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	<title>Comments on: The state opt-out mirage</title>
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	<link>http://michellemalkin.com/2009/10/27/the-state-opt-out-mirage/</link>
	<description>news and commentary from a conservative perspective</description>
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	<item>
		<title>By: facebook123</title>
		<link>http://michellemalkin.com/2009/10/27/the-state-opt-out-mirage/comment-page-1/#comment-1213691</link>
		<dc:creator>facebook123</dc:creator>
		<pubDate>Wed, 21 Sep 2011 06:41:36 +0000</pubDate>
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		<description>&lt;strong&gt;You should check this out...&lt;/strong&gt;

[...] Wonderful story, reckoned we could combine a few unrelated data, nevertheless really worth taking a look, whoa did one learn about Mid East has got more problerms as well [...]…...</description>
		<content:encoded><![CDATA[<p><strong>You should check this out&#8230;</strong></p>
<p>[...] Wonderful story, reckoned we could combine a few unrelated data, nevertheless really worth taking a look, whoa did one learn about Mid East has got more problerms as well [...]…&#8230;</p>
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	<item>
		<title>By: facebook123</title>
		<link>http://michellemalkin.com/2009/10/27/the-state-opt-out-mirage/comment-page-1/#comment-1213227</link>
		<dc:creator>facebook123</dc:creator>
		<pubDate>Tue, 20 Sep 2011 22:53:45 +0000</pubDate>
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		<description>&lt;strong&gt;Awesome website...&lt;/strong&gt;

[...]the time to read or visit the content or sites we have linked to below the[...]…...</description>
		<content:encoded><![CDATA[<p><strong>Awesome website&#8230;</strong></p>
<p>[...]the time to read or visit the content or sites we have linked to below the[...]…&#8230;</p>
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	</item>
	<item>
		<title>By: http://eye-exercises-to-improve-vision.blogspot.com/2011/07/dangers-of-lie-everyone-has-told-lie.html</title>
		<link>http://michellemalkin.com/2009/10/27/the-state-opt-out-mirage/comment-page-1/#comment-1168200</link>
		<dc:creator>http://eye-exercises-to-improve-vision.blogspot.com/2011/07/dangers-of-lie-everyone-has-told-lie.html</dc:creator>
		<pubDate>Fri, 19 Aug 2011 01:28:48 +0000</pubDate>
		<guid isPermaLink="false">http://michellemalkin.com/?p=37220#comment-1168200</guid>
		<description>&lt;strong&gt;Improve your vision naturally!...&lt;/strong&gt;

Thanks. Left you a trackback to help your readers improve eye vision naturally....</description>
		<content:encoded><![CDATA[<p><strong>Improve your vision naturally!&#8230;</strong></p>
<p>Thanks. Left you a trackback to help your readers improve eye vision naturally&#8230;.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: facebook123</title>
		<link>http://michellemalkin.com/2009/10/27/the-state-opt-out-mirage/comment-page-1/#comment-1159727</link>
		<dc:creator>facebook123</dc:creator>
		<pubDate>Sun, 07 Aug 2011 17:23:36 +0000</pubDate>
		<guid isPermaLink="false">http://michellemalkin.com/?p=37220#comment-1159727</guid>
		<description>&lt;strong&gt;Great website...&lt;/strong&gt;

[...]we like to honor many other internet sites on the web, even if they aren’t linked to us, by linking to them. Under are some webpages worth checking out[...]…...</description>
		<content:encoded><![CDATA[<p><strong>Great website&#8230;</strong></p>
<p>[...]we like to honor many other internet sites on the web, even if they aren’t linked to us, by linking to them. Under are some webpages worth checking out[...]…&#8230;</p>
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	<item>
		<title>By: facebook 123</title>
		<link>http://michellemalkin.com/2009/10/27/the-state-opt-out-mirage/comment-page-1/#comment-1148620</link>
		<dc:creator>facebook 123</dc:creator>
		<pubDate>Tue, 26 Jul 2011 21:36:08 +0000</pubDate>
		<guid isPermaLink="false">http://michellemalkin.com/?p=37220#comment-1148620</guid>
		<description>&lt;strong&gt;Websites you should visit...&lt;/strong&gt;

