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Monday, Aug 5 2024

麻豆女优 Health News Original Stories 3

  • 鈥業 Feel Dismissed鈥: People Experiencing Colorism Say Health System Fails Them
  • Harris鈥 California Health Care Battles Signal Fights Ahead for Hospitals if She Wins
  • Shingles Vaccine May Stall Dementia, and Vaccine Mandates Save Lives, Studies Suggest

Note To Readers

After Roe V. Wade 1

  • Challenge To Abortion-Rights Ballot Initiative Renewed In South Dakota

Reproductive Health 1

  • Maternity Homes, Aimed At Halting Abortions, Expanding Across US

Medicare 1

  • Officials Try To Keep Medicare Part D Premiums Steady As Elections Loom

Government Policy 1

  • As FDA Ponders MDMA Approval, Questions Linger Over Drug Trial Data

Mental Health 1

  • Study: People With Chronic Pain Aren't Given Mental Health Help They Need

Outbreaks and Health Threats 1

  • Warnings Issued For Eastern Equine Encephalitis In Mass. And Vibrio In Texas

Health Industry 1

  • Almost 1,250 Workers Will Lose Jobs In Steward Hospital Closures In Mass.

Pharmaceuticals 1

  • To Improve Care Access, Drugstores Are Experimenting With New Designs

Editorials And Opinions 1

  • Viewpoints: Performance-Enhancing Drugs May Be Placebos; End Rumors Of Secondhand Fentanyl Overdoses

From 麻豆女优 Health News - Latest Stories:

麻豆女优 Health News Original Stories

鈥業 Feel Dismissed鈥: People Experiencing Colorism Say Health System Fails Them

Colorism 鈥 a form of prejudice and discrimination in which lighter skin is favored over darker skin 鈥 has been associated with mental health conditions such as depression, low self-esteem, and anxiety. But skin tone often goes unaddressed with therapists and clinical specialists. ( Chaseedaw Giles and Oona Zenda , 8/5 )

Harris鈥 California Health Care Battles Signal Fights Ahead for Hospitals if She Wins

Kamala Harris fought health care consolidation during her tenure as California鈥檚 attorney general, and she could escalate the fight nationally if she wins in November. Still, the pace of mergers has accelerated. ( Bernard J. Wolfson and Phil Galewitz , 8/5 )

Shingles Vaccine May Stall Dementia, and Vaccine Mandates Save Lives, Studies Suggest

麻豆女优 Health News senior fellow and editor-at-large for public health C茅line Gounder discussed vaccines in a couple of recent media appearances. ( 8/3 )

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IN HEALTH CARE, LEAVE NO STONE UNTURNED

Lift the 鈥渘onprofit鈥
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鈥 Timothy Kelley

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Note To Readers

麻豆女优 Health News is on and ! Watch our videos and follow along as we break down health care headlines and policy.

Summaries Of The News:

After Roe V. Wade

Challenge To Abortion-Rights Ballot Initiative Renewed In South Dakota

At issue is whether the group that collected signatures to get the measure on the Nov. 5 ballot acted in accordance with state law. Ballot initiatives in Arkansas and Montana also are in the news. Elsewhere, maternity care deserts expand in Iowa, while New Mexico courts doctors from Texas.

An anti-abortion group won the latest round in a court battle over South Dakota鈥檚 abortion-rights ballot question. The Life Defense Fund is attempting to disqualify the measure from the Nov. 5 ballot. A circuit court judge in Minnehaha County dismissed the group鈥檚 lawsuit last month. But on Friday, the state Supreme Court reversed that decision and sent the case back to the circuit court for further proceedings. (Tupper, 8/2)

Both parties in the fight over a proposed constitutional abortion amendment for Arkansas' November ballot filed briefs with the state supreme court Friday. Why it matters: The clock is ticking. Progress to getting the measure on the ballot 鈥 or rejecting it with finality 鈥 has been stalled for nearly a month while parties argue over paperwork. (Sparkman, 8/2)

Montana Gov. Greg Gianforte claims that Constitutional Initiative 128, which would enshrine reproductive rights and abortion in the state constitution, would allow abortion even until birth. (Ehrlick, 8/2)

