Doctors Within Borders

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  • Posted By: Toutatis @ 08/06/2008 12:17:29 AM

    It is becoming increasingly clear that profits much be removed from the health care system. Honest and fair wages and salaries: yes. Profits, no. Health care for most of our history has been nonprofit in large part, from hospitals to Blue Cross/Blue Shield. Starting under Reagan came a big push for converting hospitals and insurance to profit-oriented greed and that was the end of a sane health care system. Stop it nenoughenough.

  • Posted By: Bobbles @ 08/05/2008 10:06:04 PM

    It might help if the massive funds spent by the Drug Companies advertising their products on TV and paying their senior executives was put towards helping the genuine need shown in this article, The health business in the USA is about conning people to take medicines and treatment that they really don't need just to provide more money for the health Industry its shareholders and managers.

  • Posted By: olderwiser @ 08/05/2008 8:17:01 PM

    It's a shame not to provide medical and dental care for people who have no insurance and no money to pay for it. But not hard to understand how it happens with a government willing to waste so many resources on a useless and uncalled for war. They are just not the kind of people who should run this country. I will duck now while a number of people who think otherwise begin to hurl things in my direction.

    • Posted By: Velo Route @ 08/05/2008 9:31:14 PM

      The governement we elect that goes and murder people around the world so that it can extort their resources REFLECT what we in the majority are all about...then somoene boast we are a great people and nation .... We might not individually go and kill for oil,... nevetheless we gladly let our governement do it for us and/or do nothing to stop them and continue to elect the same warmongers thiefs etc....with all the very convenient excuses to justify it, except the real but inconvenient truth we do not want to hear about because it is exposing what we actually want(oil) and are ... a bunch of selfish people in its majority.... that's why we have so many uninsured people in the country.... 18,000 people are dying every tear for lack of insurance...and nobody cares ...so much for being a great country! and a great people!
      except for a minority could care less about the rest of us ..that's why we have so many uninsured etc... etc..ired people ercc.. footthat did nothing to us reflect what the majority of the people of our ccoubtry are all about ....then many thinks we aew

  • Posted By: chamsticks @ 08/05/2008 11:22:42 AM

    While the Republicans play fantasy games pretending like we need trillion-dollar defense budgets to fight peasants in mud huts while they're raking off millions for themselves and their friends, while the Republicans give corporate welfare to companies run into the ground by morons who couldn't care less because there are zero consequences and meanwhile they're raking off millions, while they lie and cheat their

    • Posted By: csm2bde @ 08/05/2008 11:38:35 AM

      Obviously you have never spent anytime in Europe of anywhere else. Question Why do the other industrialized nations spend less than 10% of GDP on health care and insure 100% of their citizens. We spend 15.4% and have 46Million uninsured. I have lived in Canada, Norway, Germany, and now Belgium in my life-time. Here in Belgium and in France the doctors do house calls. The reason we spend so much is the fact that the money goes to the Insurance companies who scream Socialism anytime some one mentions a one payer system and universal coverage. Americans are ripped off and unfortunatly have lost the ability to think critically on this subject and many others. How else do explain two terms of Bush?

      • Posted By: Emilli @ 08/05/2008 12:08:09 PM

        And what if people in any of those countries decides he or she no longer wants to be insured? What happens to them if they refuse to pay? We do not need another system like the public school system. Can you imagine if someone wants a christian doctor or maybe they are playing a sport that is high risk will them the one payer system being a tax payer you are costing money have the right to say NO, I can hear it now no prayer or bibles in the hospitals,,,,

        • Posted By: csm2bde @ 08/05/2008 8:23:08 PM

          I rest my case on having lost the ability to think critically, if you need a bible go to church. This is about health care. To many on the right think the world is 4000 years old and Adam and Eve rode dinasours to Sunday School.

      • Posted By: GeorginaKlanica @ 08/05/2008 12:41:47 PM

        csm2bde - I think the answer is that in nations with socialized care you often wait longer for treatment or may not get the most advanced treatment.

        Example - a lady in a tour group I was in in 2004 fell in the Coliseum in Rome and broke her arm. She was treated for free in a Roman hospital She returned to us with a plaster cast, which is an outdated form of mobilization of broken bones. It was applied too tight, as evidenced by the color of her fingers. (NOTE - by luck we had a PT in our group that specialized in hand rehab.)

