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	<title>Comments on: Leonard Pitts Jr.: America The Greatest?</title>
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		<title>By: Raymond Baldwin</title>
		<link>http://www.nationalmemo.com/leonard-pitts-jr-america-the-greatest/#comment-31841</link>
		<dc:creator>Raymond Baldwin</dc:creator>
		<pubDate>Wed, 11 Jul 2012 19:44:00 +0000</pubDate>
		<guid isPermaLink="false">http://www.nationalmemo.com/?p=19711#comment-31841</guid>
		<description><![CDATA[One aspect of greatness might be, other nations general populations having a desire to emulate us, assuming that their motives were for all the right reasons, whatever those might be.  So, just what are the &quot;right&quot; reasons? It is strange how every answer creates still another question!]]></description>
		<content:encoded><![CDATA[<p>One aspect of greatness might be, other nations general populations having a desire to emulate us, assuming that their motives were for all the right reasons, whatever those might be.  So, just what are the &#8220;right&#8221; reasons? It is strange how every answer creates still another question!</p>
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		<title>By: dtgraham</title>
		<link>http://www.nationalmemo.com/leonard-pitts-jr-america-the-greatest/#comment-30920</link>
		<dc:creator>dtgraham</dc:creator>
		<pubDate>Fri, 06 Jul 2012 20:47:00 +0000</pubDate>
		<guid isPermaLink="false">http://www.nationalmemo.com/?p=19711#comment-30920</guid>
		<description><![CDATA[I love that doc-in-the-box name.  Sounds like some place that kids would want their parents to take them to.  The medical Mcdonalds.  They ought to rename the walk-in clinics up here to doc-in-the-box.  

By the way, that was just Alberta I was talking about.  BC is referred to as the left coast and is very liberal (NDP these days).  Saskatchewan is the home  of Tommy Douglas and socialized medicine.  His party (NDP) is still very strong there.  While Albertans would never vote out the Canada Health Act, they do tend to go their own way.  Glad they stayed Progressive Conservative though, in their recent Provincial election.