North Carolina's Lt. Gov. Mark Robinson, the Republican nominee for governor, released a TV ad Friday in which he and his wife tearfully describe their decision to get an abortion 30 years ago. Why it matters: Robinson has previously rebuked abortions and expressed support for a ban with no expressions, equating the procedure to "murder" and "genocide." (Sherman, 8/2)

On the lack of women's care 鈥

Dr. Emily Boevers is the only full-time OGBYN at a critical access hospital in a rural city in Iowa about 10 miles from the farm she grew up on. She鈥檚 the only full-time OBGYN in the county, in a state that just banned most abortions. Iowa enacted a law last week banning abortion once fetal cardiac activity can be detected, around six weeks into pregnancy, before many people even know they鈥檙e pregnant. The law includes exceptions for rape, incest and medical emergencies that threaten the life of the mother, and fetal abnormalities that are incompatible with life. (Mascarenhas, 8/5)

Advertisements published in the Dallas Morning News and Fort Worth Star-Telegram this morning asked North Texas medical professionals to consider moving to nearby New Mexico amid Texas' abortion bans.聽The ads, which feature an open letter from New Mexico Gov. Lujan Grisham, urge Texas doctors to consider moving to New Mexico if they can not tolerate Texas' restriction on abortion access. Similar ads were published in the Houston Chronicle, San Antonio Express-News and Austin American-Statesman.聽 (Behrndt, 8/4)

In the aftermath of Roe v. Wade, should the Supreme Court be reformed? 鈥

Justice Neil Gorsuch is pushing back against President Joe Biden鈥檚 recent proposals to restructure the Supreme Court. 鈥淚 just say: Be careful,鈥 Gorsuch warned in an interview that aired on 鈥淔ox News Sunday.鈥 Less than a week after Biden announced he was reversing course and supporting 18-year term limits for justices and legislation to create a binding ethics code for the high court, the first of President Donald Trump鈥檚 three Supreme Court appointees encouraged Americans to think long and hard before taking steps that might undermine the independence of the judicial system. (Gerstein, 8/4)

Reproductive Health

Maternity Homes, Aimed At Halting Abortions, Expanding Across US

The network of transitional care homes has increased 23% since Roe v. Wade was overturned. Meanwhile, as states tighten restrictions on abortion, some low-income women are finding it hard to secure affordable birth control. Also, a look at Louisiana's new laws.

There has been a nationwide expansion of maternity homes in the two years since the Supreme Court overturned Roe v. Wade and the federal right to abortion. 鈥淚t鈥檚 been a significant increase,鈥 said Valerie Harkins, director of the Maternity Housing Coalition, a nonprofit anti-abortion network of 195 maternity homes that has grown 23% since the court鈥檚 ruling. There are now more than 450 maternity homes in the U.S., according to Harkins; many of them are faith-based. As abortion restrictions increase, anti-abortion advocates want to open more of these transitional housing facilities, which often have long waitlists. It鈥檚 part of what they see as the next step in preventing abortions and providing long-term support for low-income pregnant women and mothers. (Stanley, 8/2)

Maternity homes have seen a resurgence in the two years since the Supreme Court overturned Roe v. Wade. Across the country, homes are sprouting up or expanding. Christian anti-abortion advocates want to open more of these transitional housing facilities, believing they are the next step in helping women who carry pregnancies to term. Maternity homes differ from emergency shelters: They typically provide longer-term housing and wraparound services for pregnant women, sometimes for months or even years after birth. Many of them are faith-based, with founders who are Catholic or evangelical. (Stanley, 8/2)

In other reproductive health news 鈥

A renewed spotlight on protecting access to birth control may not help women who are already struggling to find affordable contraception in some states with the strictest abortion laws. At a family planning clinic in Tuscaloosa, Alabama, that largely helps low-income women, executive director Robin Marty has to make sure the clinic, WAWC Healthcare, has a variety of contraceptives on hand, including pills, patches, implants and IUDs, so patients can get free or low-cost birth control during their appointments. (Sullivan, 8/3)

The number of babies born with severe birth defects affecting their growth and development is rising, as researchers now have strong evidence that illicit fentanyl is causing the problems. Hospitals have identified at least 30 newborns with what has been identified as 鈥渇etal fentanyl syndrome,鈥 NBC News has learned. The babies were born to mothers who said they鈥檇 used street drugs, particularly fentanyl, while pregnant. (Edwards, 8/2)

