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Of the 304,042 households, 36.8% had children under the age of 18 living with them, 40.1% were married couples living together, 20.4% had a female householder with no husband present, 33.1% were non-families, and 26.1% of all households were made up of individuals. The average household size was 2.78 and the average family size was 3.31.
The current reimbursement formula is known as "ASP+6" since it reimburses physicians at 106% of the ASP of drugs. Pharmaceutical company discounts and rebates are included in the calculation of ASP, and tend to reduce it. In addition, Medicare pays 80% of ASP+6, which is the equivalent of 84.8% of the actual average cost of the drug.
The rate of soil erosion is 10–20 times higher than the rate of soil accumulation in agricultural areas that use no-till farming. In areas with tilling it is 100 times higher. Climate change worsens this type of land degradation and desertification. [11]: 5 Climate change is projected to negatively affect all four pillars of food security.