Meanwhile, Scott MacGregor, a spokesman for Indianapolis-based Eli Lilly and Co., said rebate reform would be a "win for patients" both in government health care and in the private sector. Lilly spokesman says drug rebate reform a 'win for patients' "In the ongoing drug price debate, we have maintained a clear, unwavering position: achieving the lowest net cost for a prescription medication – whether through a rebate or a reduction in price – is best for our clients and their members," Express Scripts said in a statement, just after Eli Lilly announced the company would be offering a reduced-price insulin. One of the large pharmacy benefit managers, Express Scripts, argues that pharmacy benefit managers advocate for lower drug costs for clients, but ultimately lowering prices is in the hands of drug companies. "Employers, insurers, and other plan sponsors are best positioned to choose how to structure the coverage they provide for their enrollees." "We are concerned that legislation designed to require a specific use for prescription drug rebates in private-sector health plans would dictate coverage options," said JC Scott, the trade group’s president and CEO. ![]() The Pharmaceutical Care Management Association released a statement defending its involvement in the drug-supply chain, and said drug companies' "pricing strategies are unrelated to the rebates they negotiate with PBMs.” Benefit manager trade group responds to Braun's billīraun’s benefit manager bill is getting pushback from the industry’s trade group. A study by the journal Health Affairs that tracked their cost from 2008-16 found that prices of oral brand-name drugs rose 9.2 percent a year and injectable brand-name drugs, 15.1 percent a year.īut making the issue complicated, drug companies and pharmacy benefit managers disagree on the root cause of the high drug costs. Whatever the cause, drug prices have been rising for years. Pharmaceutical economics experts say his proposals could potentially lower health costs, though it's unclear by how much. ![]() Executives from Big Pharma testifying before Congress last week said such firms, including Express Scripts and CVS Health, play a large role in rising prices, and the Trump administration released a proposal earlier this year that would require any discounts such companies negotiate for Medicare and Medicaid be applied to a drug's list price. This industry has been in the crosshairs this year. ![]() Some of those discounts may get passed on to the consumer, but critics say pharmacy benefit managers often pocket the profits from those rebates, since they don't have to disclose what deals they are offered by drug companies. The bill in question from the Indiana Republican targets the role of large companies called pharmacy benefit managers, which are offered rebates by pharmaceutical companies as they negotiate which drugs are covered by insurance. ![]() Mike Braun waded into the national debate over high prescription drug prices this week with legislation that would end a nontransparent practice that critics say contributes to their spiraling cost.
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![]() ![]() That said, they'll carry you all the way to end-game without any issues.Īssassin: For their ability to snowball early, and the fact you only need 3 for the first valuable bonus, Assassin is undoubtedly strong. Warrior: Kunkka, Tiny and Doom are all brilliant, but until you have these 3, the Warrior pool can really struggle versus ranged compositions. They've been nerfed a little, but 4 Warlocks are capable of surviving long periods, and sustaining their team they are a headache to shut down if protected. Warlock: After their rework and with the right items, Warlock's are ridiculously strong. Most of the Scrappy units are solid, and Alchemist is still a headache for most compositions to deal with. Scrappy: Untouched from recent updates, the boost to Scrappy is significant and provides them with significant staying power. If you also consider Tide Hunter, Medusa and Slark are part of this pool, it's not surprising to see it as a popular Alliance. Scaled: Easily capped and obtained, Scaled offers high mitigation against Magic. That said, if you can hold them up in the corner surrounded by Warriors, they're terrifying late game. Hunter: A mixed Alliance with some excellent units, Hunter is only let down by the fact you need 3 units for the first bonus. Kunkka, Keeper of the Light, Lycan and Lina are all solid drafts, while we suspect Crystal Maiden will continue to rise in popularity. Human: The ability to silence enemies on attacking is significant, and while the starting bonus % might be low (20% chance) it's easy to reach the % chance by grabbing 4. You either stick with them for maximum health return, based on their bonuses, or dump them mid-game. Brawny would be higher, if it weren't for the fact both these units fall off late game. However, it's fairly easy to pickup Axe and Juggernaut early game. Right now, top-tier due to that setup.