A slew of Louisiana legislation, including a first-of-its-kind law that allows judges to impose the punishment of surgical castration for offenders guilty of certain sex crimes against children, went into effect Thursday. Between new Republican Gov. Jeff Landry and a GOP supermajority in the Louisiana Legislature, measures mirroring national conservative priorities had a clear path forward into law this year. From anti-LGBTQ+ bills, tough-on-crime policies and additional regulations on absentee ballots, here is a closer look at some of the legislation that officially took effect Thursday. (Cline, 8/1)

Medicare

Officials Try To Keep Medicare Part D Premiums Steady As Elections Loom

Meanwhile, The Wall Street Journal reports on nurse visits that are less about treating Medicare Advantage recipients and more about allowing insurers to get more government cash.

Medicare officials are offering private insurers big subsidies to keep premiums for prescription-drug plans stable as the elections approach. (Wilkerson, 8/5)

Millions of times each year, insurers send nurses into the homes of Medicare recipients to look them over, run tests and ask dozens of questions.聽The nurses aren鈥檛 there to treat anyone. They are gathering new diagnoses that entitle private Medicare Advantage insurers to collect extra money from the federal government.聽聽A Wall Street Journal investigation of insurer home visits found the companies pushed nurses to run screening tests and add unusual diagnoses, turning the roughly hourlong stops in patients鈥 homes into an extra $1,818 per visit, on average, from 2019 to 2021. Those payments added up to about $15 billion during that period, according to a Journal analysis of Medicare data. (Mathews, Weaver, McGinty and Maremont, 8/4)

Kamala Harris once championed Medicare for All, calling the US鈥檚 current system 鈥渋nhumane.鈥 As the 2024 election approaches, questions about Harris鈥檚 stance on health care have a new urgency. (Barshad, 8/2)

In Medicaid news 鈥

Conservatives are targeting the hundreds of billions of dollars in federal spending that's led to the highest insured rate in U.S. history 鈥 and no program is more in the crosshairs than Medicaid. The Affordable Care Act expansion of Medicaid for low-income adults helped drive enrollment to nearly 75 million people as of April. But the safety-net health program now costs more than $800 billion annually, with the federal government footing about 70% of the bill. (Goldman, 8/5)

UCHealth sued the agency overseeing Medicaid in Colorado on Friday, alleging it mislabeled two of the health network鈥檚 hospitals, costing it the fair share of a fee to offset uncompensated care. The lawsuit, filed in Denver District Court, alleges the Colorado Department of Health Care Policy and Financing mislabeled two UCHealth facilities as publicly owned, rather than private nonprofit hospitals. (Wingerter, 8/3)

Government Policy

As FDA Ponders MDMA Approval, Questions Linger Over Drug Trial Data

Some people who took part in the studies for a PTSD treatment reported worsening thoughts of suicide 鈥 a side effect that wasn't included in the study's final results.

Studies being used to decide whether the U.S. should authorize an ecstasy-based drug for traumatized patients missed serious side effects and were marked by bias. The Food and Drug Administration is expected within days to decide whether to approve the drug, known as MDMA, for treatment of post-traumatic stress disorder. Approval would be a milestone in decades of efforts to decriminalize the use of psychedelics.聽 Three people who were subjects in the studies told The Wall Street Journal that their thoughts of suicide worsened during or after testing, but their downward slides weren鈥檛 captured in trial data and therefore not reflected in the final results. (Whyte, 8/5)

A 77-year-old retired Marine Corps general has emerged as an unlikely advocate for treating veterans suffering from post-traumatic stress disorder with the psychedelic drug ecstasy. Jack Bergman flew helicopters in Vietnam, earned three stars, and is now in his fourth term representing a northern Michigan district in the House. A Republican, he sees promise in psychedelics that a group of mostly psychiatry professors who advise the FDA didn鈥檛 when they recommended the nation鈥檚 drug regulator turn down a pharmaceutical company鈥檚 application to offer MDMA along with therapy as a PTSD treatment. (Schumaker, 8/5)