I&#039;m sorry to hear of the anti-corruption practises act of Montana being cast aside by the Supreme Court.  Montana sounds like a place that really believes in strong, transparent, grass roots democracy.  They really take democracy to the street.  Very clean, transparent, elections for the last 100 years apparently.  That&#039;s a bloody shame.  Take care montanabill.      ]]></description>
		<content:encoded><![CDATA[<p>I love that doc-in-the-box name.  Sounds like some place that kids would want their parents to take them to.  The medical Mcdonalds.  They ought to rename the walk-in clinics up here to doc-in-the-box.  </p>
<p>By the way, that was just Alberta I was talking about.  BC is referred to as the left coast and is very liberal (NDP these days).  Saskatchewan is the home  of Tommy Douglas and socialized medicine.  His party (NDP) is still very strong there.  While Albertans would never vote out the Canada Health Act, they do tend to go their own way.  Glad they stayed Progressive Conservative though, in their recent Provincial election.</p>
<p>I&#8217;m sorry to hear of the anti-corruption practises act of Montana being cast aside by the Supreme Court.  Montana sounds like a place that really believes in strong, transparent, grass roots democracy.  They really take democracy to the street.  Very clean, transparent, elections for the last 100 years apparently.  That&#8217;s a bloody shame.  Take care montanabill.      </p>
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		<title>By: montanabill</title>
		<link>http://www.nationalmemo.com/leonard-pitts-jr-america-the-greatest/#comment-30830</link>
		<dc:creator>montanabill</dc:creator>
		<pubDate>Fri, 06 Jul 2012 16:31:00 +0000</pubDate>
		<guid isPermaLink="false">http://www.nationalmemo.com/?p=19711#comment-30830</guid>
		<description><![CDATA[My neighbor is dual citizen of the U.S. and his native Quebec.   I also know a number from B.C., Alberta and Saskatchewan, and you are right about them thinking a little different than eastern Canada.   Mostly, the doctors here do not deal with Medicare bureaucrats.  They either don&#039;t take Medicare patients or have hired staff to deal with Medicare.  I doubt that you could find one that thinks it is a pleasure to deal with Medicare.  (I&#039;m in the health care field.)   Medicare reimbursement time is on a par with insurance companies.    With Medicare and HMO&#039;s cutting reimbursements, the average face time with a physician has gone from about 15 minutes to 5 minutes.  More and more, your face time is with a P.A.  
We also have a lot of doc-in-the-box facilities.  Those are about the only places, short of an emergency room, where you can see a doctor with little notice (depending on the number of people already waiting).    My guess is that a fairly large number of independent physicians here will join those already operating cash only practices.    For those that can afford it or have insurance that will reimburse the patient after they pay, it will be a return to the family physician.]]></description>
		<content:encoded><![CDATA[<p>My neighbor is dual citizen of the U.S. and his native Quebec.   I also know a number from B.C., Alberta and Saskatchewan, and you are right about them thinking a little different than eastern Canada.   Mostly, the doctors here do not deal with Medicare bureaucrats.  They either don&#8217;t take Medicare patients or have hired staff to deal with Medicare.  I doubt that you could find one that thinks it is a pleasure to deal with Medicare.  (I&#8217;m in the health care field.)   Medicare reimbursement time is on a par with insurance companies.    With Medicare and HMO&#8217;s cutting reimbursements, the average face time with a physician has gone from about 15 minutes to 5 minutes.  More and more, your face time is with a P.A.<br />
We also have a lot of doc-in-the-box facilities.  Those are about the only places, short of an emergency room, where you can see a doctor with little notice (depending on the number of people already waiting).    My guess is that a fairly large number of independent physicians here will join those already operating cash only practices.    For those that can afford it or have insurance that will reimburse the patient after they pay, it will be a return to the family physician.</p>
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		<title>By: dtgraham</title>
		<link>http://www.nationalmemo.com/leonard-pitts-jr-america-the-greatest/#comment-30820</link>
		<dc:creator>dtgraham</dc:creator>
		<pubDate>Fri, 06 Jul 2012 15:45:00 +0000</pubDate>
		<guid isPermaLink="false">http://www.nationalmemo.com/?p=19711#comment-30820</guid>
		<description><![CDATA[There can be wait times for non emergency treatments.  Not denying that.  You read about the very odd bad case in the papers (wait times) but it&#039;s always acted on and they take it seriously.  Beyond that, I guess I can only reference my own experiences with the system, and that of my family, work colleagues, and so on.  I really only have positive stories but I&#039;m aware that there are negative ones out there too.  No system is perfect.

I would say two things about any wait times.  There are a number of walk-in clinics in every Canadian city where you can see a doctor any time (but you&#039;ll have to wait your turn).  If your neighbours are Albertans, I&#039;m wondering about the tales you&#039;re getting as they are somewhat less predisposed towards socialized medicine than any other Canadian Province or Territory.  I think I can safely say that.  They&#039;re different.  Not the same type of conservatism as in the U.S. exactly, but different by our standards.

In my examples, there would always be no wait time at all for emergency surgery and you&#039;d be top priority for cancer treatments with little if any wait time.

Government bureaucrats?  I once saw a U.S. doctor on a political show explain that he never has any dealings at all with bureaucrats for his medicare patients.  He&#039;s freed up to just concentrate on healing them.  With private, he&#039;s got an insurance industry guy in his face, constantly telling him what he can do and still expect to receive payment.  He has to clear a lot with them first.  There&#039;s your difference.  In single payer, the bureaucrats are much higher up, deciding things like... how many MRI&#039;s should be for a given geographic location and that kind of thing.  Once you see a doctor though, he/she can treat you in any way that they feel is best.  No involvement from anybody else.  There&#039;s no profit motive.  

Well, again, good talking to you montana.  You&#039;re really up on things and you always enlighten me as to how the American right sees the world.      