īrawny: With only 4 units in the Brawny Alliance pool, it's not always easy to reach the cap on its bonuses. Troll: Not every Troll unit is amazing, but some - such as Batrider - when combined with Knights and Warlock Alliances - are amazing. Hurt at the moment due to anti-magic items, and Knights. Lich is amazing, and most - if protected - deal eye watering damage. Mage: Despite my love of Crystal Maiden's passive, and their liklihood of further nerfs, they're strong. Considering the strength of Chaos Knight, Abaddon and Luna, it's super easy to obtain the base bonus. Owning just two grants 25% reduction, and owning 4 a 35% reduction. Knight: Undoubtedly one of the strongest Alliances, Knight allows you to mitigate physical and magic damage. No Alliances are currently considered S+ Tier S Tier ⬆ Moved Scrapp to C Tier. Way better after the buff, especially considering For now, we're keeping Hunters where they are, purely because of the fact that Valve are already due to nerf Primordial. ⬆ Moved Primordial to S+ Tier. Massively overbuffed, it effectively makes Hunters useless. Tier D - Greatly Underpowered. These Alliances are a liability and should be avoided. Tier C - Underpowered. Considered weak, team compositions generally need to be built around Alliances in this pool. Tier B - Slightly Underpowered. These Alliances require a niche composition, or a highly skilled player to maximize their potential. Tier A - Balanced. These Alliances should see few if any changes and are considered balanced. Tier S - Overpowered. Alliances which are often first pick material and are considered top tier. Tier S+ - Greatly Overpowered. These Alliances are undeniably too strong and can be placed in any composition and succeed. Updated: 5 September 2019 Tier List Descriptions You can view our Underlords Unit Tier List here. While any match can be won with any Alliance composition, this list is designed to present you with the strongest to weakest. Although some are considered niche or balanced, those that aren't higher tiers shouldn't be considered poor. This page will always show the latest DOTA Underlords Alliances Tier List for competitive play, and is designed to rank Alliances in terms of their strength in the current meta. ![]() ![]() I pray that your tongue will not take you to hell, in the name of Jesus.Īlso Read: MFM Devotional 15 August 2022 – Discipline Your Heart (II) What a fearful description! In fact, it is capable of defiling the whole body and ‘setting it on the course of hell”. It is called, “a fire, a world of iniquity, an unruly evil, full of deadly poison”. This seemingly small but mighty organ of the body is capable of doing extreme damage to the owner and others as well. In fact, it is not within the power of man to tame the tongue. In James chapter 3, the Bible clearly states the extremely deadly nature of an untamed or uncontrolled tongue (verses 5-8). Physically and spiritually, it works either way, good or bad, subject to control by the owner. The tongue is located in the mouth as we all know. Let us glean from the wisdom of God on the control of the tongue, which is the vehicle of the words that we speak. The Bible enjoins believers to bridle their tongues (James 1:26). I PRAY THAT YOUR TONGUE SHALL BE A SPRING OF LIFE THAT ISSUES BLESSINGS TO OTHERS, IN THE NAME OF JESUS. Pray about everything, worry about nothing! Let your words be an investment in other people’s lives, because it will come back to you. MEMORY VERSE: “Let your speech be always with grace, seasoned with salt, that ye may know how ye ought to answer every man.” – Colossians 4:6 My brethren, these things ought not so to be.ġ1 Doth a fountain send forth at the same place sweet water and bitter?ġ2 Can the fig tree, my brethren, bear olive berries? either a vine, figs? so can no fountain both yield salt water and fresh.ġ3 Who is a wise man and endued with knowledge among you? let him shew out of a good conversation his works with meekness of wisdom.ġ4 But if ye have bitter envying and strife in your hearts, glory not, and lie not against the truth.ġ5 This wisdom descendeth not from above, but is earthly, sensual, devilish.ġ6 For where envying and strife is, there is confusion and every evil work.ġ7 But the wisdom that is from above is first pure, then peaceable, gentle, and easy to be intreated, full of mercy and good fruits, without partiality, and without hypocrisy.ġ8 And the fruit of righteousness is sown in peace of them that make peace. ![]() Behold, how great a matter a little fire kindleth!Ħ And the tongue is a fire, a world of iniquity: so is the tongue among our members, that it defileth the whole body, and setteth on fire the course of nature and it is set on fire of hell.ħ For every kind of beasts, and of birds, and of serpents, and of things in the sea, is tamed, and hath been tamed of mankind:Ĩ But the tongue can no man tame it is an unruly evil, full of deadly poison.ĩ Therewith bless we God, even the Father and therewith curse we men, which are made after the similitude of God.ġ0 Out of the same mouth proceedeth blessing and cursing. If any man offend not in word, the same is a perfect man, and able also to bridle the whole body.ģ Behold, we put bits in the horses’ mouths, that they may obey us and we turn about their whole body.Ĥ Behold also the ships, which though they be so great, and are driven of fierce winds, yet are they turned about with a very small helm, whithersoever the governor listeth.ĥ Even so the tongue is a little member, and boasteth great things. TOPIC: Let Your Word Be A Gift (Mountain Of Fire and Miracle Ministries, MFM Devotional 16 August 2022)īIBLE IN ONE YEAR: 2 Chronicles 5:2-14, 2 Chronicles 6, 2 Chronicles 7:1-10, 1 Corinthians 10:14-33, 1 Corinthians 11:1, Proverbs 20:5-14ġ My brethren, be not many masters, knowing that we shall receive the greater condemnation.