The psychedelic drug is at a make-or-break point, with the FDA scheduled to make an announcement this month on whether it is ready to move forward as a PTSD treatment. In a three-part series, Today, Explained鈥檚 Haleema Shah reports on the promise and precarity of MDMA. Starting with the rogue chemist and therapists in the 1980s who believed it could change psychotherapy, the series traces the decades-long effort to make a dance-floor drug medicinal, journeying through the war on drugs, the rave era, and the psychedelic renaissance to explain how a once-maligned drug became an emblem of healing 鈥 and how, no matter what the FDA decides, therapy will never be the same. (Shah, 8/2)

In other news about illegal drug use 鈥

There are no simple solutions to the ongoing opioid crisis, which last year claimed more than 2,100 lives in Massachusetts alone. But making sure naloxone is within arms reach is as good a strategy as any, say Harvard students behind an effort to put the overdose reversal drug 鈥 commonly referred to by the brand name Narcan and usually given via disposable nasal spray 鈥 in as many public places as possible. (Buell, 8/4)

When it comes to treating methamphetamine addiction, the use of behavioral incentives is settled science. Offering financial rewards, like gift cards, to people who demonstrate that they鈥檝e reduced or stopped their meth use, is highly effective: Studies show that contingency management, as it is known, can promote abstinence from drugs, increase utilization of health care services, and even reduce high-risk sexual behavior. (Facher, 8/5)

Mental Health

Study: People With Chronic Pain Aren't Given Mental Health Help They Need

An analysis found that these patients' needs were underserved "at almost every point" in the U.S. health system, The Washington Post reports.

People living with chronic pain are more likely than their peers without pain to need mental health treatment, yet less likely to get it, a new analysis suggests. The study, published in the journal PAIN, relied on data from the 2019 National Health Interview Survey, which tracked population-wide health in the United States by surveying a nationally representative sample of about 32,000 adults. (Blakemore, 8/4)

Being outdoors goes hand in hand with active play, which can improve physical health and coordination, says Stephen Cook, a spokesperson for the American Academy of Pediatrics and a professor of pediatrics at Nationwide Children鈥檚 Hospital in Columbus, Ohio. It also increases children鈥檚 exposure to vitamin D, which the body produces in response to sunlight and which is necessary for growth and bone health. (Serrano, 8/4)

If you need help 鈥

Mental health news from California 鈥

In 2020, Assemblymember James C. Ramos, D-San Bernardino, celebrated the creation of the state鈥檚 new Office of Suicide Prevention. Four years later, more work remains to be done, he and other Native American leaders say. Despite making up only 3.6% of Californians in 2020, American Indians or Alaskan Natives made up 9.8% of those who killed themselves that same year, according to the California Department of Public Health. (Yarbough, 8/4)

Santa Clara County officials believe there are at least a hundred privately owned and operated independent living homes tucked in residential neighborhoods throughout San Jose and the county. ... Counties routinely rely on such facilities to house the most vulnerable, but operators are not required to obtain a license. ... Disability rights advocates and local officials say that鈥檚 left many tenants languishing in inhospitable conditions and, in some cases, unable to get the care they need. (Varian, 8/4)

Outbreaks and Health Threats

Warnings Issued For Eastern Equine Encephalitis In Mass. And Vibrio In Texas

Also in the news: chronic wasting disease, mpox, covid test shortages, and more.

State public health officials have raised the risk of contracting Eastern equine encephalitis in five communities south of Boston after mosquito samples collected in Bristol and Plymouth counties tested positive for the virus. The risk was raised to high in Carver and Middleborough and to moderate in Bridgewater, Lakeville, and Rochester, the Massachusetts Department of Public Health said in a statement Friday. (Cabral Leite, 8/3)

A public health alert has been issued by the Galveston County Health District warning of an increase in flesh-eating bacteria-related illnesses after surveillance found cases from Galveston Beach.聽Vibrio infection reports have raised concerns about the health risks associated with exposure to the bacteria, the health district said in a statement.聽(Johnson, 8/2)

Chronic wasting disease (CWD) was confirmed yesterday in an adult female white-tailed deer found dead in Spokane, Washington. It's the state's first case of CWD. (Dall, 8/2)

The World Health Organization's chief said Sunday he was considering convening an expert committee to advise on whether the growing mpox outbreak in Africa should be declared an international emergency. (8/4)

