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unions clash with steel pension trustees over payouts .
the report "correctly points out that there really was no playbook for dealing with what was an unprecedented health crisis," san diego mayor kevin faulconer said. .
he said: "greater and immediate attention needs to be applied in these two areas." .
in a news release, the drug's manufacturer, amgen, said the list price will be 5 a month or ,900 annually. costs to patients may vary depending on insurance. .