Ģ For in many things we offend all. 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It’s also designed to breath new life back into photos taken on older, lower resolution cameras. over and over again, and it was watching killcams that showed me what was up along with spectating in hardcore. Plus plus when i started out I had my ass handed to me repeatedly. but seriously why would you want to play against some crash test dummies that rotate and try to shoot mosquitos in the air? i have seen enough "bot" lobbies im trying to lay off the smokes these days so i can be a little edgy. Originally posted by ^1Jack ^8the ^7Ripper:thats me man. ![]() and more than likely it is to "level up" or to "unlock" something.and im pretty sure the developers engineered the unlocking of attachments and weapons the way they did. Features: 1HP Bots Infinite Ammo 2xp for weapons Bots will spawn frozen in one place. The lobby gives a weapon multiplier so you can max out your weapons in no time. You can invite as many friends as you like in this lobby. there is plenty of learning in spec ops or the main game. Bot Lobby Tool for COD MW for 10 (LIFETIME) This tool can help you level up (weapons) and unlock all camos for your weapons. the bots spin in circles and shoot at random. Plus for real?!? what exactly is someone using a bot mod lobby for anyhow? it cant be to learn the game or get experience playing. these players then get resucked into these bs lobbies OVER AND OVER AGAIN and either accept this bs as the state of affairs in mw2 these days and play in whatever forcehost mod the host is running or they just uninstall. this is a BIG DEAL because most players dont understand how to look up ip addresses and add a firewall or iptables rule. mainly because it is usually US players that run these mods, which then take what could have been an all player low ping game and ruin it by sucking in all the US players that would have been in said game. Maybe you arent bothered by the number of modded lobbies, but i am. Plus when people run those bot mods they suck in honest players into a ♥♥♥♥♥♥♥♥ lobby. ![]() ![]() and more than likely it is to 'level up' or to 'unlock' something.and im pretty sure the developers engineered the unlocking of attachments and weapons the way they did. there is plenty of learning in spec ops or the main game. The game also has a number of options and the developer seems attentive and supportive when it comes to issues presented in the mod, but the client (Plutonium) is held by people who vehemently equate people who want to play these titles offline to people who pirate these titles, I could enlist a number of forum posts but a quick google search about this mod and the offline capabilities of plutonium will fill you in with all you need to know, the fact is the mod is flawless except for this one thing, which is why I'm rating it a perfect 10, but frankly I would really appreciate if the developer of the mod provides an alternative to the Plutonium client or, alternatively, as he did with MW3, provide an offline alternative to the same client, especially since the devs at plutonium seem to not care about offline play in the least, going as far as to disable it in the most recent plutonium versions.Thats me man. it cant be to learn the game or get experience playing. The mod is packed with options and the difficulty scalability and balance is great, easy is easy, hard is hard, as it should be. This mod is highly dependent on the plutonium client, and when I say incompatible, I mostly talk about the philosophy behind this mod, I don't think is presumptuous of me to say that this mod was designed with the purpose of adding life and preservation through offline play to these games, most of which lack the native bot support to accomplish both of those things. Beautiful mod mired by an incompatible client. Solar Ash is a game that takes some wild swings and, overall, I think it hits way more often than it misses. ![]() That was my preferred way to play across every permutation, because the game definitely benefits from smooth performance over high visual fidelity. However, the PS4 version running on PS5 maintains a solid 60fps at all times at the cost of visual sharpness. I tested it on a PS4 Pro and a PS5, both of which target 60fps but are barely able to maintain it. The game also suffers from some uneven framerates on console. It's not exactly bad, but it is a bit too subdued than I'd like for a game like this. If I have one complaint, it's the soundtrack. The cloud sea you skate along gives the whole thing an ethereal feel while the dream-like environments are adequately conducive to the introspective mood the game is trying to evoke. But Heart Machine has ditched the retro pixel-art in favour of a more clean-cut aesthetic that feels like something out of a comic book. If you played Hyper Light Drifter, you'll immediately recognise the colour palette. Visually, Solar Ash makes a hell of an impression. Also I just find the struggle to find hope against insurmountable odds to save a doomed planet quite relatable. It's not a particularly surprising tale but it is a thoroughly compelling one, thanks to the stellar voice-acting and writing. Rei is helped on her journey by an AI named Cyd, and is frequently spirited away to a different location where an entity calling themselves 'Echo' tries to