        I'm on the fence about health care. I'm 41, single, with one remaining immediate family member, my dad, who is 88. I'm worried an illness or accident will wipe out everything I've worked to save, leaving me destitute. If things continue go well, I'd hate to have to continue working (FT or PT) longer than I have to - not because I haven't saved enough for retirement - but because a job provides the only access I have to health insurance.

        On the other hand, I didn't invest college and go to work because I want to, but because I have to. The education offers access to a career, the career offers access to insurance, and the insurance offers access to the most advanced forms of treatment, and in a timely fashion. I don't want to lose treatment and timeliness to those who haven't earned it, even if socialized medicine is humanitarian.



        I'm on the fence on this one

        • Posted By: luvVA @ 08/05/2008 1:32:48 PM

          Don't kid your self in thinking that a plaster cast applied too tightly would never happen in the US. Expensive doesn't ensure the best. Check out Canada's healthcare statistics they are atleast as good as the US and sometimes better in many instances. People in the US pay alot of money for poor or inadequate care everyday. Americans are arrogant and feel the right to choose is EVERYTHING. Our healthcare system is all about profit. How does that make it the best?

  • Posted By: wendelma@hotmail.com @ 08/05/2008 5:50:49 PM

    I agree with the McGruder comment. It has to be out of the government hands and into the hands of individuals maybe with portable plans. People good...government bad. The government cannot make the decisions for every individual because there is no law or rule that covers all circumstances. Each American or American family must get their own plan and get real about their health situation (meaning smoking, drinking, etc.). It is not all other Americans' fault that some other American smokes. If people would excercise, stop smoking, and stop drinking, I would be out of a job. Dr. W

    • Posted By: Flash McGruder @ 08/05/2008 6:38:30 PM

      Thanks. My grandfather was a country doctor in North Carolina. When I was staying with them when I was little, I remember him being paid for with food. My mother told me that he was once paid with a possum which they never ate because her sister thought it was a cat. My cousin is an oncologist in Virginia, and I know they visit smaller hospitals in the remote areas, but there probably needs to be better incentives to get improved medical care to the remote areas. I don't think possums will cut it anymore! - Flash (a PhD)

      • Posted By: olderwiser @ 08/05/2008 8:11:15 PM

        Congratulations on the PhD, Flash.

        • Posted By: olderwiser @ 08/05/2008 8:19:17 PM

          Opossums. Pogo. The ultimate opossum. I always forget the "o", too.

  • Posted By: blankster @ 08/05/2008 7:55:53 PM

    It is about time. So many leave this country to help others and forget
    to give back to their own communites.
    Thanks to all the volunteers!

  • Posted By: randel101 @ 08/05/2008 3:32:33 PM

    I say kudos to goodwillhunting22 and what he says has a lot of merit. There are a lot of undeserving people out there that are scamming the system making it worse for those more deserving. With the current system it's not going to change. From experience, I have a cousin that has had several abortions, and 3 children out of wedlock and probably does not know the fathers. She is a professional scammer of the government tit. When she is threatened to be cut off from her unemployment for not working she will find work and work long enough to collect un-employment again. It's become a predictable pattern but our bleeding heart liberal wellfare system keeps rolling over and giving her assistance. In reality what needs to be done is the Child welfare system needs to take her children from her, when she is out bar hopping with the welfare money she scammed, put them in foster homes or up for adoption and eliminate her from the gene pool. All she is doing is teaching her off spring how to scam and use the system and breed like a rat. The sad thing is everyone of you out there either has a relative like that or knows someone that falls in this category either male or female. Most of you are in denial and turn a blind eye when it comes to admitting it. We have turned our backs and elected to let the government deal with our responsibilities thus giving us relief from ours. And yes I'm guilty as charged but it's illegal for me to solve the problem.

    • Posted By: breakoutofthebox @ 08/05/2008 7:37:57 PM

      Yeah, see, what's wrong here? Did YOU step up to plate to get those kids out of the mess that your cousin put them in? No? but YOU are expecting the government that you lambast for helping the "scammers" for not helping. that's not hypocritical, nah. that's just it, no, we don't have scammers in my family, because we all pitch in and get the ones who need help, the help they need and not the kind of handout that continues the problem. You are sitting there not dealing with your own blind eye.

