When he wanted change to prescription drugs, he got it done.

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Blurred vision, for example, may suggest you need a prescription change, or it could be a sign of another problem.

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He compares the current fight to the one in 2003, when Congress last made a major health care change by adding prescription drug coverage to Medicare.

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While the decision means no immediate change for the prescription requirements on Plan B, it adds another twist to a contentious legal battle over whether young girls need a doctor's guidance to take the drug.

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Mr. Certner said AARP might be willing to contemplate some cuts to the Medicare and Medicaid programs next year, but that it favored smaller proposals to change the way care is delivered, or to require Medicare to negotiate with pharmaceutical companies over prescription-drug prices.

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