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A result of this underfunding means that the contributions to pension systems that municipalities must make each year are rising, eating up large portions of local budgets. Additionally, employee costs are rising locally, going from 15 of city budgets to 30.

" Grassley posted slightly more than a third of Wilens‚ payments (612,303 out of a total of 1. 6 million). Only 69,915 of this (11) came directly from drug companies. Most of the money (542,388) came from various third party companies, many, possibly all of which, are CME companies, Carlat reports. ‚The biggest tool the industry has for off-label promotion is continuing education," says Adriane Fugh-Berman, an associate professor at Georgetown University Medical Center, involved with a program called PharmedOut, created to educate doctors about the prescribing influences of big drug companies, in the Star-Ledger on June 6, 2010.

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