    • Posted By: barelymakingit @ 08/05/2008 4:22:37 PM

      Lots of us have seen the scammers. Doesn't do any good to try to turn them in though. (tried that) Department of Human Services just never would listen, wouldn't investigate, or if they were going to investigate they would notify the people like 2 weeks in advance they were going to be there to check things out and the people would just do whatever was necessary to pass inspection, get false paperwork together etc.

  • Posted By: jbextreme@hotmail.com @ 08/05/2008 4:50:44 PM

    If Germany, Canada, Cuba, France, Italy and Great Briatain can have some type of Universal Health Care and make it work, why can't the U.S.? I'll tell you why...GREED! And West Virginia is a drop in the bucket. Why is it that we can take care of other people of the world except ours? Taxes would probably rise but guess what, you won't be be stuck with astronomical bills if something does happen to you, and yes, you can get stuck with bills even if you have health insurance. Higher taxes or possible death, you choose.

    • Posted By: goodwillhunting22@hotmail.com @ 08/05/2008 5:08:08 PM

      Have you even read anything about those health care systems? Or are you just regurgitating crap that you hear? Those place have extremely long lines in the emergency rooms to be seen by doctors. If you need a medical procedure you are put on a waiting list...and you may be alive when you are approved. Not to mention the people that can afford it come to America to get procedures done because our doctors are better than the ones in their country.

      • Posted By: breakoutofthebox @ 08/05/2008 7:21:13 PM

        Have YOU ever read anything about those health care systems? What you spouted was a complete lie. I've lived in two countries with government run systems, BOTH of which are at the top of health care ratings, New Zealand and France and neither one of them had lines at emergency rooms. And just because you're SITTING in a waiting room in emergency in the U.S. doesn't make it any less a long line!

        I'm not advocating for the French system because doctors took some serious "guinea pig" advantages of their patients, in using techniques and procedures that they wished to try out and see how they would work. I was one of them. With no oversight, they had the ability to basically play God. But I see that happen in the U.S. too, so for me it's a wash. I think what concerns me most about the article, that so far no one has picked up on... is that the U.S. is put in the same category as Ghana and East/West African countries. Those are THIRD WORLD people! Hello!!! There is a very sincere exclamation point on the fact that we are lumped into that category. That shows a very large problem that cannot be ignored. We MUST change the system here in the U.S. I also fault the cost of college for ALL college bound and fault businesses who require a college education for a job that truly doesn't need one.

  • Posted By: wendelma@hotmail.com @ 08/05/2008 6:51:18 PM

    All Cates said is true. Many docs have to pay at least one person just to submit all bills to various insurance companies, at least three people to run the office, and at least one if not more nurses to help run the clinic. (Not to mention when people are on vacation.) Six people at 50k per year minimum plus benefits = 80k each * 6 = 480k per year. Add office costs including utilities, malpractice insurance, student loan cost and you are looking at about 700k per year operating cost. The collection on billable services was about 33% last year ( we take care of many who do not pay by the way). That means we had to bill for $2.1 million just to break even last year. That does not include the doctor salary and benefits. Unless the doctor is a specialist, it is hard to bill for more than $2million in a year without giving each patient 5 minutes tops. Doctors have to come up with creative ways including offering procedures to make the necessary cash. It doesn't make them greedy. I do think the insurance companies are greedy. They have an adversarial relationship with both doctors and patients. They deny claims at every opportunity. Blue Cross/Blue Shiled recently lost a big case and had to pay out millions to the doctors for withholding or down charging services. I fear a government ran system just as badly. I fear they will fix payments and docs will not be able to recoup their costs.

    We are in this in the first place when the miners had their wages fixed (a socialist move) and the black market prevailed and insurance was given as a source of fringe benefit. Medicare soon followed (another government entity). Now wer are stuck in a system that cannot pay for itself. Is there hope?

  • Posted By: LINDA @ 08/05/2008 12:57:07 PM

    THIS IS WRONG EVERYONE IN THIS COUNTRY SHOULD HAVE HEALTH INSURANCE. WE SPEND 12 BILLION DOLLAR'S ON THIS STUPID WAR. BUT PEOPLE GO WITH OUT HEALTH CARE,PEOPLE CAN'T AFFORD THERE MEDICEN SHAME ON THIIS MR BUSH

    • Posted By: kuszmaul1 @ 08/05/2008 1:02:19 PM

      It's not Mr. Bush's fault people cannot afford healthcare, that???s not the government???s job. But it is Mr. Bush's fault that we have not had a terrorist attack on US soil since Sept 11, 2001, that IS the government???s job.