 ]]></description>
		<content:encoded><![CDATA[<p>There can be wait times for non emergency treatments.  Not denying that.  You read about the very odd bad case in the papers (wait times) but it&#8217;s always acted on and they take it seriously.  Beyond that, I guess I can only reference my own experiences with the system, and that of my family, work colleagues, and so on.  I really only have positive stories but I&#8217;m aware that there are negative ones out there too.  No system is perfect.</p>
<p>I would say two things about any wait times.  There are a number of walk-in clinics in every Canadian city where you can see a doctor any time (but you&#8217;ll have to wait your turn).  If your neighbours are Albertans, I&#8217;m wondering about the tales you&#8217;re getting as they are somewhat less predisposed towards socialized medicine than any other Canadian Province or Territory.  I think I can safely say that.  They&#8217;re different.  Not the same type of conservatism as in the U.S. exactly, but different by our standards.</p>
<p>In my examples, there would always be no wait time at all for emergency surgery and you&#8217;d be top priority for cancer treatments with little if any wait time.</p>
<p>Government bureaucrats?  I once saw a U.S. doctor on a political show explain that he never has any dealings at all with bureaucrats for his medicare patients.  He&#8217;s freed up to just concentrate on healing them.  With private, he&#8217;s got an insurance industry guy in his face, constantly telling him what he can do and still expect to receive payment.  He has to clear a lot with them first.  There&#8217;s your difference.  In single payer, the bureaucrats are much higher up, deciding things like&#8230; how many MRI&#8217;s should be for a given geographic location and that kind of thing.  Once you see a doctor though, he/she can treat you in any way that they feel is best.  No involvement from anybody else.  There&#8217;s no profit motive.  </p>
<p>Well, again, good talking to you montana.  You&#8217;re really up on things and you always enlighten me as to how the American right sees the world.      </p>
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		<title>By: montanabill</title>
		<link>http://www.nationalmemo.com/leonard-pitts-jr-america-the-greatest/#comment-30762</link>
		<dc:creator>montanabill</dc:creator>
		<pubDate>Fri, 06 Jul 2012 13:22:00 +0000</pubDate>
		<guid isPermaLink="false">http://www.nationalmemo.com/?p=19711#comment-30762</guid>
		<description><![CDATA[My response to geriatric poverty was simply because I know a number of people who survive solely on SS.  I don&#039;t believe they would say they are not in geriatric poverty.   You are right about insurance company bureaucrats, to a very large degree exacerbated by the creation of HMO&#039;s.   I simply can&#039;t see how putting a government bureaucrat in the mix is going to have any positive effect.
According to my Canadian friends, you are wrong about rationing in Canada which is why they come to the states when they don&#039;t want to wait for services.]]></description>
		<content:encoded><![CDATA[<p>My response to geriatric poverty was simply because I know a number of people who survive solely on SS.  I don&#8217;t believe they would say they are not in geriatric poverty.   You are right about insurance company bureaucrats, to a very large degree exacerbated by the creation of HMO&#8217;s.   I simply can&#8217;t see how putting a government bureaucrat in the mix is going to have any positive effect.<br />
According to my Canadian friends, you are wrong about rationing in Canada which is why they come to the states when they don&#8217;t want to wait for services.</p>
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		<title>By: dtgraham</title>
		<link>http://www.nationalmemo.com/leonard-pitts-jr-america-the-greatest/#comment-30696</link>
		<dc:creator>dtgraham</dc:creator>
		<pubDate>Fri, 06 Jul 2012 02:32:00 +0000</pubDate>
		<guid isPermaLink="false">http://www.nationalmemo.com/?p=19711#comment-30696</guid>
		<description><![CDATA[The National Bureau of Economic Research shows a decline in geriatric poverty from 35% down to 10% between 1960 and 1995.  They also show a further similarly steep decline dating back to 1939.  Social security, medicare, and medicaid do work Bill.  They work the way they were intended to work.  

That rationing of health care that I posed would change 100% for unfortunate people who aren&#039;t able to benefit from the best of American medicine.  Hell, some who believe that they have good private coverage find out later that they aren&#039;t able to benefit in nearly the way that they thought they were going to be able to.  There&#039;s a private health insurance company bureaucrat between you and your doctor every step of the way, advising your doctor what they&#039;ll pay for and what they won&#039;t, regardless of what the doctor feels is the right course of action.