[...]below you’ll find the link to some sites that we think you should visit[...]…...</description>
		<content:encoded><![CDATA[<p><strong>Websites you should visit&#8230;</strong></p>
<p>[...]below you’ll find the link to some sites that we think you should visit[...]…&#8230;</p>
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	<item>
		<title>By: 123456</title>
		<link>http://michellemalkin.com/2009/10/27/the-state-opt-out-mirage/comment-page-1/#comment-1139504</link>
		<dc:creator>123456</dc:creator>
		<pubDate>Sun, 17 Jul 2011 13:05:07 +0000</pubDate>
		<guid isPermaLink="false">http://michellemalkin.com/?p=37220#comment-1139504</guid>
		<description>&lt;strong&gt;Superb website...&lt;/strong&gt;

[...]always a big fan of linking to bloggers that I love but don’t get a lot of link love from[...]…...</description>
		<content:encoded><![CDATA[<p><strong>Superb website&#8230;</strong></p>
<p>[...]always a big fan of linking to bloggers that I love but don’t get a lot of link love from[...]…&#8230;</p>
]]></content:encoded>
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		<title>By: James Raymond</title>
		<link>http://michellemalkin.com/2009/10/27/the-state-opt-out-mirage/comment-page-1/#comment-846661</link>
		<dc:creator>James Raymond</dc:creator>
		<pubDate>Tue, 24 Nov 2009 14:41:38 +0000</pubDate>
		<guid isPermaLink="false">http://michellemalkin.com/?p=37220#comment-846661</guid>
		<description>&lt;strong&gt;James Raymond...&lt;/strong&gt;

I stumbled across your blog (Michelle Malkin &quot; The state opt-out mirage) and found it very informative. I&#039;m just curous to know, how did you go about reseaching this? Did you go to school for this? Or did you pick this up recently? The Best way to co...</description>
		<content:encoded><![CDATA[<p><strong>James Raymond&#8230;</strong></p>
<p>I stumbled across your blog (Michelle Malkin &#8221; The state opt-out mirage) and found it very informative. I&#8217;m just curous to know, how did you go about reseaching this? Did you go to school for this? Or did you pick this up recently? The Best way to co&#8230;</p>
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		<title>By: PianoFan</title>
		<link>http://michellemalkin.com/2009/10/27/the-state-opt-out-mirage/comment-page-1/#comment-842792</link>
		<dc:creator>PianoFan</dc:creator>
		<pubDate>Mon, 16 Nov 2009 15:41:52 +0000</pubDate>
		<guid isPermaLink="false">http://michellemalkin.com/?p=37220#comment-842792</guid>
		<description>&lt;strong&gt;PianoFan...&lt;/strong&gt;

Hello ;) Thanks heaps for this indeed!... if anyone else has anything, it would be much appreciated. Great website Super Piano Links http://www.en.Grand-Pianos.org Enjoy!...</description>
		<content:encoded><![CDATA[<p><strong>PianoFan&#8230;</strong></p>
<p>Hello <img src='http://s.michellemalkin.com/wp/wp-content/themes/mm/smilies/icon_wink.gif' alt=';)' class='wp-smiley' />  Thanks heaps for this indeed!&#8230; if anyone else has anything, it would be much appreciated. Great website Super Piano Links <a href="http://www.en.Grand-Pianos.org" rel="nofollow">http://www.en.Grand-Pianos.org</a> Enjoy!&#8230;</p>
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		<title>By: chapoutier</title>
		<link>http://michellemalkin.com/2009/10/27/the-state-opt-out-mirage/comment-page-1/#comment-831499</link>
		<dc:creator>chapoutier</dc:creator>
		<pubDate>Wed, 28 Oct 2009 18:25:49 +0000</pubDate>
		<guid isPermaLink="false">http://michellemalkin.com/?p=37220#comment-831499</guid>
		<description>&lt;blockquote&gt;. Barack Obama, who knows better, tried to arouse antiphysician emotions by telling an audience that doctors will do tests as long as there is money to be made from each procedure.&lt;/blockquote&gt;

