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Murkowski introduces bill to pass the Equal Rights Amendment

(4-minute read) WILL BE CHAMPIONED BY ABORTION ADVOCATES AND TRANSGENDERED

U.S. Senators Lisa Murkowski of Alaska and Ben Cardin, a Maryland Democrat, introduced of Senate Resolution 6, which would reopen consideration of the Equal Rights Amendment.

Thirty-seven states have already ratified the amendment, which was first proposed in 1972. Only one more state is needed.

Read Senator Murkowski’s and Senator Cardin’s joint op-ed in The Washington Post (Paywall) here.

The Cardin-Murkowski resolution would lift the ratification deadline to revive consideration of the ERA by the states.

The measure is exceedingly controversial and the timing is pointed: It will become an abortion issue and a major election issue going into the 2020 presidential election year, also the year that Sen. Dan Sullivan is up for re-election.

Critics say that proponents are falsely positing that America is a reflection of a “Handmaid’s Tale” dystopian world where women are nothing more than breeding machines.

They also point out that women who are pregnant do have limitations on where they should work: Toxic waste dumps, combat missions, and even piloting commercial jets can harm the baby. And there are reasons why women and men have their own professional wrestling circuits.

Other critics warn that the ERA is no longer about women at all, but is clearly moved into a new angle: It’s about abortion rights and extending special rights to LGBTQ — lesbian, gay, bisexual, transgender and queer.

In other words, critics warn, the ERA will be not interpreted on behalf of women, but on behalf of other Americans who want to ensure that the way they express themselves doesn’t interfere with jobs, housing, or use of bathrooms and locker rooms of another gender.

Murkowski and Cardin don’t recognize these issues — which will become litigated endlessly — in her public announcement.

“Nearly 100 years after women fought for and earned the right to vote, most Americans are shocked to realize that the U.S. Constitution does not already guarantee women the same rights and protections as men. It’s long past time for us to correct this injustice and recognize the equality of women under the law.,” said Senator Cardin. “What better way to set a positive tone for a new Congress than to take clear steps to fix a long-standing slight to America’s women. I’m proud to work with Senator Murkowski to move this essential legislation over the finish line.”

“In order for the ERA to be incorporated into the Constitution, we need 38 states to ratify the Equal Rights Amendment. As of now, we have 37. The bipartisan legislation I’m leading, alongside Senator Cardin, will resolve any ambiguity over whether states can make the ERA effective by ratifying. We cannot and must not put a time limit on the fight for women’s equality,” Senator Murkowski said.

The Equal Rights Amendment wording states:

Section 1.  Equality of rights under the law shall not be denied or abridged by the United States or by any State on account of sex.

Section 2.  The Congress shall have the power to enforce, by appropriate legislation, the provisions of this article.

Section 3.  This amendment shall take effect two years after the date of ratification.

“The Equal Rights Amendment is as important in the fight for women’s equality as it was on April 5, 1972, when Alaska ratified,” said Murkowski. “Women’s equality is fundamental to the American way of life and needs to be expressly recognized in the Constitution.”

ABORTION FRIENDS AND FOES WILL WEIGH IN

But the measure reflects a logic that could lead to a constitutional basis for abortion rights, and could result in overturning the federal partial birth abortion ban, third trimester abortions, and parental notification of minors seeking abortions.

It could interfere with religious beliefs of nurses, doctors and hospitals who do not facilitate abortions.

It could threaten tax exemptions of private religious schools that do not believe abortion is moral and that discourage it when teaching students.

The passage of the ERA could lead to Medicaid funding for abortions. Since men have procedures exclusive to them that are funded by Medicaid, including circumcision and prostatectomies, abortions would be subject to the same logic: They are unique to women and related to reproductive functions.

Pro-abortion groups have submitted legal briefs in support of the ERA for this reason, including Planned Parenthood, NARAL, the ACLU, the Center for Reproductive Law and Policy, and the NOW Legal Defense and Education Fund.

Congress granted an extension to ratification of the ERA back in 1982. The amendment failed because it did not receive enough state support during the time extension. Time simply ran out.

But Murkowski and Cardin think they have a workaround.

