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	<title>Comments on: Health Care and ‘Rights’ Talk</title>
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		<title>By: GaryT</title>
		<link>http://catholicexchange.com/2009/09/08/121677/comment-page-1/#comment-42488</link>
		<dc:creator>GaryT</dc:creator>
		<pubDate>Wed, 09 Sep 2009 04:39:48 +0000</pubDate>
		<guid isPermaLink="false">http://catholicexchange.com/2009/09/08/121677/#comment-42488</guid>
		<description>There are so many wring things in this debate it is hard to decide where to start...

1. A fundamental right must be a right that can be available to all people throughout all time.  I agree that this excludes modern medicine.  It also excludes a &quot;right&quot; to health insurance.

2. The debate seems to be around health care or health insurance.  Shouldn&#039;t the debate be around how we get the country healthier?  Isn&#039;t health the ultimate desire, even more so than medical care?  Healthy people don&#039;t generally need as much medical care after all.  Yet we subsidize corn, which is used to produce high fructose corn syrup...which makes people unhealthy.  How about shifting the primary objective to health?

3. Rather than access to modern medical care, the fundamental right is to be cared for when sick.  Let&#039;s look at Mother Teresa for an example here.  She often lacked the means to cure her patients, but instead &quot;merely&quot; cared for them as they died.  For this she will be a saint.  It is in the compassion (i.e. Christian love) that makes caring of the sick noble.  And a sick person needs at least someone to give them basic care - perhaps a warm blanket or a glass of water.  If a medical cure is available, all the better.

4. Universal access to health care certainly is a noble goal.  But this does not immediately imply socialized medicine.  It can also be achieved through charitable medicine - providing discounted or free care from healthcare workers and other benefactors to those who cannot afford it themselves - and totally without government intervention.

5. A socialized healthcare system that runs up large debts to be paid for by future generations is patently unjust. It is stealing from our children.  It is also taxation without representation.

6. If healthcare is to be truly about being between the doctor and the patient, then the patient must control the funding.  Otherwise, the doctor is financially accountable to someone who is not the patient.  And that someone (whether private insurance or the govt.) might not have the same interests in mind as the patient.  And that can be unjust too.  If it is my money and my health, then I can spend MY money to achieve the desired health I want for myself.

7. Our current system where insurance covers very predictable expenses like annual checkups, braces, and birth control, simply puts the insurance companies in the middle of every normal transaction - and they get their cut.  Insurance is normally only used for catastrophic events that we cannot afford - such as fire insurance for our house or life insurance.  We typically insure against the unlikely event.  Could you imagine if we paid for our groceries through insurance?  Sounds silly doesn&#039;t it.  Yet that is what we do with our medical insurance - paying for everyday, predictable bills, with the insurance company getting their cut.  The proposals for expanding coverage all seem to take this absurdity a step further!

