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The Food and Drug Administrations unprecedented approval of Floridas plan to import drugs from Canada was made possible only after Alex Azar, as the Trump administrations Health and Human Services secretary, certified that bringing medicines over the border could be done safely. Use Our Content

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Azar made the historic declaration in September 2020, just two months before his boss, former President Donald Trump, lost reelection.

Now, Azars involved in the business of making importation happen. He is chairman of the board of LifeScience Logistics, a Dallas-based company that Florida is paying as much as $39 million to help manage its Canadian drug importation program, not including the cost of drugs.

LifeScience officials confirmed Azars position but didnt respond to questions about how much he is paid or whether hes involved in the Florida work. Azar didnt return messages left with his employers or sent to a personal email address.

The revolving door between government and private sector jobs is well documented. Its common for top U.S. officials in both parties to leave government service for what are often far better-paid jobs or board seats at companies in the industries they formerly regulated.

About 57% of presidential Cabinet-level officials later served on corporate boards of directors, according to a 2019 study by researchers at Boston and Harvard universities in The Journal of Politics, which examined 84 Cabinet members who served from 1992 to 2014.

In general, we favor Cabinet secretaries not going into industries which they once regulated, because the possibility of conflicts of interest are unavoidable, said Robert Weissman, president of Public Citizen, a government watchdog group. Email Sign-Up

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He called Azars case atypical because his approval of drug importation was opposed by the pharmaceutical industry, in which Azar was formerly employed. Drugmakers argue the policy puts patients at risk of consuming counterfeit medicines. Azar joined the LifeScience board in January 2022, one year after the end of Trumps term and about a year after Florida contracted with LifeScience in late 2020.

Katie Hernandez, a spokesperson for LifeScience Logistics, said in a statement that the company, which manages nearly 6 million square feet of warehouse storage across 11 states, signed its deal with Florida before Azar joined the board.

Ivana Katic, assistant professor of organizational behavior at the Yale School of Management, said that Azars position at LifeScience can appear as a conflict of interest because his policy decision as HHS secretary later benefited him professionally.

Azar was a deputy secretary at HHS during the George W. Bush administration before joining pharmaceutical giant Eli Lilly and Co. as a top executive in 2007, remaining there until months before joining the Trump administration.

Weissman, who supports drug importation, said he doubts Azar had any personal benefit in mind before his decision. Florida Gov. Ron DeSantis had pushed Trump to authorize importation from Canada, and the former president had said he supported importation before Azar certified it was safe.

Canadian drug importation has been the subject of decades of debate. While the U.S. does not regulate most drug costs, Canada does, generally resulting in lower prices than across the border.

In 2018, Azar called importation a gimmick because Canadas pharmaceutical market isnt large enough to meet U.S. demand. Indeed, the Canadian government has repeatedly warned the U.S. against importation, promising to block any plan that poses a risk of causing shortages in Canada.

The country has implemented regulations to prohibit certain drugs intended for the Canadian market from being sold for consumption outside of Canada if that sale could cause, or worsen, a drug shortage in Canada, Health Canada, which regulates drug safety, said in a Jan. 8 statement after the FDAs approval of Floridas plan. This includes all drugs that are eligible for bulk importation to the U.S., including those identified in Florida’s bulk importation plan, or any other US state’s future importation programs.

Under its contract with Florida, LifeScience Logistics must buy drugs from Canadian suppliers, contract with a lab to verify their authenticity, store the medicines, and ship them to state agencies for distribution. LifeScience built a 100,000-square-foot facility in Lakeland, Florida, to warehouse drugs imported from Canada.

President Joe Biden supported drug importation during his 2020 campaign, but after the election his administration moved slowly to advance the process. Colorado has an importation application pending with the FDA, while several other states have passed laws allowing for importation. DeSantis has accused the Biden administration of slow-walking a decision, and his administration filed a lawsuit over the FDAs delay.

Floridas importation plan will save the state up to $180 million in the first year of the program, the state said. The importation program wouldnt aid consumers directly. Its instead aimed at helping state agencies, including its prisons, health department, and Medicaid program, obtain lower-cost drugs for HIV and AIDS, diabetes, and other conditions.

Floridas plan still faces many hurdles. On top of Canadas reluctance to participate in U.S. importation programs, some drug manufacturers have deals with Canadian wholesalers preventing them from exporting medicines, and the FDA decision is likely to face a legal challenge by drugmakers.

The drug industrys major lobbying group, the Pharmaceutical Research and Manufacturers of America, or PhRMA, previously sued to stop Azars importation decision. Its expected to file suit to block Floridas program as well.

