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    What is the argument AGAINST allowing insurance to be sold across state lines?

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    • A Offline
      aadam101
      last edited by

      @Frederick:

      You hit on something else too.. if someone lives in one state, and purchases their health insurance in that state.. What happens when that person moves to another state?  Or even if they are just on vacation in another state?  Or overseas?

      That all depends.  For most people healthcare is tied to employment so if they move to another state they probably have a new job or they have an insurer that operates in multiple states.

      ObamaCare plans are actually sold at the COUNTY level.  If you don't live in a county where that plan is sold you need to change plans.  You are allowed to change plans.

      Generally, all plans offer emergency coverage out of state.  Most plans do not offer ANY type of coverage out of the country.  Medicare has some limited circumstances in which it can be used in Canada but no other country.

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      • FrederickF Offline
        Frederick
        last edited by

        @aadam101:

        @Frederick:

        You hit on something else too.. if someone lives in one state, and purchases their health insurance in that state.. What happens when that person moves to another state?  Or even if they are just on vacation in another state?  Or overseas?

        That all depends.  For most people healthcare is tied to employment so if they move to another state they probably have a new job or they have an insurer that operates in multiple states.

        ObamaCare plans are actually sold at the COUNTY level.  If you don't live in a county where that plan is sold you need to change plans.  You are allowed to change plans.

        Generally, all plans offer emergency coverage out of state.  Most plans do not offer ANY type of coverage out of the country.  Medicare has some limited circumstances in which it can be used in Canada but no other country.

        ,

        hmm..  if someone moves to another country.. I am sure they still get their social security checks / benefits,  but I bet they lose their medicare benefits.  They take money out of mt dad's ss before he ever sees it.  If he moved to another country, I wonder if they would continue to talke $$ from his ss to pay for medicare that he isn't getting.

        Here's a wild idea..  put a tax on tobacco that is used to fund cancer treatments.

        Picture removed by admin

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        • raphjdR Offline
          raphjd Forum Administrator
          last edited by

          As for benefits, if you move to a country that is part of the "partnership" then your SSI counts toward that countries state pension.

          If I stay in the UK, my US SSI credits go toward my UK state pension.  If I return to the US, my UK pension credits go toward social security.

          As far as Medicare, that ends once you leave the US.

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          • raphjdR Offline
            raphjd Forum Administrator
            last edited by

            It's my understanding, from living in TX, that the issue is regulations on insurance.    Texas is the most protectionist against interstate stuff.

            If we have interstate insurance sales, then we end up with the same situation we have with credit cards, where a couple states make their laws so lax to draw the insurance companies in.    Delaware and South Dakota control (at least they did 16 years ago) the entire credit card industry because they made their laws benefit the companies and not the customers.

            Also, it's a huge loss in tax revenue for the states that don't pander to the insurance industry.

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            • A Offline
              aadam101
              last edited by

              @Frederick:

              @aadam101:

              @Frederick:

              You hit on something else too.. if someone lives in one state, and purchases their health insurance in that state.. What happens when that person moves to another state?  Or even if they are just on vacation in another state?  Or overseas?

              That all depends.  For most people healthcare is tied to employment so if they move to another state they probably have a new job or they have an insurer that operates in multiple states.

              ObamaCare plans are actually sold at the COUNTY level.  If you don't live in a county where that plan is sold you need to change plans.  You are allowed to change plans.

              Generally, all plans offer emergency coverage out of state.  Most plans do not offer ANY type of coverage out of the country.  Medicare has some limited circumstances in which it can be used in Canada but no other country.

              ,

              hmm..  if someone moves to another country.. I am sure they still get their social security checks / benefits,  but I bet they lose their medicare benefits.  They take money out of mt dad's ss before he ever sees it.  If he moved to another country, I wonder if they would continue to talke $$ from his ss to pay for medicare that he isn't getting.

              Here's a wild idea..   put a tax on tobacco that is used to fund cancer treatments.

              You don't have to be enrolled in Medicare.  You can cancel. You can continue to get SS if you are out of the country.  I've seen people with US Social Security and Social Security from another country.  They worked enough in both countries to get both.