      • Posted By: summer4077 @ 08/05/2008 1:42:34 PM

        The government's job is to take care of its people. Health care is the most important part of taking care of a country's people. Do you realize that our tax dollars are funding hospitals and clinics set up in Iraq and Afghanistan? Oh yes, we want to make sure those future terrorists are nice and healthy, while our own people are left to rot!

        • Posted By: GoHomeFascist @ 08/05/2008 6:31:22 PM

          I agree with your post summer4077, but you're wasting your time trying to explain to a fascist that it's the governments job to take care of it's citizens. They simply don't believe in that concept, so to them it's a non-issue and no debate is necessary....

    • Posted By: bjtbwt @ 08/05/2008 2:44:41 PM

      People don't realize that we spend more ech year on illegals to support them and their families than we do on the Iraq war or the fight on terrrrism to keep our country safe. I have a son-in-law who is on medicaid because he has had almost 30 cornea transplants from a childbrith problem. If our govt would open up their eyes and let these people work and just provide them with the insurance they need for the health issue that they have, then we wouldn't have to support near as many people on medicaid as we do today. They refuse to let them work and if they do, they will take away their aid for surgeries to help their problem. He is very capable of working a job and having insurance to cover his normal everyday problems, but needs the help on his eyes and yet they won't let him work because of our screwed up system. Imagine what we would save if we were able to let the majority of people work that have a disability. Guess what.............we wouldn't need all these illegals here doing these other jobs either if we had our own people to do them. I am not a believer in a national insurance program as you will not get the healthcare you deserve and someone does have to pay for it and it won't be those people holding their hands out!!!!! I own my own company and pay dearly to provide my employees with the best insurance coverage we can get for them so I"m not just blowing smoke! People, please wake up and realize that nothing is really free in this country! You have to work for everything you get and if you choose not to do so, then you deserve to live like you are. Not mine or anyone else's problem!!!!!!!!!!!!!!!!!!

  • Posted By: Cates @ 08/05/2008 6:17:07 PM

    Greedy insurance company = bad
    People = us = USA = government = good

    American Insurance overhead = 32 percent = bad
    Medicare overhead = 2.5 percent = good

    America spends 18 percent GDP on health care = bad
    Europe spends 7 to 10 percent on GDP = good

    America ranks 37th on WHO health care quality = bad
    ALL major European countries rank higher = good

    So to recap for the slow ones ??? America spends twice as much for healthcare as Europeans and our quality of care is markedly lower.

    Why American continue to defend a system that is not in their best interest is beyond me.. I guess it does highlight the power of propaganda. The greedy insurance companies have got these rubes believing that corporations are somehow more trust worthy than We The People and that America is somehow bad and can do nothing right.

  • Posted By: Flash McGruder @ 08/05/2008 5:40:23 PM

    Interestingly, the current group medical plans were created during WW2 because coal miners were going to strike because the mine owners were making money hand over fist while wages were frozen be Federal mandate. As a work-around, Congress approved a company health plan and gave the companies a tax break to offset the costs. So the miners effectively got a pay raise. Then it spread to other companies. Now the costs have gone through the roof for reasons that I have never seen realistically explained. So what was a reasonable ???system??? has gotten unreasonable. The Federal government caused the current system and now needs to fix it .
    Rather than a ???national health care??? system, one alternative is to replace the current group plans with individual or family plans that are portable. To make the plans affordable, a basic coverage can be used as a start with additional coverage chosen ???cafeteria??? style. To make the monthly costs low, the ???high deductable??? route can be used so that the monthly costs for the plan are low. There are lots of people that complain about costs but still have cell phones, buy beer regularly, and buy lots of crap that ends up being sold at yard sales. With some basic education and some basic changes, most people would be able to afford at least the basic care.
    To further lower costs, if anybody has a lifestyle that increases illnesses and medical costs, they should pay more for being stupid. If you are stupid enough to smoke cigarettes, you should pay more for being stupid. If you are obese, you should pay more for overeating. If you use drugs, you should pay more for being stupid. If you drink too much, you should pay more. The rest of us should not have to pay more for people who are stupid. Any of these stupid people would be able to pay for an individual medical plan by stopping the things that they do because they are stupid.
    A PBS show about effective medical systems in other countries (none of which were modeled after the US system), showed that medical plans can be run by public companies without becoming a government-run system. There is no reason why we can???t do it here.