Their resolution would “immediately remove the ratification deadline and revive the consideration of the ERA by the states, finally guaranteeing full and equal protections to women in the Constitution. Article V of the Constitution contains no time limits for ratification of amendments, and the states finally ratified the Twenty-Seventh Amendment in 1992 regarding Congressional pay raises more than 200 years after Congress proposed it in 1789 as part of the original Bill of Rights.  The ERA time limit was contained in a joint resolution, not the actual text of the amendment, and Congress has already once voted to extend the ERA ratification deadline,” they wrote in a joint press release.

Rep. Knopp explains why he rejects Republicans

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CALLS FOR A 50-50 SPLIT CAUCUS

In a column that ran in the Kenai Peninsula-Clarion, Rep. Gary Knopp, District 30, explains why he doesn’t believe in a Republican-led caucus:

His explanation, in full:

To all of my constituents, my neighbors and my friends — You are the reason I am here in Juneau.

I have not forgotten that, and your opinions are important to me. Which is why I need to explain my decision to step away from the state House Republican caucus. I hope you will understand my action and agree with me that it is the best decision for Alaska.

I’ll start off by apologizing for the uncertainty, unrest and not getting this message out sooner. I had hoped it would not take so long for the House to organize itself and start work this session.

The first misconception I have heard from some of you is that I have changed my political beliefs. I want to reassure all of you that I will not be joining the Democrats. Nothing against them as individuals, but that’s not where I belong. Though I stepped away from the fragile Republican caucus, I did not abandon my values, principles or my party.

My intentions are not to divide my caucus but rather to help it succeed. A 21-member majority simply will not be successful. You must increase the numbers, a bipartisan coalition would accomplish this.

The very slim Republican majority that gathered after the November election was doomed to fail. With only 21 very diverse members, every member of the caucus would be needed to get anything done in the 40-member House, especially electing a speaker and passing a budget.

The biggest problem with a 21-member majority is that every single legislator has veto power over every single issue every day. I believe such a minimal majority would not serve our state well. It would be contentious and fall far short of the productive legislative work that we need.

To be perfectly honest, even after the November election, we never had a truly functional Republican majority in the House. Yes, 23 Republicans were elected but only 20 committed to joining the governing caucus. Those other three each had their own reasons not to sign on. But regardless of the reasons, it meant no group had enough committed House members to organize into a majority.

I have spoken with many of my Republican colleagues who agree with me on the necessity of creating a solid, working coalition to move the House forward in the most effective and successful manner possible.

Legislators need to resolve our personal differences to focus on taking care of Alaska. To get the job done, we need to work together to overcome the substantial challenges we face as a state — building a stronger economy, educating our children and college-age students, reducing crime and showing the public that elected officials can do their job without partisanship.

My proposal is simple:

Create a bipartisan coalition to govern the House. My hope is to have upwards of 24 members. A 50/50 split would be ideal. The key leadership positions would be divided evenly between Republicans and Democrats, nominated by coalition members and elected by simple majority of the coalition.

During the 1st session of the 31st Legislature all members would agree to the following terms:

• No changes to the state’s oil and gas tax credits.

• No broad-based tax proposals, such as a state income or sales tax.

• Minimize the introduction of personal legislation in order to avoid distractions and hopefully to lessen the odds of extended or special sessions.

Not that other issues are not important or worthy of discussion, but we need to focus all energy on the people’s top priority. Which is PFD, crime reform and the budget. We are now eight days into Alaska’s 31st legislative session and we are falling behind schedule. The House cannot organize, elect a speaker, appoint committee chairs and set a work agenda until a majority is established. It’s time we get to work.

I want to assure the constituents of District 30 that I did not take my decision lightly. I knew that forcing the issue would disrupt the process and push my colleagues into making hard decisions. But I felt then, and still believe now, that at the end of the day my responsibility is to represent the people of this district to the best of my abilities. Political parties are good, but they are not the sole deciding factor.

This will remain my goal as long as I have the honor of serving as your Republican Representative. I want to reassure you that conversations are ongoing daily, we are slowly moving through this process in hopes of being organized and open for business very soon!

Please feel free to call the office at 907-465-2693 with any questions or concerns.

— Representative Gary Knopp,

District 30


Quoth the Raven

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(2-minute read) ALASKA’S STATE BIRD JUST ISN’T SEXY ENOUGH? TAKE OUR POLL

I’ll admit it. When I’m eyeball to eyeball with an adult raven on a foggy evening, it creeps me out a little bit.