The Aussie model sounds much closer to sane to me.  Control costs, give control to the individual for his or her own health and healthcare.  And then put a safety net in place for those few who need it, funded largely through charitible giving of individuals and companies within and outside of the healthcare industry.</description>
		<content:encoded><![CDATA[<p>There are so many wring things in this debate it is hard to decide where to start&#8230;</p>
<p>1. A fundamental right must be a right that can be available to all people throughout all time.  I agree that this excludes modern medicine.  It also excludes a &#8220;right&#8221; to health insurance.</p>
<p>2. The debate seems to be around health care or health insurance.  Shouldn&#8217;t the debate be around how we get the country healthier?  Isn&#8217;t health the ultimate desire, even more so than medical care?  Healthy people don&#8217;t generally need as much medical care after all.  Yet we subsidize corn, which is used to produce high fructose corn syrup&#8230;which makes people unhealthy.  How about shifting the primary objective to health?</p>
<p>3. Rather than access to modern medical care, the fundamental right is to be cared for when sick.  Let&#8217;s look at Mother Teresa for an example here.  She often lacked the means to cure her patients, but instead &#8220;merely&#8221; cared for them as they died.  For this she will be a saint.  It is in the compassion (i.e. Christian love) that makes caring of the sick noble.  And a sick person needs at least someone to give them basic care &#8211; perhaps a warm blanket or a glass of water.  If a medical cure is available, all the better.</p>
<p>4. Universal access to health care certainly is a noble goal.  But this does not immediately imply socialized medicine.  It can also be achieved through charitable medicine &#8211; providing discounted or free care from healthcare workers and other benefactors to those who cannot afford it themselves &#8211; and totally without government intervention.</p>
<p>5. A socialized healthcare system that runs up large debts to be paid for by future generations is patently unjust. It is stealing from our children.  It is also taxation without representation.</p>
<p>6. If healthcare is to be truly about being between the doctor and the patient, then the patient must control the funding.  Otherwise, the doctor is financially accountable to someone who is not the patient.  And that someone (whether private insurance or the govt.) might not have the same interests in mind as the patient.  And that can be unjust too.  If it is my money and my health, then I can spend MY money to achieve the desired health I want for myself.</p>
<p>7. Our current system where insurance covers very predictable expenses like annual checkups, braces, and birth control, simply puts the insurance companies in the middle of every normal transaction &#8211; and they get their cut.  Insurance is normally only used for catastrophic events that we cannot afford &#8211; such as fire insurance for our house or life insurance.  We typically insure against the unlikely event.  Could you imagine if we paid for our groceries through insurance?  Sounds silly doesn&#8217;t it.  Yet that is what we do with our medical insurance &#8211; paying for everyday, predictable bills, with the insurance company getting their cut.  The proposals for expanding coverage all seem to take this absurdity a step further!</p>
<p>The Aussie model sounds much closer to sane to me.  Control costs, give control to the individual for his or her own health and healthcare.  And then put a safety net in place for those few who need it, funded largely through charitible giving of individuals and companies within and outside of the healthcare industry.</p>