    • Posted By: Velo Route @ 08/05/2008 6:13:20 PM

      PLAN with High Deductible... is the main reason why 50% of pepole had to file for bankruptcy due to medical bills among those who had insurance coverage and/or under insurance coverage..As far those who smoke,drink just hike the tax on those products..etc......

  • Posted By: Cates @ 08/05/2008 5:20:28 PM

    Having lived and practiced in both the USA and Europe I can confirm that there are no "waiting lists" for services. These stories are propaganda planted by greedy insurance companies that don't want Americans to find out they are paying twices as much as they need to for inferior access to care. In fact the services are generally better and easier to access in Europe. The final insult is that the easy access and superior care that Europeans enjoy, actually costs half as much as we pay in premiums.
    Check the facts at: http://www.accc-chiro.com/National%20Health%20Care%20ACCC%2006.ppt

    • Posted By: wendelma@hotmail.com @ 08/05/2008 5:31:53 PM

      No offense intended, but why are you now practicing in the US instead of Europe?

      • Posted By: raddave @ 08/05/2008 6:09:52 PM

        Cates said that he or she has practiced both in the U.S. and in Europe, not that he or she is currently practicing in the U.S.

  • Posted By: seti2008 @ 08/05/2008 12:43:51 PM

    It really bothers me that Medicaid does not pay for dental care. I see children who are not yet 18 with scraggly teeth, etc. How are they to find decent jobs. One person told me that the reason why she has never tried to get a good job sorting and delivering mail downtown or with a courier service, rather than at mailing houses, is because of her teeth.

    • Posted By: Aswan @ 08/05/2008 6:09:20 PM

      The article stated that Medicaid does cover dental care for children but the reimbursement is so low that it is difficult to find a dentist who will accept Medicaid patients. So, it's covered, but there is not enough access. They called it a "phantom benefit."

    • Posted By: RedneckWomanandProudofit @ 08/05/2008 12:57:26 PM

      VA medicad does cover dental for children under 18! i am only 16 and recieve dental care every six months AND whenever i need it. plus i truly believe that if being refused a job because of a persons teeth is DISCRIMINATION!! which is illegal.

      • Posted By: GoHomeFascist @ 08/05/2008 6:00:16 PM

        It's only illegal nowadays if the companies get caught for it my dear....

  • Posted By: JDMorgan @ 08/05/2008 12:42:07 PM

    First of all "Fat Joey" Doctors don't "get rich" it takes decades to pay of the tens of thousands of dollars they spend on education, then their salary goes to paying for malpractice insurance, licensing fees, etc. On top of this they are on call 24 hours a day pretty much for the rest of their lives.

    What we need is a government health insurance plan for all Americans that is similar to, if not identical to, the system that the Vetrans Administration uses. I applaud the VA for providing the best and most efficient care for our nations veterans and also for operating "Stand Downs" similar to RHA every year in communities all across the country.

    • Posted By: FATJOEY @ 08/05/2008 12:43:07 PM

      NAME ONE "POOR"DOCTOR????

      • Posted By: GoHomeFascist @ 08/05/2008 5:52:04 PM

        Why? You can just google poor doctors and you will find many stories that support JDMorgan's statement you fascist imbecile...

  • Posted By: adlesk @ 08/05/2008 5:33:45 PM

    Oh, my Goodness! What about a medical-dental VISTA? I went into medicine to help people, to be able to give of myself, my caring, my medical knowledge to those in need. Contrary to popular belief, I believe that a lot of health care professionals would look upon the opportunity to help the less fortunate without monetary charge. Surely that could be a reachable star. Thanks. "Dr. D."

    • Posted By: wendelma@hotmail.com @ 08/05/2008 5:42:52 PM

      We only collect on 33% of our billable services. How's that for charity?