But then, so do half of the people I run into at the midtown Anchorage Walmart.

And yet, like any good macho gangsta, the raven commands a certain respect. One is never too sure about who is on the top of the food chain when a raven is holding his ground near a garbage bag full of fish scraps. He’ll tilt his head and look at you, sizing up the angle he’ll approach your eyeballs as he plans his attack.

In one of the most important pieces of legislation that Sen. Scott Kawasaki has ever authored (Think Local Day being right up there), the Fairbanks freshman senator has proposed to change the State bird from the willow ptarmigan to the common raven.

That glossy black hulk of a bird that crossed the Bering Straits land bridge and has been stalking human encampments in Alaska ever since, that surly bird so iconic in literature and Southeast Alaska Native cosmology, could have a new feather in its cap: Official State Bird.

You might call it the ultimate clever prank on humans by the “Trickster” raven, inserting himself into our very government.

They’re city slickers, most of them. So ubiquitous they are in some places that they are practically pests, dumpster diving as they do. While they can’t tear open a caribou carcass with their beaks, they surely can undo a garbage bag.

When they group together, as they also do quite raucously, they are referred to as an “unkindness” or a “conspiracy” of ravens.

A conspiracy of ravens pecks at a snow berm as the fog grounds the planes at the Juneau International airport on Sunday.

They’re smart. They’re communicative. And, bleh, very few creatures in the natural world want to eat them.

That’s unlike the willow ptarmigan, which is a fat, juicy grouse popular with humans, foxes, wolves, and raptors. The willow ptarmigan boasts that it can change colors with the seasons to better blend and evade the dinner table, and that’s a good trick, something that ravens cannot do. But beyond being camo birds, no one has much kind to say about their good nature.

But should Alaska mess with the state bird, while preparing to look at a $3.2 billion budget ($1.6 billion smaller than last year’s state budget)?  The willow ptarmigan, after all, was voted on by school children in 1955 and has been the official state bird since Statehood. Think of the children.

Senate Bill 28 would vote in the raven and vote out the hapless ptarmigan. It amends Sec. 44.09.060 to read that “The Common Raven (Corus Cora principalis) is the official bird of the state.”

Hop on over to the Must Read Alaska Facebook page and take our poll: Raven or Willow Ptarmigan for official state bird?

 

State, Pharmacy Board tell pharmacies: ‘Fill legitimate opioid prescriptions’

(8-minute read) BUT PROBLEM IS DEEPER — WHOLESALERS ARE CUTTING SUPPLY

In what has emerged as a crisis within a crisis, patients with chronic pain in Alaska are having a harder time getting legitimate pain medication.  They are being turned away by pharmacies for the opioids or other controlled substances that keep their pain manageable.

News accounts across the country report that patients who have had their pain medication cut off or drastically reduced are killing themselves because they can’t live with their chronic pain. Those in chronic pain understand this growing  health crisis, which is a personal crisis to them.

[Read: Man, 58, kills himself because pain too much to bear without needed drugs]

This problem grew when recent federal legislation attempted to reduce the amount of illegal opioids hitting the streets through pill mills — unscrupulous doctors who flood the market with classified drugs through misuse of the prescription pad.

But in Alaska, it’s been a painful transition for those who rely on controlled pain medication. Pharmacies have been turning them away, to the point where the patients have reached out to the State Pharmacy Board for relief.

In response to these complaints, a letter went out to Alaska’s pharmacists from the Pharmacy Board last week, telling them to follow the law, which is to fill legitimate prescriptions.

The trend toward “refusal to fill” prompted the board to issue specific guidelines and reminders to pharmacists:

  1. Pharmacists must use reasonable knowledge, skill, and professional judgment when evaluating whether to fill a prescription. Extreme caution should be used when deciding not to fill a prescription. A patient who suddenly discontinues a chronic medication may experience negative health consequences;
  2. Part of being a licensed healthcare professional is that you put the patient first. This means that if a pharmacist has any concern regarding a prescription, they should attempt to have a professional conversation with the practitioner to resolve those concerns and not simply refuse the prescription. Being a healthcare professional also means that you use your medication expertise during that dialogue in offering advice on potential alternatives, changes in the prescription strength, directions etc. Simply refusing to fill a prescription without trying to resolve the concern may call into question the knowledge, skill or judgment of the pharmacist and may be deemed unprofessional conduct;
  3. Controlled substance prescriptions are not a “bartering” mechanism. In other words, a pharmacist should not tell a patient that they have refused to fill a prescription and then explain that if they go to a pain specialist to get the same prescription then they will reconsider filling it. Again, this may call into question the knowledge, skill or judgment of the pharmacist;
  4. Yes, there is an opioid crisis. However, this should in no way alter our professional approach to treatment of patients in end-of-life or palliative care situations. Again, the fundamentals of using our professional judgment, skill and knowledge of treatments plays an integral role in who we are as professionals. Refusing to fill prescriptions for these patients without a solid medical reason may call into question whether the pharmacist is informed of current professional practice in the treatment of these medical cases.
  5. If a prescription is refused, there should be sound professional reasons for doing so. Each patient is a unique medical case and should be treated independently as such. Making blanket decisions regarding dispensing of controlled substances may call into question the motivation of the pharmacist and how they are using their knowledge, skill or judgment to best serve the public.

The Pharmacy Board further warned that failing to practice pharmacy using reasonable knowledge, skill, competence, and safety for the public could result in disciplinary actions.

Read: Pharmacy Board Letter to Pharmacies

The State’s Division of Corporations also sent a similar letter, ordering pharmacies to consult physicians before refusing their patient’s opioid prescriptions.

“Recent federal legislation (21 CFR §1306.04(a)) provides more tools to strike this balance; it does not inhibit practitioners’ ability to prescribe controlled substances to patients,” the letter stated

“State law places the treatment of pain in the prescriber’s hands,” said Sara Chambers, director of the Division of Corporations, Business and Professional Licensing. “The prescribing practitioner has full authority to make a diagnosis and determine the appropriate course of treatment, including dosage and quantity of a controlled substance. The patient’s best interests must come first, and pharmacists are valued partners in the healthcare team; however, they are not prescribers and should not refuse to fill a valid prescription without first consulting the prescribing practitioner.”

PHARMACIES CAUGHT IN THE MIDDLE

After the federal legislation to crack down on the opioid epidemic, wholesalers have begun cutting off the supply to pharmacists.

In Alaska and elsewhere, that has meant that if a wholesaler notices an increase in orders, they can refuse to send them. Alaska pharmacies are finding it increasingly hard to even get the drugs being prescribed by doctors.

But that leads to another problem: If a patient is turned away from one pharmacy, he or she will try another. Those pharmacies may not know the patient or feel comfortable with a new prescription showing up out of the blue. In addition, that new opioid prescription increases the number of opioids that pharmacy is filling, and then the pharmacy could find that it has exceeded the percentage of opioids-to-other-prescriptions, and find itself on the black list with the opioid wholesalers.

This has led some pharmacists to refuse to fill an opioid prescription unless the patient brings all of his or her prescriptions to that pharmacy, in order to balance the ratio required by wholesalers.

The burden, then, is shifted downward to the patient.

(Do you have a story about not being able to get your needed pain medication? Send it to [email protected]. Your name and identifiers will be kept confidential)

After Medicaid expansion: Alaskans are failing the health test

(3-minute read) HUNDREDS OF MILLIONS OF DOLLARS, NOT MUCH YET TO SHOW

Alaskans are surviving cancer better, are slapping each other less, and are quitting smoking.

But according to the Healthy Alaska Scorecard update from the Alaska Department of Health and Social Services, there’s a lot of work ahead to get Alaskans’ health on track.

We’re still too fat, we drink too much, and we’re couch potatoes. Plus, too many of us kill ourselves.

Those are just a few of the findings released last week by the department. Commissioner Adam Crum said that while there are some improvements, there are plenty of health indicators not worthy of bragging rights.

The data compares baseline information in over 25 health indicator categories from 2010 to the years 2017 and 2018. There are a couple of indicators only updated as far as 2016.

Only one of the categories is considered “on track” — meaning it’s meeting the expectation of the department for progress. That is the increase in the percentage of rural community housing units with water and sewer services. In Alaskan terms, this means running water and no honey buckets.

But as for accessing a doctor, progress has been slight, in spite of the billions of dollars spent to expand Medicaid to working adults without children.