drive off the path she's on. While the majority of your time with the game will be spent coasting on vibes and mood, each chapter in Solar Ash is bookended with short conversations that move the story along. Unlike Heart Machine's last game, the story in Solar Ash is conveyed in no uncertain terms. There are also side-quests involving a handful of characters you meet along the way that help flesh out the state of the world you're exploring. Voidrunner caches you find across the maps unlock various alternate suits that have different abilities like increases damage, shorter ability cooldowns, or the ability to scan for other Voidrunner caches. Solar Ash also has a more conventional progression system where you use plasma collected through your journey to upgrade your maximum health. She moves around with style and grace, and dispatches the monsters she encounters with swift sword slashes. Where Team Ico's game had you playing as a bumbling everyman barely holding on for dear life, Rei is an extremely capable and cool warrior. But to put it that way is to grossly undermine what Heart Machine does best - combine their wide range of influences in a ways entire their own that coalesces into something singularly unique.įor one thing, the pacing in Solar Ash differs wildly from Shadow. So it's the fast-paced traversal of The Pathless with the puzzle-ish boss fights of Shadow of the Colossus. The boss battles involve scaling the massive bodies and stabbing their weak spots. Once you do enough of these, the boss is ready to fight. You enter a new area, solve a bunch of puzzles to clear it of the black sludge plaguing it. You move around using Rei's jet boots to skate around massive levels and grind on rails. The game is segregated into six different biomes each with their own central gimmicks and themes. The core gameplay of Solar Ash involves fast-paced platforming broken up by slower puzzle challenges, punctuating in a show-stopping boss fight. Their previous game Hyper Light Drifter was very much a homage to classic 2D Zelda games, and Solar Ash immediately resembles Team Ico's seminal game Shadow of the Colossus with a little bit of another Annapurna-published puzzle platformer The Pathless - which I guess also had Colossus vibes (clearly there's some kind of unofficial Team Ico revival happening at Annapurna Interactive and I'm here for it). Heart Machine is clearly a studio that wears their influences on their sleeves. Thus begins a somewhat familiar-feeling adventure about slaying massive beasts and saving the world. As she awakes, however, her entire team has vanished and the massive inky beasts stand between her and her goal. Rei's home planet is at risk of being sucked into the Ultravoid (a very large black hole) and it is up to her to activate a device called the Starseed that will save her planet from this fate. Wasting absolutely no time, it places you in the shoes of a voidrunner named Rei, who uses advanced technology to explore black holes. Solar Ash begins, as many games do, with its protagonist waking up confused in a strange space. To put it simply, the goal of this charitable group is to help owners conserve these beautiful vessels in the best possible way. This unique partnership has inspired Frederique Constant to design every year a limited run, nautical-inspired timepiece, meant to commemorate these runabout boats, and this year we’re dealing with a limited series of 2,888 units.Ĭalled the Frederique Constant Runabout, this timepiece features a stainless steel or steel rose gold PVD 43 mm case, with a sapphire crystal and also a sapphire display back featuring the flag of the Riva Historical Society etched unto it. In case you’d like to dive with this watch, you should know it’s capable of handling 30-meter deep waters. Through it, fans of watchmaking will be able to appreciate the FC-392 calibre in detail, ticking at 28,800 beats / hour (4 Hz), complete with a gold coloured oscillating weight.Įach watch will be presented in a special case with a miniature replica of the legendary Riva moored alongside it.Back in 2009, Swiss watchmaker Frederique Constant has started a longstanding partnership with the Riva Historical Society, a non-profit organization, founded by architect Piero Maria Gibellini along with engineer Carlo Riva, which aims to preserve still-existing Riva boats. And secondly, by an original imprint representing the official Riva Historical Society flag, which features on the sapphire crystal of the watch. Firstly, by the individual number engraved on each watch. ![]() The exclusive nature of these editions, each of which is strictly limited to 2,888 pieces, is indicated on the back of each watch in two places. This maritime hue is picked up in the topstitching on the version that comes on a black calfskin leather strap and adorns the strap on the second model, which is finished with grey topstitching. Two luminescent hands glide over a date window at 6 o’clock and are complemented by a large central seconds hand in blued steel, recalling the colour of the great Italian lakes. The Swiss origins of these timepieces are revealed through the guilloché dial – a traditional finish in Swiss Made Fine Watchmaking – either anthracite grey or silvered, depending on the edition. Housed in a 42 mm steel case, the two new Runabout RHS Chronograph Automatic models share a tricompax chronograph (12 o’clock – 6 o’clock – 9 o’clock) powered