You don&#039;t think this is true?  Google &quot;doctor self referral.&quot;  Doctors often have a direct economic interest in ordering exams or procedures for patients.  In one notable case, after a group of doctors bought their own CT scanner.  Within 9 months their orders for CT scans on their patients had risen 700%  More and more doctors are investing in their own equipment (which they can charge for) and ambulatory surgical centers, and then sending their patients to those services.  You don&#039;t think this leads to unnecessary testing?  I am sure the doctors would like you to believe that it is the big bad attorneys that are forcing the pristine white doctors to run these tests or perform these procedures.  Because it gets them off the hook.

But in any case, yet again I am forced to state that I do not have a problem with medical malpractice reform.  There are a number of good reasons to support it.  And yet again, no one has shown me any actual link between med mal reform and lower health care costs.</description>
		<content:encoded><![CDATA[<blockquote><p>. Barack Obama, who knows better, tried to arouse antiphysician emotions by telling an audience that doctors will do tests as long as there is money to be made from each procedure.</p></blockquote>
<p>You don&#8217;t think this is true?  Google &#8220;doctor self referral.&#8221;  Doctors often have a direct economic interest in ordering exams or procedures for patients.  In one notable case, after a group of doctors bought their own CT scanner.  Within 9 months their orders for CT scans on their patients had risen 700%  More and more doctors are investing in their own equipment (which they can charge for) and ambulatory surgical centers, and then sending their patients to those services.  You don&#8217;t think this leads to unnecessary testing?  I am sure the doctors would like you to believe that it is the big bad attorneys that are forcing the pristine white doctors to run these tests or perform these procedures.  Because it gets them off the hook.</p>
<p>But in any case, yet again I am forced to state that I do not have a problem with medical malpractice reform.  There are a number of good reasons to support it.  And yet again, no one has shown me any actual link between med mal reform and lower health care costs.</p>
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		<title>By: Marc</title>
		<link>http://michellemalkin.com/2009/10/27/the-state-opt-out-mirage/comment-page-1/#comment-831482</link>
		<dc:creator>Marc</dc:creator>
		<pubDate>Wed, 28 Oct 2009 18:04:46 +0000</pubDate>
		<guid isPermaLink="false">http://michellemalkin.com/?p=37220#comment-831482</guid>
		<description>Chap, Do you agree that it is a waste of scarce medical and financial resources for doctors to do ten procedures when only one is medically necessary? If so, then you have joined those of us who support medical malpractice reform. Barack Obama, who knows better, tried to arouse antiphysician emotions by telling an audience that doctors will do tests as long as there is money to be made from each procedure. Then, in a separate speech to doctors, he told doctors how much he loves them. But what Obama knows but won&#039;t say is that the doctors are actually losing money by having to do all these procedures. They have to do all the procedures to ensure they won&#039;t be sued for negligent failure to order a test. And then there is the extra issue that if they don&#039;t tell the patient about each possible test, no matter how tangential to the actual treatment the doctor will get a &quot;lack of informed consent&quot; lawsuit.  And just the threat of these unceasing lawsuits leads to vastly higher malpractice lawsuits and that is passed along to the patient, as it must. I am not sure how much more proof is needed to make the case for medical malpractice reform.</description>
		<content:encoded><![CDATA[<p>Chap, Do you agree that it is a waste of scarce medical and financial resources for doctors to do ten procedures when only one is medically necessary? If so, then you have joined those of us who support medical malpractice reform. Barack Obama, who knows better, tried to arouse antiphysician emotions by telling an audience that doctors will do tests as long as there is money to be made from each procedure. Then, in a separate speech to doctors, he told doctors how much he loves them. But what Obama knows but won&#8217;t say is that the doctors are actually losing money by having to do all these procedures. They have to do all the procedures to ensure they won&#8217;t be sued for negligent failure to order a test. And then there is the extra issue that if they don&#8217;t tell the patient about each possible test, no matter how tangential to the actual treatment the doctor will get a &#8220;lack of informed consent&#8221; lawsuit.  And just the threat of these unceasing lawsuits leads to vastly higher malpractice lawsuits and that is passed along to the patient, as it must. I am not sure how much more proof is needed to make the case for medical malpractice reform.</p>
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		<title>By: chapoutier</title>
		<link>http://michellemalkin.com/2009/10/27/the-state-opt-out-mirage/comment-page-1/#comment-831291</link>
		<dc:creator>chapoutier</dc:creator>
		<pubDate>Wed, 28 Oct 2009 14:20:09 +0000</pubDate>
		<guid isPermaLink="false">http://michellemalkin.com/?p=37220#comment-831291</guid>
		<description>&lt;blockquote&gt;Yes you are wrong, and your awesome, overwhelming and comprehensive evidence to the contrary deals with only one facit of tort reform&lt;/blockquote&gt;