It&#039;s all about profit and answering to shareholders.  They&#039;ll do anything to deny coverage.  They don&#039;t care because it&#039;s an oligopoly.  It&#039;s not a true market and everybody&#039;s doing the same thing.  You can&#039;t make health care insurance a true market.  Private, for profit, is just utterly inappropriate for health care, even if it works so well in most other sectors of the economy.  You forget who you&#039;re talking to montana.  That rationing of health care illustration that I posed would never, ever, happen in Canada, or with U.S. seniors on medicare (I think).  We&#039;re talking the chemo, fingers, etc..  However, those illustrations are routine in the U.S.  

By the way, I may have been wrong about that second bill of rights.  For some reason, I just assumed that it was semantics.  I thought that it was a euphenism for a list of objectives.  If he actually meant adding it to the constitution as some kind of addendum, that does put a little different spin on things.  I was just thinking about that today.  You would have to word it awfully carefully to prevent future constitutional issues.  I mean, business people having a guaranteed constitutional right to be protected from unfair competition?  Even your fictitious rhubarb farmer might possibly have a case, given that.  I still love it.  Just depends on how it&#039;s implemented and done. 

Lastly, why aren&#039;t people moving to Norway?  Ever seen Norwegian?  Not sure even Rosetta Stone would help.  The weather isn&#039;t a seller either.]]></description>
		<content:encoded><![CDATA[<p>The National Bureau of Economic Research shows a decline in geriatric poverty from 35% down to 10% between 1960 and 1995.  They also show a further similarly steep decline dating back to 1939.  Social security, medicare, and medicaid do work Bill.  They work the way they were intended to work.  </p>
<p>That rationing of health care that I posed would change 100% for unfortunate people who aren&#8217;t able to benefit from the best of American medicine.  Hell, some who believe that they have good private coverage find out later that they aren&#8217;t able to benefit in nearly the way that they thought they were going to be able to.  There&#8217;s a private health insurance company bureaucrat between you and your doctor every step of the way, advising your doctor what they&#8217;ll pay for and what they won&#8217;t, regardless of what the doctor feels is the right course of action.</p>
<p>It&#8217;s all about profit and answering to shareholders.  They&#8217;ll do anything to deny coverage.  They don&#8217;t care because it&#8217;s an oligopoly.  It&#8217;s not a true market and everybody&#8217;s doing the same thing.  You can&#8217;t make health care insurance a true market.  Private, for profit, is just utterly inappropriate for health care, even if it works so well in most other sectors of the economy.  You forget who you&#8217;re talking to montana.  That rationing of health care illustration that I posed would never, ever, happen in Canada, or with U.S. seniors on medicare (I think).  We&#8217;re talking the chemo, fingers, etc..  However, those illustrations are routine in the U.S.  </p>
<p>By the way, I may have been wrong about that second bill of rights.  For some reason, I just assumed that it was semantics.  I thought that it was a euphenism for a list of objectives.  If he actually meant adding it to the constitution as some kind of addendum, that does put a little different spin on things.  I was just thinking about that today.  You would have to word it awfully carefully to prevent future constitutional issues.  I mean, business people having a guaranteed constitutional right to be protected from unfair competition?  Even your fictitious rhubarb farmer might possibly have a case, given that.  I still love it.  Just depends on how it&#8217;s implemented and done. </p>
<p>Lastly, why aren&#8217;t people moving to Norway?  Ever seen Norwegian?  Not sure even Rosetta Stone would help.  The weather isn&#8217;t a seller either.</p>
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		<title>By: Colleen Klemp</title>
		<link>http://www.nationalmemo.com/leonard-pitts-jr-america-the-greatest/#comment-30577</link>
		<dc:creator>Colleen Klemp</dc:creator>
		<pubDate>Thu, 05 Jul 2012 19:32:00 +0000</pubDate>
		<guid isPermaLink="false">http://www.nationalmemo.com/?p=19711#comment-30577</guid>
		<description><![CDATA[I totally agree, what this country did to the Navive Americans in the early times &amp; how they continue to ignor their problems is a shame. What the did to the slaves &amp; continue to do in certain parts of the country is apprehensiable. How they treated the Japs is deplorable while almost giving a free pass to those of German descent. How they are trying to silence the Latintos is just plain wrong!]]></description>