by the automatic FC-392 calibre, ensuring a power reserve of 46 hours. From 1962, it produced certain models with a powerful motor (2 x 185 bhp) for enjoying the heady exhilaration of water sports on Lake Iseo, birthplace of the Riva. The 2020 collaboration will see the return of a complication that hasn’t been available for some years: the chronograph. ![]() Borrowing certain hallmarks relating to yachting and escapism, the “Runabout” line expresses the fine craftsmanship and luxury common to both enterprises and their creations. Each piece draws inspiration from Riva’s heritage, imagery and universe. Since their alliance in 2009, Frederique Constant has created many limited edition timepieces to support the noble work of the Riva Historical Society. This year, Frederique Constant is introducing its new Runabout RHS Chronograph Automatic model in honour of this collaboration and available in two limited series each composed of 2,888 pieces. The Riva Historical Society preserves the famous Riva, the legendary yacht that embodies the easy-going Italian way of life from the 20s to the 60s. The Frederique Constant Runabout collection is a culmination of a prestigious partnership between the Swiss watch making company and Riva Historical Society. The grid plan of Miletus in the Classical periodīy 2600 BC, Mohenjo-daro and Harappa, major cities of the Indus Valley civilization, were built with blocks divided by a grid of straight streets, running north–south and east–west. 2.2 Ecological features, rain water absorption, and pollutant generation.1.5 Early United States (17th-19th centuries).1.3 Europe and its colonies (12th-17th centuries).If there were ever a time for states to take notice – and support a cost-effective regional planning approach – that time is now. But some of these projects require at least a decade-long permitting and construction process, which means that the right decisions must be made right now if states want to meet renewable goals by 2035. In short, a lot is riding on transmission planning in MISO between now and next fall. MISO’s Board of Directors will vote on the initial conclusions from the Long-Range Transmission Planning Initiative toward the end of next year. What MISO launched this week is only the beginning of the road. Based on MISO information The time to act is now MISO has identified at least three areas with significant congestion that need relief, and its new initiative and other transmission plans can help to eliminate that congestion and allow cheaper - and cleaner - power to flow across the MISO region and subregions. Our grid is increasingly congested, which means that there is not enough space on power lines to move electricity from one area to another, which prevents MISO from delivering the lowest cost power to customers. MISO’s Planning Initiative also can help to address weaknesses in the existing power grid. It’s also an appealing plan for states, which enjoy the good jobs created by in-state generation, as well as lower electric rates enabled by geographically diverse generation. MISO’s approach not only reduces costs but also enhances the geographic diversity of generators, which is good for grid resiliency and will maximize the use of clean energy resources. ![]() This will mean a combination of longer interstate transmission lines and shorter in-state lines. Like with its last long-range planning process more than a decade ago, MISO announced that its new transmission planning approach will look at a mix of local and regional generation resources for states – an affordable path since some of the most efficient and low-cost renewable facilities may be located across state lines. In the roadmap laid out by MISO this week, we see the right elements for success. MISO was created in part to allow states and utilities to benefit together from infrastructure upgrades – and to avoid costly redundancy. This is where MISO and this week’s Planning Initiative launch come in. Unfortunately, without a change in direction, we’re going to be building more small, congested roads than larger highways. Imagine what travel would be like without interstate highways. The first option of leaving each utility and state to its own devices is inefficient and more expensive, puts frontline communities near fossil plants in harm’s way, and could even leave us with less reliable power. The problem is this: states and utilities aiming to move toward carbon-free energy either have to generate that power near where it’s needed, or else take advantage of a modern power grid that enables the delivery of lower-cost renewable energy from across a large region. Here’s what’s at stake: a much faster and more affordable carbon-free energy future with more jobs and less pollution. ![]() This process should deliver the right results – but only with support from MISO stakeholders along the way. It’s a challenge that got the start of an answer this week with the Midcontinent Independent System Operator (MISO)’s launch of its Long-Range Transmission Planning Initiative. With more utilities and states aiming for ambitious clean energy goals – and with developers eager to build low-cost renewables throughout the region – come stories of thousands of megawatts of clean energy projects falling out of the development pipeline due to transmission system constraints. ![]() The mid-continent’s electric grid is facing serious challenges. |