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              • FrederickF Offline
                Frederick
                last edited by

                @aadam101:

                @Frederick:

                @aadam101:

                @Frederick:

                You hit on something else too.. if someone lives in one state, and purchases their health insurance in that state.. What happens when that person moves to another state?  Or even if they are just on vacation in another state?  Or overseas?

                That all depends.  For most people healthcare is tied to employment so if they move to another state they probably have a new job or they have an insurer that operates in multiple states.

                ObamaCare plans are actually sold at the COUNTY level.  If you don't live in a county where that plan is sold you need to change plans.  You are allowed to change plans.

                Generally, all plans offer emergency coverage out of state.  Most plans do not offer ANY type of coverage out of the country.  Medicare has some limited circumstances in which it can be used in Canada but no other country.

                ,

                hmm..  if someone moves to another country.. I am sure they still get their social security checks / benefits,  but I bet they lose their medicare benefits.  They take money out of mt dad's ss before he ever sees it.  If he moved to another country, I wonder if they would continue to talke $$ from his ss to pay for medicare that he isn't getting.

                Here's a wild idea..   put a tax on tobacco that is used to fund cancer treatments.

                You don't have to be enrolled in Medicare.  You can cancel. You can continue to get SS if you are out of the country.  I've seen people with US Social Security and Social Security from another country.  They worked enough in both countries to get both.

                Hmm.. I wonder if some elderly people, such as those who have a DNR or live in a hospice cancel their medicare?

                Picture removed by admin

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                • A Offline
                  aadam101
                  last edited by

                  @Frederick:

                  @aadam101:

                  @Frederick:

                  @aadam101:

                  @Frederick:

                  You hit on something else too.. if someone lives in one state, and purchases their health insurance in that state.. What happens when that person moves to another state?  Or even if they are just on vacation in another state?  Or overseas?

                  That all depends.  For most people healthcare is tied to employment so if they move to another state they probably have a new job or they have an insurer that operates in multiple states.

                  ObamaCare plans are actually sold at the COUNTY level.  If you don't live in a county where that plan is sold you need to change plans.  You are allowed to change plans.

                  Generally, all plans offer emergency coverage out of state.  Most plans do not offer ANY type of coverage out of the country.  Medicare has some limited circumstances in which it can be used in Canada but no other country.

                  ,

                  hmm..  if someone moves to another country.. I am sure they still get their social security checks / benefits,  but I bet they lose their medicare benefits.  They take money out of mt dad's ss before he ever sees it.  If he moved to another country, I wonder if they would continue to talke $$ from his ss to pay for medicare that he isn't getting.

                  Here's a wild idea..  put a tax on tobacco that is used to fund cancer treatments.

                  You don't have to be enrolled in Medicare.  You can cancel. You can continue to get SS if you are out of the country.  I've seen people with US Social Security and Social Security from another country.  They worked enough in both countries to get both.

                  Hmm.. I wonder if some elderly people, such as those who have a DNR or live in a hospice cancel their medicare?

                  Hospice is a Medicare benefit so that is doubtful.  Very few people actually go to a Hospice center.  Those services are usually provided at home or in a nursing home.  Hospice is short term.  Generally people who need Hospice services will die pretty quickly.

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                  • FrederickF Offline
                    Frederick
                    last edited by

                    @aadam101:

                    @Frederick:

                    @aadam101:

                    @Frederick:

                    @aadam101:

                    @Frederick:

                    You hit on something else too.. if someone lives in one state, and purchases their health insurance in that state.. What happens when that person moves to another state?  Or even if they are just on vacation in another state?  Or overseas?

                    That all depends.  For most people healthcare is tied to employment so if they move to another state they probably have a new job or they have an insurer that operates in multiple states.

                    ObamaCare plans are actually sold at the COUNTY level.  If you don't live in a county where that plan is sold you need to change plans.  You are allowed to change plans.