A PhRMA spokesperson declined to comment on Azars role.

Phil Galewitz: pgalewitz@kff.org, @philgalewitz Related Topics Health Industry Pharmaceuticals States Florida HHS Prescription Drugs Contact Us Submit a Story Tip

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Business

IMF upgrades UK economic growth forecast – but issues tariffs warning

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IMF upgrades UK economic growth forecast - but issues tariffs warning

The UK economy will grow more than previously thought, according to the International Monetary Fund (IMF), which has upgraded its latest forecast.

It also said the Bank of England should “continue to ease monetary policy gradually”, indicating it expected further reductions in interest rates.

But it warned trade tensions linked to US tariff plans will reduce UK economic growth next year.

The Washington-based UN financial agency said the UK economy will expand 1.2% this year and “gain momentum next year”.

The upgrade in forecasts, however, is slight, up from an expected 1.1% announced in April as the world reeled from the global trade war sparked by US President Donald Trump’s tariffs.

That April figure was a 0.5% downgrade from the projected 1.6% growth for 2025 the IMF foresaw in January and the 1.5% forecast issued in October.

It means the IMF expects the UK economy to grow less this year than it forecast in October and January.

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Tariffs warnings

This anticipated lower growth is largely due to tariffs – taxes on goods imported to the United States – and the uncertainty caused by shifting trade policy in the US, the world’s largest economy.

While many tariffs have been paused until 8 July, it’s unclear if deals will be in place by then and if pauses may be extended.

The effect of this has been quantified as a 0.3 percentage points lower growth by 2026 in the UK, the IMF said.

The organisation held its prediction that the UK economy will grow by 1.4% in 2026.

“The forecast assumes that global trade tensions lower the level of UK GDP by 0.3% by 2026, due to persistent uncertainty, slower activity in UK trading partners, and the direct impact of remaining US tariffs on the UK,” it said.

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Trump’s tariffs: What you need to know

It comes despite the UK having agreed a deal with the Trump administration to circumvent the 25% tariffs on cars and metals.

The IMF also cautioned that “weak productivity continues to weigh on medium-term growth prospects”.

Lower productivity has been an issue since the global financial crash of 2008-2009, but has been caused by “chronic under-investment”, low private sector research and development, limited access to finance for businesses to expand, skill gaps, and a “deterioration in health outcomes”, it said.

Interest rates

Interest rates “should” continue to come down, making borrowing cheaper, though the IMF acknowledged rate-setters at the Bank of England now have a “more complex” job due to the recent rise in inflation and “fragile” growth.

The author of the report on the UK, Luc Eyraud, said the IMF expected the Bank to cut interest rates by 0.25 percentage points every three months until they reach a level of around 3%, down from the current 4.25%.

Praise was given to the UK government as the IMF said “fiscal plans strike a good balance between supporting growth and safeguarding fiscal sustainability”.

“After a slowdown in the second half of 2024, an economic recovery is under way,” the IMF said.

Global factors – “weaker export performance in the challenging global environment” – are blamed for the slowdown last year.

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The news is being taken as a win by Chancellor Rachel Reeves.

“The UK was the fastest growing economy in the G7 for the first three months of this year and today the IMF has upgraded our growth forecast,” she said.

“We’re getting results for working people through our plan for change – with three new trade deals protecting jobs, boosting investment and cutting prices, a pay rise for three million workers through the national living wage, and wages beating inflation by £1,000 over the past year.”

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Business

What is the two-child benefit cap and will Labour scrap it?

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What is the two-child benefit cap and will Labour scrap it?

The government is considering getting rid of the two-child benefit cap first brought in by the Conservatives.

The policy has caused considerable consternation within the Labour Party, with a growing number of MPs calling to scrap it and ministers so far refusing to.

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But now, Education Secretary Bridget Phillipson has given the government’s strongest hint yet it may scrap the cap after she told Sky News ministers are “considering” lifting it.

We look at what the cap is and the controversy over it.

What is the two-child benefit cap?

Since 2017, parents have only been able to claim child tax credit and universal credit for their first two children, if they were born after April 2017.

An exception is made for children born as a result of rape.

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Child benefit reform ‘not off the table’

Who introduced it?

Then work and pensions secretary Iain Duncan Smith first proposed the policy in 2012 under the Conservative-Liberal Democrat coalition government.

It was not until 2015 that then chancellor George Osborne announced a cap would be introduced from the 2017/2018 financial year.