In 2017, 13.6 percent said they could not afford to see a doctor, compared with the baseline rate of 14.7 percent from years earlier. DHSS claims progress in this area — progress of 1 percent.

For Alaska Natives, there’s been more progress in access to doctors. The percentage of that population who could not afford to see a doctor went from 13.2 in 2010 down to 11 percent in 2017.

The number of Alaskans admitted to hospitals for cases that could have been prevented with high-quality preventative care (based on industry definitions) was also lackluster. It was 7.1 percent in 2010, but rose to 7.3 percent in 2017. Medicaid was supposed to fix the problem of hospital emergency admissions due to lack of access to a doctor.

Alcohol mortality rates have also increased at an alarming rate since 2010. For every 100,000 Alaskans, there were 16.3 deaths in 2010, but it creeped up to 19 deaths per 100,000 in 2017.

On the other hand, binge drinking is down in both underage drinkers and those of legal age.

View the chart with all 25 health measurement scores here.

NATIVE HEALTH OUTCOMES STILL A CONCERN

A population subset that has benefited most from Medicaid expansion is Alaska Natives. Some improvements in health care access are noted in a separate report, such as access to prenatal care during the first trimester of pregnancy, which saw a 4 percent improvement.

Cigarette use is also down among Natives, as it is in the general population. The percentage of high schoolers who don’t smoke went from 59.2 percent to over 70.9 percent in the time between 2010 and 2017.

Cancer mortality is down.

But other concerns, such as suicide among Alaska Native adults, has skyrocketed since 2010, from 36.4 per 100,000 to 57.3 per 100,000.

The “Native only” chart shows no data at all for the number of rapes among that population. Neither does it show the reported rate of child maltreatment.

But in the overall population report for Natives and non-Natives, these numbers have worsened. (Note: this can be skewed because of a reduction in stigma in telling someone what happened leads to more reporting of these crimes.)

View the scorecard with the Alaska Native health outcomes here.

COSTS EXPLODING

The state’s Medicaid program is an open checkbook. Those enrolled will have their health care paid for by the state and federal governments without a cap, which allows the program to continue to expand, and always come back for supplemental funding.

During last year’s Senate Finance Committee hearings, both Sens. Anna MacKinnon and Peter Micciche expressed grave concern that the costs were exploding after they received a supplemental request from the Walker Administration of $170 million for the 2019 budget.

“When Medicaid was expanded, it was expanded with a set of assumptions that were simply incorrect,” Micciche said at the time. “There has to be a point where we have a bottom line of understanding what the end result is going to be. I mean, it is literally an open checkbook.”

Gov. Michael Dunleavy’s 2020 budget, due on Feb. 13, will likely have a different approach to what his administration has inherited, a health care system with not enough effective limits in spending and a substantial amount of fraud.

Most of traditional Medicaid enrollment — pre-expansion — is funded in a 50-50 split between the State and the Federal government. The expansion population has the Federal government paying about 90 percent of the cost, with the State picking up the remainder, at least for now.

Some costs for Medicaid have started to flatten since SB 74 was passed in 2016. To read the most recent report to the Legislature on cost-avoidance measures that have resulted from the recent Medicaid reform bill, check this link.

Who’s doing the vetting?

THE ANCHORAGE DAILY PLANET

Two recent flubs are beginning to make us wonder: Who is doing the vetting of Gov. Mike Dunleavy’s political appointments for jobs in his administration?

A member of Dunleavy’s Cabinet, Department of Administration Commissioner Jonathan Quick, resigned Thursday amid accusations he lied about his business background.

Then, Art Chance, a tough labor negotiator who came under fire for Facebook comments described as racially charged and misogynistic, declined a job with the Department of Administration.

These kinds of things must be embarrassing for a new administration and easily could be avoided – and kept out of the headlines – by serious vetting. The Left and its pals in the media, it must be remembered, will pull out the stops to give this administration, any Republican administration, a black eye.

Just sayin’.