  • Posted By: adlesk @ 08/05/2008 5:31:09 PM

    Oh, my Goodness! What about a medical-dental VISTA? I went into medicine to help people, to be able to give of myself, my caring, my medical knowledge to those in need. Contrary to popular belief, I believe that a lot of health care professionals would look upon the opportunity to help the less fortunate without monetary charge. Surely that could be a reachable star. Thanks. "Dr. D."

  • Posted By: randel101 @ 08/05/2008 5:28:33 PM

    Mmmm, lets see! Lack of education, poverty, scammers, corrupt politics, greedy Dr's., hospitals for profit, and insurance fraud, lack of gainfull employment oppertunities, lack of adequate health care facilities and lack of qualified healthcare personels. Yep, sounds like it is broke but it ain't going to fix itself. It's business as usual unless we all get off our asses and force change. Do it legally and become informed about your elected official and candidates running for public office. Then follow up on their voting record and impeach them if they allow special interest groups or lobyists to sway their vote against the will of their electoriate. When was the last political figure in your area tar-ed and feathered, run out of town and or impeached because he ignored the peoples interests for favors or special interests. Time to vote the GOB's (good old boys) out and become a knowledgable voter. There are equally good and bad politicians on both sides so that while voting straight party lines is easier it won't fix the problem. Be an independent voter and vote for the candidate that best represents your interests and it looks more and more like it ain't the incumbent.

  • Posted By: dusty1207 @ 08/05/2008 3:06:33 PM

    I understand that people do need help; especially the kids. Although, adults in their 20's having to pull all of their teeth is pure irresponsibility. I wonder why alcoholism and drug addiction was not addressed. There was definitely a side of the story that was left untold. It is sad that there are kids growing up learning this type of lack of personal responsibility and hygeine. I am a single mom without a college degree living in Southern California. I work two jobs, own a small condo, teach my son responsibility and pay for his medical and dental insurance. I work unbelievably hard to take care of my family; I should not be forced to pay for someone else's. My prayers are with the kids.

    • Posted By: djoyousone @ 08/05/2008 3:27:36 PM

      Good for you. While your success is commendable, and I am sure that raising two children while working two jobs is daunting, but at least you have two jobs to have. I'm from rural Virginia and in some communities like the ones depicted even ONE job is hard to come by even when you HAVE a college degree. When I lived in Richmond, VA in my 20's, I couldn't afford healthcare and I HAD a job AND a college degree. I worked hard, often at more than one job, and could barely take care of myself. That's why articles like this are written to help people understand the plight of others who are LESS FORTUNATE to inspire people to invest in the rest of our nation. Unfortunately, people who have a little something don't always have the capacity to understand. It's nice that you would like to help the children in this situation, but if you don't help their parents too, it almost becomes a wasted effort. Children learn from their environment and if alternatives to what they've always known aren't demonstrated before them, they will continue to repeat what's happening around them. No one needs or cares your smugness.

      • Posted By: dusty1207 @ 08/05/2008 5:23:20 PM

        You lost me on the "smugness" comment. Actually, I do volunteer with families (the parents) that are looking for homes providing career advice because I know that is important. My point was that the story was only one-sided. I think when addressing the needs of the nation, we should look at all sides. My father was a drug addict who is now clean and working because he STOPPED getting handouts. I shouldn't be forced to help, I should be free to. We definitely need to make changes to healthcare, but we need to consider all aspects of reality rather than the world that we choose to see. Maybe this forum should be more for intelligent discussion (as yours started out to be) rather than petty digs at someone for voicing their opinion. Then, we could LEARN FROM each other instead of needless arguing.

  • Posted By: minmn @ 08/05/2008 5:11:59 PM

    RE: not affording dental and eye care.
    Most of us have money for what we WANT to spend it on. In the stories photos there were some newer cars and trucks. People had money for tatooes, etc. -- but not the DDS.

    From experience as a volunteer advocate for low income folks in my community I find there is money, but not priorities. They have money for Netflex, cable TV, a cell phone, eating out 1-3 times a week., etc. Yet, they will not budget, change their priorities and spend it on their health.
    The really low income folks I work with are on medical assistance which picks up the tab for the medical.
    For the folks that don't qualify we have MN Care, which is reasonable monthly cost. Yet, they would rather spend it on pleasure and entertainment.
    UNIVERSAL health care NO, NO, NO. We need priorities, values and budget education.

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