		<content:encoded><![CDATA[<p>I totally agree, what this country did to the Navive Americans in the early times &amp; how they continue to ignor their problems is a shame. What the did to the slaves &amp; continue to do in certain parts of the country is apprehensiable. How they treated the Japs is deplorable while almost giving a free pass to those of German descent. How they are trying to silence the Latintos is just plain wrong!</p>
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		<title>By: montanabill</title>
		<link>http://www.nationalmemo.com/leonard-pitts-jr-america-the-greatest/#comment-30568</link>
		<dc:creator>montanabill</dc:creator>
		<pubDate>Thu, 05 Jul 2012 18:59:00 +0000</pubDate>
		<guid isPermaLink="false">http://www.nationalmemo.com/?p=19711#comment-30568</guid>
		<description><![CDATA[FDR didn&#039;t care about details because he was only interested in platitudes that resulted in more power for his government.  Remember the farmer that was fined for growing wheat for his own use?  Legislation didn&#039;t cure that outrage.   
Humanitarian ideas are fine, as long as, the freedom remains to accept or reject them.  When government is used to enforce someone&#039;s humanitarian idea, the end result is no different that when government is used to enslave a population.
Want a living wage?  Make good decisions.  Want health care? Make good decisions.   Working hard only has benefits if you have made the right decisions, otherwise, you are just working hard.  As far as the rationing of healthcare illustration you posed, that is not going to change except that it will be a government bureaucrat deciding whether your needs are worth the money.
Social Security, when it was first proposed and  implemented, was a far different animal than it is today and it did not slash geriatric poverty.
It may be crass, but government uses the business end of gun to take something from someone to give to someone else, it can hardly be called humanitarian.]]></description>
		<content:encoded><![CDATA[<p>FDR didn&#8217;t care about details because he was only interested in platitudes that resulted in more power for his government.  Remember the farmer that was fined for growing wheat for his own use?  Legislation didn&#8217;t cure that outrage.<br />
Humanitarian ideas are fine, as long as, the freedom remains to accept or reject them.  When government is used to enforce someone&#8217;s humanitarian idea, the end result is no different that when government is used to enslave a population.<br />
Want a living wage?  Make good decisions.  Want health care? Make good decisions.   Working hard only has benefits if you have made the right decisions, otherwise, you are just working hard.  As far as the rationing of healthcare illustration you posed, that is not going to change except that it will be a government bureaucrat deciding whether your needs are worth the money.<br />
Social Security, when it was first proposed and  implemented, was a far different animal than it is today and it did not slash geriatric poverty.<br />
It may be crass, but government uses the business end of gun to take something from someone to give to someone else, it can hardly be called humanitarian.</p>
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		<title>By: dtgraham</title>
		<link>http://www.nationalmemo.com/leonard-pitts-jr-america-the-greatest/#comment-30532</link>
		<dc:creator>dtgraham</dc:creator>
		<pubDate>Thu, 05 Jul 2012 16:27:00 +0000</pubDate>
		<guid isPermaLink="false">http://www.nationalmemo.com/?p=19711#comment-30532</guid>
		<description><![CDATA[On the rhubarb; Roosevelt wasn&#039;t going into details with the fair return for farmers thing.  FDR wouldn&#039;t have meant the way you conjured up that rhubarb possibility.  You know, someone suddenly deciding to take up farming and then growing a product with no demand, and possibly no history of it.  Then lining up for gov&#039;t payments.  He wouldn&#039;t have been talking about that.  Short term support for an otherwise popular item that was experiencing a temporary market downturn?  Maybe.

Humanitarian ideals shouldn&#039;t be shelved because someone can see a possible loophole that may result in some extreme event.  Extreme scenarios can be dealt with legislatively, proactively preferably, or retroactively.  Nothing has to be necessarily taken to it&#039;s conclusion but, rather, only so far as positive results warrant a continuation of the policy.  Some of those proposals though, like a living wage, seem like a pretty good conclusion to me.  No, life isn&#039;t a fairy tale but wealthy economies can make themselves a hellhole through indifference and callousness, or they can be much better than that.  There is a choice. 