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		<title>By: elkabrikir</title>
		<link>http://catholicexchange.com/2009/09/08/121677/comment-page-1/#comment-42481</link>
		<dc:creator>elkabrikir</dc:creator>
		<pubDate>Tue, 08 Sep 2009 19:41:18 +0000</pubDate>
		<guid isPermaLink="false">http://catholicexchange.com/2009/09/08/121677/#comment-42481</guid>
		<description>And here&#039;s another thing peope can&#039;t define, &quot;Public Option&quot;.  Some people think it means poor people will FINALLY have their &quot;Basic Health Care&quot; needs met by the Scrooges of society.

  To others it means the government will undersell  the private insurer that they currently have (And WOW!!!  They&#039;ll still receive the SAME coverage, I guess the government knows how to stretch a buck!)

Others have no clue, they&#039;re just &quot;for it&quot; because Obama knows what he&#039;s doing. Okay.....

The issues have been poorly defined, therefore, the solutions are also scattered and ill conceived.  I have no clue what is trying to be &quot;solved&quot; by this mega bill.  I know one thing though, it looks like a giant, expensive power grab.

Power corrupts and absolute  power corrupts absolutely.  (wish I had said it first.)</description>
		<content:encoded><![CDATA[<p>And here&#8217;s another thing peope can&#8217;t define, &#8220;Public Option&#8221;.  Some people think it means poor people will FINALLY have their &#8220;Basic Health Care&#8221; needs met by the Scrooges of society.</p>
<p>  To others it means the government will undersell  the private insurer that they currently have (And WOW!!!  They&#8217;ll still receive the SAME coverage, I guess the government knows how to stretch a buck!)</p>
<p>Others have no clue, they&#8217;re just &#8220;for it&#8221; because Obama knows what he&#8217;s doing. Okay&#8230;..</p>
<p>The issues have been poorly defined, therefore, the solutions are also scattered and ill conceived.  I have no clue what is trying to be &#8220;solved&#8221; by this mega bill.  I know one thing though, it looks like a giant, expensive power grab.</p>
<p>Power corrupts and absolute  power corrupts absolutely.  (wish I had said it first.)</p>
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		<title>By: elkabrikir</title>
		<link>http://catholicexchange.com/2009/09/08/121677/comment-page-1/#comment-42480</link>
		<dc:creator>elkabrikir</dc:creator>
		<pubDate>Tue, 08 Sep 2009 19:29:37 +0000</pubDate>
		<guid isPermaLink="false">http://catholicexchange.com/2009/09/08/121677/#comment-42480</guid>
		<description>I&#039;ve tried to have this health care as a &quot;right&quot;  discussion with folks, and nobody can seem to define the limits of what is basic health care and perhaps a &quot;right&quot;, therefore.  I say, are immunizations basic health care?  Is prenatal care basic health care?  Is knee replacement basic health care?  Is Lipitor basic health care?  Are repeated CTs for cancer screening BHC?  Are MRIs for injured limbs BHC?  How about dental cleanings and fillings?  What about contact lens?  Or how about vasectomy reversals? Are vasectomies? Repeated by pass surgeries?  What if the person continued neglecting their health?  Just what is BHC?  And where do all these rights to food, clothing, shelter, education, transportation, and cell phones (yes, cell phones.  For, if a person on welfare has a private cell phone, it is being subsidized by Daddy Deep Pockets, aka me. Money is fungible.  They should pay for needs first and then wants.) end in a Nanny State.  