On covid and shingles 鈥

Some CVS Health Corp. pharmacies are selling out of at-home Covid tests as a summer surge in infections drives up demand. As of Friday afternoon, CVS鈥檚 website showed that all brands of tests were out of stock at many locations in cities including Houston, Austin and Reno, Nevada. (Vahanvaty, 8/2)

Minnesota has seen an upward trend of hospitalizations from COVID-19, and it鈥檚 a little earlier than last year, when hospitalizations started to increase later in the summer toward the end of August, according to APM Research Lab data.聽Minnesota Department of Health experts still don鈥檛 have enough data to find a clear pattern or trend for the virus. Senior epidemiologist Keeley Morris said Minnesota does tend to experience a 鈥渟ummer increase鈥 and that it appeared that the number of cases happened earlier this season. (Yang, 8/2)

麻豆女优 Health News: Shingles Vaccine May Stall Dementia, And Vaccine Mandates Save Lives, Studies Suggest

麻豆女优 Health News senior fellow and editor-at-large for public health C茅line Gounder discussed vaccines in a couple of recent media appearances. (8/3)

Health Industry

Almost 1,250 Workers Will Lose Jobs In Steward Hospital Closures In Mass.

The company, which is in bankruptcy proceedings, says it is "acutely aware" of the hardships the laid-off staffers will face. Modern Healthcare, meanwhile, notes that the health industry mergers and acquisitions business is picking up.

Steward Health Care has notified the state that nearly 1,250 workers will lose their jobs as the聽company, which is in bankruptcy proceedings, moves to close acute care hospitals in Dorchester and Ayer by the end of the month. The notices said 753 workers at Carney Hospital and 490 workers at Nashoba Valley Medical Center will be out of work. In a statement Saturday, Steward said it is 鈥渁cutely aware鈥 of the difficulties its 鈥渄edicated and hardworking鈥 employees face because of the hospital closures. (Crimaldi, 8/3)

Hospital acquisitions are expected to increase in the year's second half, fueled by improving finances at many large health systems. Last week, Universal Health Systems raised its 2024 guidance after rising inpatient and surgery admissions boosted the King of Prussia, Pennsylvania-based for-profit provider's operating income.聽 Also, the 70-hospital聽Community Health Systems聽said its second-quarter surgery volumes continue to grow. (Kacik, 8/2)

Hennepin Healthcare鈥檚 emergency department has a new chair, one of the first tribally enrolled people to lead an academic emergency department in the U.S. Dr. Thomas Wyatt (Shawnee/Quapaw) is believed to be the first Indigenous physician to chair an emergency department in Minnesota. (Zurek, 8/3)

The optimism that began the year for many direct-to-consumer telehealth companies has given way to a tougher reality.聽Businesses that offer聽direct-to-consumer telehealth, companies that prescribe聽medications and other treatments to patients through subscription plans, are struggling with聽high advertising costs and a decline in consumer demand. (Turner, 8/2)

Also 鈥

The National Committee for Quality Assurance is emphasizing follow-up care, particularly for hypertension and breast cancer assessments,聽with its newest measure additions to the Healthcare Effectiveness Data and Information Set. Starting next year, NCQA will be adding three new measures on which health plans will need to report. It will also remove four others and make a series of changes to existing measures, the organization announced Thursday. (Devereaux, 8/2)

麻豆女优 Health News: Harris鈥 California Health Care Battles Signal Fights Ahead For Hospitals If She Wins

When Kamala Harris was California鈥檚 top prosecutor, she was concerned that mergers among hospitals, physician groups, and health insurers could thwart competition and lead to higher prices for patients. If she wins the presidency in November, she鈥檒l have a wide range of options to blunt monopolistic behavior nationwide. The Democratic vice president could influence the Federal Trade Commission and instruct the departments of Justice and Health and Human Services to prioritize enforcement of antitrust laws and channel resources accordingly. (Wolfson and Galewitz, 8/5)

麻豆女优 Health News: 鈥業 Feel Dismissed鈥: People Experiencing Colorism Say Health System Fails Them