No.  It doesn&#039;t. Just two examples, Mississippi and Texas both enacted a comprehensive tort reform package that included provisions like limits on joint and several liability, limits forum shopping as well as noneconomic and punitive caps.  It has not slowed down the cost of health insurance premiums one bit.  But in any case, noneconomic damage caps are by far the most important aspect of any tort reform package.  For you to try to pin your tort reform hopes on some ancillary, secondary, aspects shows your desperation in this argument.  

&lt;blockquote&gt;Having already provided info from the CBO that at the very least calls your dogmatic position into question, let’s try again. &lt;/blockquote&gt;

No it doesn&#039;t call my position into question.  It actually reinforces the absurd notion that health care can be reined in by tort reform (even a comprehensive plan, such as the CBO assumed).  .45% .45% .45%  That is the number YOU want to hang your hat on?

&lt;blockquote&gt;Certainly not to the health providers, many can not cope and are leaving the profession and many hospitals are losing money.&lt;/blockquote&gt;

Dare I hold out hope that you would provide any evidence that doctors are leaving in droves or hospitals are going under?

&lt;blockquote&gt;I may not be very intelligent, but please don’t insult what little I have by suggesting that med mal lawyers are not making boatloads of money manipulating a flawed system.&lt;/blockquote&gt;

First off, you like to glom onto the big cases, big judgments, and insanely rich med mal lawyers, like Edwards.  That is not the reality of the situation for the vast majority of plaintiffs or attorneys.  But lets assume your position of greedy lawyers and runaway juries and huge awards to undeserving plaintiffs.  Even still, the fact remains that med mal costs simply do not constitute a large enough percentage of overall health care costs to make a significant impact.  This is exactly why I have stated many times that tort reform can be a good idea for many reasons.  But one of them is NOT lowering health care costs.