As far as Sean&#039;s &quot;free&quot; baby.  I&#039;m glad his wife got the care she needed, but somebody paid for it.  My last baby cost me $5000 and my husband DOES have a job and DOES pay 12 grand a year for health insurance.  Why should we have to pay for our baby and somebody else&#039;s baby?  I&#039;m going into debt in other places just to pay my health care costs, while somebody eles gets it for &quot;free&quot;.

Another thing about people who receive gov&#039;t assistance during short term personal economic &quot;down turns&quot;.  I think they should have to repay the gov&#039;t the money when their situation improves.  I guess the gov&#039;t would become a lender of sorts.  But nothing is &quot;free&quot; and nobody &quot;deserves&quot; another money.  I just think that wages should be garnished, in a small way, until the welfare is repaid.  If for no other reason than the for the dignity of the former welfare recipient.

Well, we at CE have discussed this longer than Congress wanted to debate 1/5 of our nations GDP!  And, golly-gee-whiz we STILL don&#039;t have a solution.

Maybe Obama and his cronies shouldn&#039;t have tried to ram this down the throats of the American people.  We might, just MIGHT, have trusted him and the process more.

And before I sign on to the &quot;public option&quot;, Sean, when you and your wife are delivering baby #9 I want to know if &quot;Daddy Deep Pockets&quot; is still forking up the dough!  (Up here, I&#039;ve no doubt that in a matter of years, she&#039;d be sterilized after #2 or #3)  Blessings.  Glad you&#039;re doing well.  Kisses to Little Bloke!</description>
		<content:encoded><![CDATA[<p>I&#8217;ve tried to have this health care as a &#8220;right&#8221;  discussion with folks, and nobody can seem to define the limits of what is basic health care and perhaps a &#8220;right&#8221;, therefore.  I say, are immunizations basic health care?  Is prenatal care basic health care?  Is knee replacement basic health care?  Is Lipitor basic health care?  Are repeated CTs for cancer screening BHC?  Are MRIs for injured limbs BHC?  How about dental cleanings and fillings?  What about contact lens?  Or how about vasectomy reversals? Are vasectomies? Repeated by pass surgeries?  What if the person continued neglecting their health?  Just what is BHC?  And where do all these rights to food, clothing, shelter, education, transportation, and cell phones (yes, cell phones.  For, if a person on welfare has a private cell phone, it is being subsidized by Daddy Deep Pockets, aka me. Money is fungible.  They should pay for needs first and then wants.) end in a Nanny State.  </p>
<p>As far as Sean&#8217;s &#8220;free&#8221; baby.  I&#8217;m glad his wife got the care she needed, but somebody paid for it.  My last baby cost me $5000 and my husband DOES have a job and DOES pay 12 grand a year for health insurance.  Why should we have to pay for our baby and somebody else&#8217;s baby?  I&#8217;m going into debt in other places just to pay my health care costs, while somebody eles gets it for &#8220;free&#8221;.</p>
<p>Another thing about people who receive gov&#8217;t assistance during short term personal economic &#8220;down turns&#8221;.  I think they should have to repay the gov&#8217;t the money when their situation improves.  I guess the gov&#8217;t would become a lender of sorts.  But nothing is &#8220;free&#8221; and nobody &#8220;deserves&#8221; another money.  I just think that wages should be garnished, in a small way, until the welfare is repaid.  If for no other reason than the for the dignity of the former welfare recipient.</p>
<p>Well, we at CE have discussed this longer than Congress wanted to debate 1/5 of our nations GDP!  And, golly-gee-whiz we STILL don&#8217;t have a solution.</p>
<p>Maybe Obama and his cronies shouldn&#8217;t have tried to ram this down the throats of the American people.  We might, just MIGHT, have trusted him and the process more.</p>
<p>And before I sign on to the &#8220;public option&#8221;, Sean, when you and your wife are delivering baby #9 I want to know if &#8220;Daddy Deep Pockets&#8221; is still forking up the dough!  (Up here, I&#8217;ve no doubt that in a matter of years, she&#8217;d be sterilized after #2 or #3)  Blessings.  Glad you&#8217;re doing well.  Kisses to Little Bloke!</p>
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		<title>By: Donald Hudzinski</title>
		<link>http://catholicexchange.com/2009/09/08/121677/comment-page-1/#comment-42479</link>
		<dc:creator>Donald Hudzinski</dc:creator>
		<pubDate>Tue, 08 Sep 2009 18:53:35 +0000</pubDate>
		<guid isPermaLink="false">http://catholicexchange.com/2009/09/08/121677/#comment-42479</guid>
		<description>My wife was a teacher and a member of the NEA, her bigs complaint was the union large contribution to the Democratic Party in each election, the same ting is going to happen with the new union created for the medical profession. This is all about union dues and who gets the money from dues.</description>
		<content:encoded><![CDATA[<p>My wife was a teacher and a member of the NEA, her bigs complaint was the union large contribution to the Democratic Party in each election, the same ting is going to happen with the new union created for the medical profession. This is all about union dues and who gets the money from dues.</p>
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		<title>By: qhrpfu</title>
		<link>http://catholicexchange.com/2009/09/08/121677/comment-page-1/#comment-42478</link>
		<dc:creator>qhrpfu</dc:creator>
		<pubDate>Tue, 08 Sep 2009 17:34:22 +0000</pubDate>
		<guid isPermaLink="false">http://catholicexchange.com/2009/09/08/121677/#comment-42478</guid>
		<description>My bumper sticker:  The Only basis for Healthcare is.....the Right to Life!

Learn it, love it, live it!</description>
		<content:encoded><![CDATA[<p>My bumper sticker:  The Only basis for Healthcare is&#8230;..the Right to Life!</p>
<p>Learn it, love it, live it!</p>
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		<title>By: jvista</title>
		<link>http://catholicexchange.com/2009/09/08/121677/comment-page-1/#comment-42477</link>
		<dc:creator>jvista</dc:creator>
		<pubDate>Tue, 08 Sep 2009 13:37:33 +0000</pubDate>
		<guid isPermaLink="false">http://catholicexchange.com/2009/09/08/121677/#comment-42477</guid>
		<description>You are absolutely right.  TRUE healthcare reform requires that we address the questions and concerns that you bring up.  From a Christian perspective, the right thing to do would be to explore these issues, to &quot;get in the weeds.&quot;