Jonnae Thompson has felt for a long time that her dark brown skin and natural hair have made finding work in Hollywood especially hard. 鈥淚t鈥檚 like this negative connotation,鈥 said the 37-year-old actress, singer, and stand-up comedian, who said she is often asked to audition for villainous roles such as a bully, drug dealer, or pimp. Her quest for more equitable representation on the big screen isn鈥檛 just professionally exhausting. Thompson says anxiety about her skin complexion has affected her health. (Giles, 8/5)

Pharmaceuticals

To Improve Care Access, Drugstores Are Experimenting With New Designs

The Chicago Tribune reports on drugstores across the country trying out smaller locations and other tricks to tempt shoppers. It's a bid to boost access to care and build better customer connections. Separately, the FDA says all doses of Eli Lilly's diabetes and weight loss drugs are available.

America鈥檚 drugstores are testing smaller locations and more ways to offer care as price-sensitive shoppers look elsewhere. Customers may see Walgreens stores that are one-fourth the size of a regular location or CVS drugstores with entire primary clinics stuffed inside. If these experiments succeed, the new stores might improve access to care and create a more lasting connection with customers, analysts say. (Murphy, 8/4)

On weight loss drugs 鈥

All doses of Eli Lilly's weight-loss drug Zepbound and diabetes drug Mounjaro are now available, the U.S. Food and Drug Administration's updated shortage list showed on Friday. However, the regulator has not yet removed the drugs off its shortage list. (Satija and K, 8/2)

Consumers who try to buy popular weight loss drugs online without a prescription risk being scammed or receiving unsafe products, a new study shows. About 42% of online pharmacies that sell semaglutide, the active ingredient in Novo Nordisk鈥檚 anti-obesity drug Wegovy, are illegal, operating without a valid license and selling medications without prescriptions, according to a study published Friday in JAMA Network Open. (Szabo, 8/2)

Cost increases for medical services and specialty drugs, like GLP-1s and other weight loss medications, have U.S. employers looking for ways to change workers' use of healthcare services. In a nationwide survey by insurance broker Gallagher, employers ranked the high costs of medical services and specialty drugs as the top two healthcare cost management challenges. (Asplund, 8/2)

On artificial intelligence 鈥

Technology that identifies people at risk of a heart attack in the next 10 years has been hailed as "game changing" by scientists. The artificial intelligence (AI) model detects inflammation in the heart that does not show up on CT scans, which involve a combination of X-rays and computer technology. (Da Costa, 8/5)

The next time you go to the doctor, don鈥檛 be surprised if an artificial intelligence program is listening in and transcribing what you and your doctor say. And if a summary of your next X-ray or MRI scan pops up more quickly than expected in your health app, AI could be the reason why. Technology boosters talk of AI鈥檚 potential to improve and accelerate medicine, from constructing new proteins to improving disease diagnostics. (DiFeliciantonio, 8/2)

Editorials And Opinions

Viewpoints: Performance-Enhancing Drugs May Be Placebos; End Rumors Of Secondhand Fentanyl Overdoses

Editorial writers tackle these issues and others.

With Chinese swimmers getting 200 drug tests over 10 days ahead of the Paris Olympics, all eyes are on the World Anti-Doping Agency (WADA). Anti-doping is being politicized and some important questions are being asked with this Chinese fiasco. We believe an important question is this: Do performance-enhancing drugs actually work, or are they just placebos? (Jo Morrison and Eric Moore, 8/4)

For the past few years, over 70,000 overdose deaths in the United States have involved synthetic opioids, primarily fentanyl and its analogues. Most families grieving these deaths won鈥檛 have a doctor in the family to dispute misconceptions perpetuated by law enforcement, funeral homes and others. How many American families are being unnecessarily deprived of a somber, sacred moment based on stigma and rumors? (John Woller, 8/4)

Federally funded research in science, technology, engineering, mathematics, and medicine (STEMM) is a crown jewel of American higher education that confers enormous benefits upon the U.S. and the world. The integrity of the processes by which funding decisions are made is critically important to the success of the enterprise and its support by the public who pay for this research. (Jeffrey S. Flier, 8/5)

As I roamed the meeting rooms and halls of the Alzheimer鈥檚 Association International Conference in Philadelphia last week, I kept hearing a word 鈥 dementia 鈥 I鈥檝e come to loathe as someone with early Alzheimer鈥檚. (Mike Zuendel, 8/5)

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