The coalition said it made the system fairer for taxpayers and ensured households on benefits faced the same financial choices around having children as those not on benefits.

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David Cameron on the 2015 campaign trail
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David Cameron’s government introduced the cap, though he was out of office by the time it came in

What is Labour’s position on the cap?

The party has long been divided over the issue, with Sir Keir Starmer ruling out scrapping the cap in 2023.

He then said Labour wanted to remove it, but only when fiscal conditions allowed.

Following Labour’s landslide victory last July, the prime minister refused to bow to pressure within his party, and suspended seven MPs for six months for voting with the SNP to scrap the cap.

Ministers have toed the party line for months, but the narrative started to shift in May, with Sir Keir reported to have asked the Treasury to see how scrapping it could be funded.

The publication of Labour’s child poverty strategy was delayed from the spring to autumn, fuelling speculation the government wants to use the next budget to scrap the cap.

Then the education secretary told Sky News on 27 May lifting the cap is “not off the table” – and “it’s certainly something that we’re considering”.

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Why did Labour delay their child poverty strategy?

How many children does the cap affect?

Government figures show one in nine children (1.6m) are impacted by the two-child limit.

In the first three months Labour were in power, 10,000 children were pulled into poverty by the cap, the Child Poverty Action Group found.

In May, it said another 109 children are pulled into poverty each day by the limit, adding to the 4.5 million already in poverty.

The Resolution Foundation said the cap would increase the number of children in poverty to 4.8 million by the next election in 2029-30.

Torsten Bell, the foundation’s former chief executive and now a Labour Treasury minister, said scrapping the cap would lift 470,000 children out of poverty.

Torsten Bell.
Pic: Dimitris Legakis/Athena Pictures/Shutterstock
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Torsten Bell has warned against keeping the cap. Pic: Dimitris Legakis/Athena Pictures/Shutterstock

How much would lifting the cap cost the taxpayer?

The cap means for every subsequent child after the first two, families cannot claim benefits worth £3,455 a year, according to the Institute for Government.

It estimates removing the limit would cost the government about £3.4bn a year – equal to roughly 3% of the total working-age benefit budget.

It is also approximately the same cost as freezing fuel duties for the next parliament.

Research has found the indirect fiscal impacts of lifting the cap could be higher, as some data shows investing in young children can pay for itself by causing better outcomes for them later in life.

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Technology

Tesla shares climb as Musk pledges to be ‘super focused’ on companies ahead of Starship launch

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Tesla shares climb as Musk pledges to be 'super focused' on companies ahead of Starship launch

Elon Musk listens as reporters ask U.S. President Donald Trump and South Africa President Cyril Ramaphosa questions during a press availability in the Oval Office at the White House on May 21, 2025 in Washington, DC.

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Tesla shares gained about 5% on Tuesday after CEO Elon Musk over the weekend reiterated his intent to home in on his businesses ahead of the latest SpaceX rocket launch.

The billionaire wrote in a post to his social media platform X that he needs to be “super focused” on X, artificial intelligence company xAI and Tesla as they launch “critical technologies” on the heels of a temporary outage.

“As evidenced by the uptime issues this week, major operational improvements need to be made,” he wrote, adding that he would return to “spending 24/7” at work. “The failover redundancy should have worked, but did not.”

An outage over the weekend briefly shuttered the social media platform formerly known as Twitter for thousands of users, according to DownDetector. Earlier in the week, the platform suffered a data center outage. X has suffered a series of outages since Musk purchased the platform in 2022.

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Musk has previously indicated plans to step away from his political work and prioritize his businesses.

During Tesla’s April earnings call he said that he would “significantly” reduce his time running President Donald Trump‘s Department of Government Efficiency.

In the last election cycle, Musk devoted time and billions of dollars to political causes and toward electing Trump in 2024. However, a story over the weekend from the Washington Post, citing sources familiar with the matter, said that Musk has grown disillusioned with politics and wants to return to managing his businesses.

Last week, Musk said in an interview at the Qatar Economic Forum that he planned to spend “a lot less” on campaign donations going forward.

The comments from Musk precede SpaceX’s Starship rocket Tuesday evening. Pressure is on for the company after two Starship rockets exploded in January and March.

Ahead of the launch, Musk announced an all hands livestream on X at 1 p.m.

Tesla is still facing fallout from Musk’s political foray, with protests at showrooms and other brand damage.

In April, Tesla sold 7,261 cars in Europe, down 49% from last year, according to the European Automobile Manufacturers’ Association.

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