The sad truth is that none of our elected officials today--Democrat, Republican or Independent--will touch any of them with a ten-foot pole.</description>
		<content:encoded><![CDATA[<p>You are absolutely right.  TRUE healthcare reform requires that we address the questions and concerns that you bring up.  From a Christian perspective, the right thing to do would be to explore these issues, to &#8220;get in the weeds.&#8221;</p>
<p>The sad truth is that none of our elected officials today&#8211;Democrat, Republican or Independent&#8211;will touch any of them with a ten-foot pole.</p>
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		<title>By: Donald Hudzinski</title>
		<link>http://catholicexchange.com/2009/09/08/121677/comment-page-1/#comment-42476</link>
		<dc:creator>Donald Hudzinski</dc:creator>
		<pubDate>Tue, 08 Sep 2009 13:29:35 +0000</pubDate>
		<guid isPermaLink="false">http://catholicexchange.com/2009/09/08/121677/#comment-42476</guid>
		<description>Big unions want a new National Medical Association and they want to be just like the National Education Association.</description>
		<content:encoded><![CDATA[<p>Big unions want a new National Medical Association and they want to be just like the National Education Association.</p>
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		<title>By: SeanReynoldsNZ</title>
		<link>http://catholicexchange.com/2009/09/08/121677/comment-page-1/#comment-42474</link>
		<dc:creator>SeanReynoldsNZ</dc:creator>
		<pubDate>Tue, 08 Sep 2009 11:27:30 +0000</pubDate>
		<guid isPermaLink="false">http://catholicexchange.com/2009/09/08/121677/#comment-42474</guid>
		<description>Looking at the American system as an outsider, I believe that one of the biggest problems that you have there is that employers are generally the provider of health insurance. What this results in is ultimately people becoming slaves to the company doctor rather than the company store. Your employer is probably the one person YOU DO NOT WANT to be your provider of health insurance. Further to that, from reading THE WELLNESS REVOLUTION by Paul Zane Pilzer, from what I can tell there is not much of a marketplace in the USA where health insurance is sold directly to the end consumer, but instead almost all health insurance policies are sold to business owners to cover the employees as a group. This makes it virtually impossible for someone with a pre-existing medical condition (or a dependent with a pre-existing condition) to change jobs or start their own business because they will not get coverage for that from another insurer.

You need to look at the reasons this became the case. My understanding is that a company can provide medical insurance for employees out of pre-tax earnings, but if you want to arrange your own medical cover then you need to pay for it out of after tax dollars. This effectively means that for every $1000 of insurance policy you want to take out, you need to earn $2000 whereas your employer could provide it for you at a cost to them of closer to $1000. This produces distortions in the market because of the tax structures that you have. As well as that, my understanding is that very few insurance companies market products direct to the consumer leaving the consumer with very little choice and expensive ones at that.

A lot of this was caused by high marginal tax rates in the USA leading to medical insurance as a fringe benefit for executives, as well as wage freezes by FDR leading to unions pushing for medical insurance as they could not increase the cash wages / salary paid to workers. Government interference created the mess that the USA has in this regard.

By contrast, here in Australia, there is a large market for direct to consumer health insurance. You see advertisements for it on TV all the time. You can also get major tax breaks if you have health insurance as if you earn over AU$150,000 per year, you are penalised an additional 2.5% of gross earnings (on top of a 45% marginal tax rate) if you do not take out private medical insurance. Cover is available from as little as AU$500 per annum for an individual in good health. And it means that you can bypass the public system rather than waiting on a waiting list till you either die or your condition gets worse before getting the treatment required.