The Anchorage Daily Planet

Franklin Graham to headline Governors Prayer Breakfast

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(2-minute read)
The president of Samaritan’s Purse, Franklin Graham, will be the keynote speaker at the Governors Prayer Breakfast on March 23 in Anchorage. The event takes place at the Dena’ina Center.  Doors open at 7 am with breakfast beginning at 8 am.
The Alaska Governors Prayer Breakfast began in 1983 to give Christians a venue to pray together for the leaders of Alaska. It became an annual event and hosts some of the major Christian speakers in America for an inspirational message on a Saturday morning.
Graham is the son of the late Rev. Billy Graham and Ruth Bell Graham. By the time Franklin was born, Billy Graham was already the most famous Christian pastor of his generation. Franklin rebelled and traveled the world as a young man, but eventually committed himself to Christ. He was invited by Dr. Bob Pierce, the founder of Samaritan’s Purse, to join him on a mission to Asia. During the trip, Franklin answered the call to work with hurting people in areas of the world affected by war, famine, disease, and natural disasters.
Samaritan’s Purse has a presence in Alaska, including a lodge where the organization hosts military husbands and wives whose marriages need renewal after one of them has been deployed to a war zone or has been exposed to trauma. The group was also instrumental in rebuilding many homes after the 2009 Yukon River flood.
The group responded to hurricanes, tornadoes, and floods across the South, fires in the West, and recently provided free lunches to all furloughed Federal employees near the group’s headquarters in Boone, N.C.
It is active in several countries overseas, providing medical response to the Ebola crisis in the Democratic Republic of Congo, and bringing presents to children all over the world through Operation Christmas Child.
Tickets and more information:

Uber, Lyft fees to soar at Anchorage airport

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(2-minute read) COMMENT PERIOD ENDS JAN 31

Independent ride-sharing drivers may have to charge their riders $2.50 more to be picked up and dropped off at the Anchorage and Fairbanks international airports.

The $5 roundtrip fee the State seeks to charge riders who ride in an Uber or Lyft to the airport, rather than a cab, is the subject of a comment period that ends on Jan. 31 at 4:30 pm.

Transportation Network Companies, or TNCs as they are called, don’t pay a fee to drive people to and from the airports. They were only approved to operate in Alaska in 2017 after passage of a bill sponsored by Sen. Mia Costello and Rep. Adam Wool.

But cab companies pay $75 per year in Anchorage and $150 a year in Fairbanks, per cab. Limos in Anchorage pay $150 a year to access the airport.

IS IT FAIR?

Uber and Lyft are two TNCs that operate in Anchorage.

In 2018, about half of the active drivers made 95 percent of the trips to the airport. Those trips averaged out to 187 trips per driver. A $2.50 fee for those drivers would mean $467 a year in fees, meaning that Uber and Lyft users would pay more than four times the fees that cabs are paying — and passing along to their customers.

Last year’s TNC driver with the most number of trips to the airport would have paid $4,993 to the Ted Stevens International Airport, if the fee structure applied in 2018.

The public hasn’t heard much about the proposed fees, and information on it is buried in the State of Alaska website.

Sending in a public comment on it will require some effort, as there is no email address provided by the State to submit messages electronically. You’ll need to do it the old-fashioned way by writing to:

Keith Day, Controller
Alaska International Airports System
P.O. Box 196960
Anchorage, AK 99519-6960

Comments may also be hand-delivered to Room C-3588, South Terminal, Ted Stevens Anchorage International Airport during business hours.

Should this murderer go free? Help Parole Board decide

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(1-minute read) DEADLINE APPROACHES FOR COMMENT

The Alaska Parole Board has heard from more than 220 Alaskans about the pending parole hearing for killer Jonathan Norton, since news of his upcoming parole hearing was covered earlier this month in MustReadAlaska.

The parole board will meet on Feb. 4 to hear Norton’s request to be set free after serving just one third of his sentence for the horrific murder of Duane Samuels in 1989.

Jonathan Norton rang the doorbell of Duane Samuel’s house one October morning, demanding his car keys and then shooting him three times. It was one of the most notorious murders of the era because it was both premeditated and a stranger murder.

Friends of the Samuels family have since created a website about Duane to give people more information, should they want to help the family keep Norton off the streets.

The parole board must receive letters of support for his release or continued incarceration by noon, Feb. 1. So far, most letters are opposing his release, MustReadAlaska has learned.

Write to the Parole Board here:

Parole Board: [email protected]

The Office for Victims Rights: [email protected]

The MustReadAlaska story about Duane Samuels’ murder is linked below. Caution: details are gruesome:

‘He fell to his knees and I shot him again’