Someone doesn&#039;t deserve the same health care, when it&#039;s needed, because they didn&#039;t work hard enough at their job?  What?  I buy the idea that some people can&#039;t afford a luxury car, or as nice a tie, or as expensive a pair of shoes.  That&#039;s life.  I get all that.  Not for health care though.  That&#039;s one thing that&#039;s completely different.  You&#039;re going to tell someone that they can only have one of the two fingers reattached from their accident, or that their chemotherapy will have to be discontinued, or they can&#039;t have that badly needed surgery, because they ran out of money.  That&#039;s incomprehensible to me and we&#039;ll have to leave it at that montana.  We have very different values on that and there&#039;s no middle ground there.

Private charity does have severe limits.  It&#039;s obviously a wonderful thing and it can fill gaps, but there&#039;s only so much it can do.  When Social Security first came in, it slashed geriatric poverty to a fraction of what it had been.  Where was private charity prior to that?  It&#039;s not charity&#039;s fault that it absolutely cannot handle medical care or senior&#039;s support payments on a national scale.  It&#039;s not meant for that.  



               ]]></description>
		<content:encoded><![CDATA[<p>On the rhubarb; Roosevelt wasn&#8217;t going into details with the fair return for farmers thing.  FDR wouldn&#8217;t have meant the way you conjured up that rhubarb possibility.  You know, someone suddenly deciding to take up farming and then growing a product with no demand, and possibly no history of it.  Then lining up for gov&#8217;t payments.  He wouldn&#8217;t have been talking about that.  Short term support for an otherwise popular item that was experiencing a temporary market downturn?  Maybe.</p>
<p>Humanitarian ideals shouldn&#8217;t be shelved because someone can see a possible loophole that may result in some extreme event.  Extreme scenarios can be dealt with legislatively, proactively preferably, or retroactively.  Nothing has to be necessarily taken to it&#8217;s conclusion but, rather, only so far as positive results warrant a continuation of the policy.  Some of those proposals though, like a living wage, seem like a pretty good conclusion to me.  No, life isn&#8217;t a fairy tale but wealthy economies can make themselves a hellhole through indifference and callousness, or they can be much better than that.  There is a choice. </p>
<p>Someone doesn&#8217;t deserve the same health care, when it&#8217;s needed, because they didn&#8217;t work hard enough at their job?  What?  I buy the idea that some people can&#8217;t afford a luxury car, or as nice a tie, or as expensive a pair of shoes.  That&#8217;s life.  I get all that.  Not for health care though.  That&#8217;s one thing that&#8217;s completely different.  You&#8217;re going to tell someone that they can only have one of the two fingers reattached from their accident, or that their chemotherapy will have to be discontinued, or they can&#8217;t have that badly needed surgery, because they ran out of money.  That&#8217;s incomprehensible to me and we&#8217;ll have to leave it at that montana.  We have very different values on that and there&#8217;s no middle ground there.</p>
<p>Private charity does have severe limits.  It&#8217;s obviously a wonderful thing and it can fill gaps, but there&#8217;s only so much it can do.  When Social Security first came in, it slashed geriatric poverty to a fraction of what it had been.  Where was private charity prior to that?  It&#8217;s not charity&#8217;s fault that it absolutely cannot handle medical care or senior&#8217;s support payments on a national scale.  It&#8217;s not meant for that.  </p>
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		<title>By: Pelu Maad</title>
		<link>http://www.nationalmemo.com/leonard-pitts-jr-america-the-greatest/#comment-30520</link>
		<dc:creator>Pelu Maad</dc:creator>
		<pubDate>Thu, 05 Jul 2012 15:36:00 +0000</pubDate>
		<guid isPermaLink="false">http://www.nationalmemo.com/?p=19711#comment-30520</guid>
		<description><![CDATA[I read the first sentence. That military brainwashing just doesn&#039;t work for me....Sorry.]]></description>
		<content:encoded><![CDATA[<p>I read the first sentence. That military brainwashing just doesn&#8217;t work for me&#8230;.Sorry.</p>
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