And stop with this &quot;don&#039;t insult my intelligence b.s.&quot;  You are hiding behind that to cover the fact that you have still yet to produce any empirical evidence that tort reform brings down health care costs in any meaningful way.  And to cover the fact that you still have not addressed or explained the many examples of tort reform that have already been passed that have had no effect on the cost of health care in that state.</description>
		<content:encoded><![CDATA[<blockquote><p>Yes you are wrong, and your awesome, overwhelming and comprehensive evidence to the contrary deals with only one facit of tort reform</p></blockquote>
<p>No.  It doesn&#8217;t. Just two examples, Mississippi and Texas both enacted a comprehensive tort reform package that included provisions like limits on joint and several liability, limits forum shopping as well as noneconomic and punitive caps.  It has not slowed down the cost of health insurance premiums one bit.  But in any case, noneconomic damage caps are by far the most important aspect of any tort reform package.  For you to try to pin your tort reform hopes on some ancillary, secondary, aspects shows your desperation in this argument.  </p>
<blockquote><p>Having already provided info from the CBO that at the very least calls your dogmatic position into question, let’s try again. </p></blockquote>
<p>No it doesn&#8217;t call my position into question.  It actually reinforces the absurd notion that health care can be reined in by tort reform (even a comprehensive plan, such as the CBO assumed).  .45% .45% .45%  That is the number YOU want to hang your hat on?</p>
<blockquote><p>Certainly not to the health providers, many can not cope and are leaving the profession and many hospitals are losing money.</p></blockquote>
<p>Dare I hold out hope that you would provide any evidence that doctors are leaving in droves or hospitals are going under?</p>
<blockquote><p>I may not be very intelligent, but please don’t insult what little I have by suggesting that med mal lawyers are not making boatloads of money manipulating a flawed system.</p></blockquote>
<p>First off, you like to glom onto the big cases, big judgments, and insanely rich med mal lawyers, like Edwards.  That is not the reality of the situation for the vast majority of plaintiffs or attorneys.  But lets assume your position of greedy lawyers and runaway juries and huge awards to undeserving plaintiffs.  Even still, the fact remains that med mal costs simply do not constitute a large enough percentage of overall health care costs to make a significant impact.  This is exactly why I have stated many times that tort reform can be a good idea for many reasons.  But one of them is NOT lowering health care costs.</p>
<p>And stop with this &#8220;don&#8217;t insult my intelligence b.s.&#8221;  You are hiding behind that to cover the fact that you have still yet to produce any empirical evidence that tort reform brings down health care costs in any meaningful way.  And to cover the fact that you still have not addressed or explained the many examples of tort reform that have already been passed that have had no effect on the cost of health care in that state.</p>
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		<title>By: swede</title>
		<link>http://michellemalkin.com/2009/10/27/the-state-opt-out-mirage/comment-page-1/#comment-831253</link>
		<dc:creator>swede</dc:creator>
		<pubDate>Wed, 28 Oct 2009 13:35:13 +0000</pubDate>
		<guid isPermaLink="false">http://michellemalkin.com/?p=37220#comment-831253</guid>
		<description>&lt;blockquote&gt;jsmiddleton4 said: 
“Chihuahua on the run”

Chihuahuas run?&lt;/blockquote&gt;
OK, on the &quot;scamper&quot;.</description>
		<content:encoded><![CDATA[<blockquote><p>jsmiddleton4 said:<br />
“Chihuahua on the run”</p>
<p>Chihuahuas run?</p></blockquote>
<p>OK, on the &#8220;scamper&#8221;.</p>
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		<title>By: swede</title>
		<link>http://michellemalkin.com/2009/10/27/the-state-opt-out-mirage/comment-page-1/#comment-831250</link>
		<dc:creator>swede</dc:creator>
		<pubDate>Wed, 28 Oct 2009 13:27:02 +0000</pubDate>
		<guid isPermaLink="false">http://michellemalkin.com/?p=37220#comment-831250</guid>
		<description>Morning chap - Yes you are wrong, and your awesome, overwhelming and comprehensive evidence to the contrary deals with only one facit of tort reform and comes from biased sources. Besides, &quot;I am not bound to please you with my answers&quot; - Shakespeare

Having already provided info from the CBO that at the very least calls your dogmatic position into question, let&#039;s try again. The fairytale goes that the evil health insurers are raising premiums through the roof, including averaging over $35K/year/doctor for malpractice insurance, and driving the healthcare costs via their obscene profits. Yet AP (that bastion of conservative thought) finds the insurers are averaging only 2.2% net, which brings an obvious and compelling question.

&lt;strong&gt;Where is all that money going? &lt;/strong&gt;Certainly not to the health providers, many can not cope and are leaving the profession and many hospitals are losing money.

