources” to modern life. It inserted a reference to rare earth elements. It introduced how to get prescribed zithromax the concept of global energy poverty.

Last, Hickman moved to drop the climate mitigation standard that Pérez-Díaz had managed to add in September, arguing that the subject was more appropriate for social studies than for science and that it “just seems above and beyond for an eighth grade student and teacher.” The board Democrats fought the change, but they were outnumbered. The board replaced the mitigation standard with the line “Describe the carbon cycle.” The Texas Energy Council and two allied organizations issued a press release praising the State Board of Education for adopting standards that “emphasize the critical role of energy in modern life.” The Texas Freedom Network hit a more ambivalent note in its year-end report. €œThe State how to get prescribed zithromax Board of Education could have—and should have—done much better.

But our campaign resulted in new science standards that for the first time make clear to Texas public school students that climate change is real and that human activity is the cause.” The fossil-fuel industry, like some others, has worked for decades to get its messages in front of schoolchildren. I have found examples across the U.S. Petroleum companies regularly fund teacher trainings incentivized by free how to get prescribed zithromax classroom supplies.

Industry organizations have spent millions of dollars producing and distributing energy lesson plans. I witnessed how to get prescribed zithromax an oil and gas industry employee give a PowerPoint presentation radically downplaying the climate crisis to a class of seventh graders. Even with abundant online educational materials, just 9 percent of high school science teachers say they never use a textbook.

The nation's most popular middle school science textbooks are replete with language that conveys doubt about climate change, subtly or otherwise. In one textbook that, as of 2018, was in a quarter of the nation's middle schools, students read that “some scientists propose that global warming is due to natural climate cycles.” In fact, how to get prescribed zithromax the number of climate scientists who support that idea is effectively zero. Texas isn't the only major buyer of textbooks.

Other large states such as California have adopted standards that embrace the science of climate change, leading to a divide. Textbook publishers create one set of products to sell in Texas and states that how to get prescribed zithromax lean the same way and a second set of products for states aligned with California. This poses an equity problem.

The education a child receives on an issue central to the modern world depends on what state they happen to live in. In April 2022 the how to get prescribed zithromax Texas Education Agency issued a call for textbooks based on the new standards. Publishers have a year to submit materials to the agency.

Review panels, made up of educators, will search the textbooks for errors and rate how closely they follow the standards. Then the materials go before the state board for approval or how to get prescribed zithromax rejection. Texas school districts have the option of establishing their own textbook adoption process but still must choose books that comply with the standards.

Most just defer to the board's choices. The new how to get prescribed zithromax science textbooks should be on classroom shelves starting in the fall of 2024. The Texas Energy Council's Moulton told me he found the standards adoption process energizing, and he hopes to stay involved.

As soon as he gets the chance, he said, he'll start reviewing the new textbooks and will head back to the board to give them his thoughts..