There are a multitude of causes behind the problems in the American Health System. I would argue that a public system is a good thing in general (my wife had a baby AFTER I lost my job and our out of pocket expenses was $0.00 and we are uninsured), but you need a system that respects human life. This is NOT what you are going to get with Obama.</description>
		<content:encoded><![CDATA[<p>Looking at the American system as an outsider, I believe that one of the biggest problems that you have there is that employers are generally the provider of health insurance. What this results in is ultimately people becoming slaves to the company doctor rather than the company store. Your employer is probably the one person YOU DO NOT WANT to be your provider of health insurance. Further to that, from reading THE WELLNESS REVOLUTION by Paul Zane Pilzer, from what I can tell there is not much of a marketplace in the USA where health insurance is sold directly to the end consumer, but instead almost all health insurance policies are sold to business owners to cover the employees as a group. This makes it virtually impossible for someone with a pre-existing medical condition (or a dependent with a pre-existing condition) to change jobs or start their own business because they will not get coverage for that from another insurer.</p>
<p>You need to look at the reasons this became the case. My understanding is that a company can provide medical insurance for employees out of pre-tax earnings, but if you want to arrange your own medical cover then you need to pay for it out of after tax dollars. This effectively means that for every $1000 of insurance policy you want to take out, you need to earn $2000 whereas your employer could provide it for you at a cost to them of closer to $1000. This produces distortions in the market because of the tax structures that you have. As well as that, my understanding is that very few insurance companies market products direct to the consumer leaving the consumer with very little choice and expensive ones at that.</p>
<p>A lot of this was caused by high marginal tax rates in the USA leading to medical insurance as a fringe benefit for executives, as well as wage freezes by FDR leading to unions pushing for medical insurance as they could not increase the cash wages / salary paid to workers. Government interference created the mess that the USA has in this regard.</p>
<p>By contrast, here in Australia, there is a large market for direct to consumer health insurance. You see advertisements for it on TV all the time. You can also get major tax breaks if you have health insurance as if you earn over AU$150,000 per year, you are penalised an additional 2.5% of gross earnings (on top of a 45% marginal tax rate) if you do not take out private medical insurance. Cover is available from as little as AU$500 per annum for an individual in good health. And it means that you can bypass the public system rather than waiting on a waiting list till you either die or your condition gets worse before getting the treatment required.</p>
<p>There are a multitude of causes behind the problems in the American Health System. I would argue that a public system is a good thing in general (my wife had a baby AFTER I lost my job and our out of pocket expenses was $0.00 and we are uninsured), but you need a system that respects human life. This is NOT what you are going to get with Obama.</p>
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		<title>By: Kathryn</title>
		<link>http://catholicexchange.com/2009/09/08/121677/comment-page-1/#comment-42473</link>
		<dc:creator>Kathryn</dc:creator>
		<pubDate>Tue, 08 Sep 2009 10:43:35 +0000</pubDate>
		<guid isPermaLink="false">http://catholicexchange.com/2009/09/08/121677/#comment-42473</guid>
		<description>Health Care isn&#039;t something that it just &quot;out there&quot; like Life, Liberty, and the Pursuit of Happiness.  Those items cannot be stolen from anyone, and don&#039;t require anyone to give anything up or expend any energy or material goods so that we can get them.  Health Care is different because it isn&#039;t just &quot;out there&quot;.  Generally, someone has to train many years in order to provide it for others.  Or perhaps, in the case of Health Food stores, the person has to know something about &quot;alternative medicines&quot; in order to be able to make a living selling Tea Tree oil, neti pots, various books on the subject, etc.

Perhaps what we could say is that we all have a right to &quot;pursue&quot; health care, like we pursue happiness.  We all the right to engage in the open market in order to try to aquire those heaalth care things we need, and we should not be discriminated against based on age, skin color, creed, nationality, etc.

Currently, there are a lot of disruptions in the market: like not knowing what a doctor&#039;s visit or test will cost you, or the various states limiting the number of insurance policies a person can buy within state boundaries--thereby creating a monopoly within the state. There are mandates on insurance (like paying for abortions and sterilzation procedures, etc) and drug coverage (contraception, viagra) that cause the cost of policies to go up.</description>
		<content:encoded><![CDATA[<p>Health Care isn&#8217;t something that it just &#8220;out there&#8221; like Life, Liberty, and the Pursuit of Happiness.  Those items cannot be stolen from anyone, and don&#8217;t require anyone to give anything up or expend any energy or material goods so that we can get them.  Health Care is different because it isn&#8217;t just &#8220;out there&#8221;.  Generally, someone has to train many years in order to provide it for others.  Or perhaps, in the case of Health Food stores, the person has to know something about &#8220;alternative medicines&#8221; in order to be able to make a living selling Tea Tree oil, neti pots, various books on the subject, etc.</p>
<p>Perhaps what we could say is that we all have a right to &#8220;pursue&#8221; health care, like we pursue happiness.  We all the right to engage in the open market in order to try to aquire those heaalth care things we need, and we should not be discriminated against based on age, skin color, creed, nationality, etc.</p>
<p>Currently, there are a lot of disruptions in the market: like not knowing what a doctor&#8217;s visit or test will cost you, or the various states limiting the number of insurance policies a person can buy within state boundaries&#8211;thereby creating a monopoly within the state. There are mandates on insurance (like paying for abortions and sterilzation procedures, etc) and drug coverage (contraception, viagra) that cause the cost of policies to go up.</p>
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