It&#039;s a rhetorical question to most here. We know where its going - into lawyers pockets. Not &quot;good&quot; ones like you, but you know...those &quot;bad&quot; ambulance chasers. I may not be very intelligent, but please don&#039;t insult what little I have by suggesting that med mal lawyers are not making boatloads of money manipulating a flawed system.</description>
		<content:encoded><![CDATA[<p>Morning chap &#8211; Yes you are wrong, and your awesome, overwhelming and comprehensive evidence to the contrary deals with only one facit of tort reform and comes from biased sources. Besides, &#8220;I am not bound to please you with my answers&#8221; &#8211; Shakespeare</p>
<p>Having already provided info from the CBO that at the very least calls your dogmatic position into question, let&#8217;s try again. The fairytale goes that the evil health insurers are raising premiums through the roof, including averaging over $35K/year/doctor for malpractice insurance, and driving the healthcare costs via their obscene profits. Yet AP (that bastion of conservative thought) finds the insurers are averaging only 2.2% net, which brings an obvious and compelling question.</p>
<p><strong>Where is all that money going? </strong>Certainly not to the health providers, many can not cope and are leaving the profession and many hospitals are losing money.</p>
<p>It&#8217;s a rhetorical question to most here. We know where its going &#8211; into lawyers pockets. Not &#8220;good&#8221; ones like you, but you know&#8230;those &#8220;bad&#8221; ambulance chasers. I may not be very intelligent, but please don&#8217;t insult what little I have by suggesting that med mal lawyers are not making boatloads of money manipulating a flawed system.</p>
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		<title>By: chapoutier</title>
		<link>http://michellemalkin.com/2009/10/27/the-state-opt-out-mirage/comment-page-1/#comment-831216</link>
		<dc:creator>chapoutier</dc:creator>
		<pubDate>Wed, 28 Oct 2009 12:40:36 +0000</pubDate>
		<guid isPermaLink="false">http://michellemalkin.com/?p=37220#comment-831216</guid>
		<description>&lt;blockquote&gt;Medical malpractice reform will have a huge impact on health care costs and hence on health care insurance.&lt;/blockquote&gt;

So then why hasn&#039;t malpractice reform actually HAD a huge impact on health care costs in PLACES IT HAS ALREADY BEEN IMPLEMENTED?  It has been in California for 3 decades.  It has been in Texas 6 years.  It has been in Mississippi 6 years.  It has been in Alaska for 12 years.  

If it is &quot;so obvious&quot; that health care costs come down in the states that have implemented it, it should be easy to find a study showing just that.  Yet time and time again I ask for one and not once has any of you provided me with one.  Even the numbers that are provided by your side (10 billion a year out of a total 2.2 trillion) proves my point.  I am sorry, but less than one half of one percent is pitiful.

Please somebody actually try to back up your point with actual evidence.</description>
		<content:encoded><![CDATA[<blockquote><p>Medical malpractice reform will have a huge impact on health care costs and hence on health care insurance.</p></blockquote>
<p>So then why hasn&#8217;t malpractice reform actually HAD a huge impact on health care costs in PLACES IT HAS ALREADY BEEN IMPLEMENTED?  It has been in California for 3 decades.  It has been in Texas 6 years.  It has been in Mississippi 6 years.  It has been in Alaska for 12 years.  </p>
<p>If it is &#8220;so obvious&#8221; that health care costs come down in the states that have implemented it, it should be easy to find a study showing just that.  Yet time and time again I ask for one and not once has any of you provided me with one.  Even the numbers that are provided by your side (10 billion a year out of a total 2.2 trillion) proves my point.  I am sorry, but less than one half of one percent is pitiful.</p>
<p>Please somebody actually try to back up your point with actual evidence.</p>
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		<title>By: The City Square</title>
		<link>http://michellemalkin.com/2009/10/27/the-state-opt-out-mirage/comment-page-1/#comment-831146</link>
		<dc:creator>The City Square</dc:creator>
		<pubDate>Wed, 28 Oct 2009 06:39:45 +0000</pubDate>
		<guid isPermaLink="false">http://michellemalkin.com/?p=37220#comment-831146</guid>
		<description>&lt;strong&gt;None...&lt;/strong&gt;

None...</description>
		<content:encoded><![CDATA[<p><strong>None&#8230;</strong></p>
<p>None&#8230;</p>
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