                    Generally, all plans offer emergency coverage out of state.  Most plans do not offer ANY type of coverage out of the country.  Medicare has some limited circumstances in which it can be used in Canada but no other country.

                    ,

                    hmm..  if someone moves to another country.. I am sure they still get their social security checks / benefits,  but I bet they lose their medicare benefits.  They take money out of mt dad's ss before he ever sees it.  If he moved to another country, I wonder if they would continue to talke $$ from his ss to pay for medicare that he isn't getting.

                    Here's a wild idea..   put a tax on tobacco that is used to fund cancer treatments.

                    You don't have to be enrolled in Medicare.  You can cancel. You can continue to get SS if you are out of the country.  I've seen people with US Social Security and Social Security from another country.  They worked enough in both countries to get both.

                    Hmm.. I wonder if some elderly people, such as those who have a DNR or live in a hospice cancel their medicare?

                    Hospice is a Medicare benefit so that is doubtful.  Very few people actually go to a Hospice center.  Those services are usually provided at home or in a nursing home.  Hospice is short term.  Generally people who need Hospice services will die pretty quickly.

                    You don't HAVE to be on medicare to be in a hospice.  A hospice is basically a place to go for elderly - not necessarily even physically ill - where they are kept comfortable - sometimes just as a vacation for their caregivers.  No surgeries or other life-extending procedures are done. 
                    https://www.nahf.org.uk/what-is-a-hospice.html

                    Picture removed by admin

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                    • S Offline
                      spam17
                      last edited by

                      A hospice is a type of medical treatment that helps take care of people who are very sick and have an illness that they will not be able to heal from. Many people staying in hospices have cancer or AIDS. People who stay in hospices are expected to die soon, but sometimes they get better.

                      👼

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                      • FrederickF Offline
                        Frederick
                        last edited by

                        @spam17:

                        A hospice is a type of medical treatment that helps take care of people who are very sick and have an illness that they will not be able to heal from. Many people staying in hospices have cancer or AIDS. People who stay in hospices are expected to die soon, but sometimes they get better.

                        👼

                        .. I would say that very few of them get better..  but quite a few of them do not die soon.  It is not usual for someone to live another 15 years after their condition is "terminal'.  In fact, some cancer patients decide to forego chemotherapy because the chemotherapy is brutal.  In many cases, the cancer doesn't kill the person who doesn't take chemo.. but the chemotherapy kills people who do have chemo.

                        Picture removed by admin

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                        • A Offline
                          aadam101
                          last edited by

                          Nobody receives Hospice services for 15 years. Medicare actually caps it at six months (which is a long time for this service) and it's rather difficult to continue with the services via Medicare. Hospice is for end of life care. It's basically when treatment has stopped and you are just trying to make the patient comfortable until they die.

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                          • S Offline
                            spam17
                            last edited by

                            @Frederick:

                            @spam17:

                            A hospice is a type of medical treatment that helps take care of people who are very sick and have an illness that they will not be able to heal from. Many people staying in hospices have cancer or AIDS. People who stay in hospices are expected to die soon, but sometimes they get better.

                            👼

                            .. I would say that very few of them get better..  but quite a few of them do not die soon.  It is not usual for someone to live another 15 years after their condition is "terminal'.   In fact, some cancer patients decide to forego chemotherapy because the chemotherapy is brutal.  In many cases, the cancer doesn't kill the person who doesn't take chemo.. but the chemotherapy kills people who do have chemo.

                            I think it also depends on the age you are diagnosed..

                            😄

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                            • FrederickF Offline
                              Frederick
                              last edited by

                              @aadam101:

                              Nobody receives Hospice services for 15 years. Medicare actually caps it at six months (which is a long time for this service) and it's rather difficult to continue with the services via Medicare. Hospice is for end of life care. It's basically when treatment has stopped and you are just trying to make the patient comfortable until they die.

                              People rarely die when they are expected to.  They also don't die when their insurance coverage runs out (although sometimes I wonder…).

                              Just in my very limited personal experience:
                              My aunt was diagnosed with terminal breast cancer that had gotten to her lymph nodes.  She was told she would be gone within 3 months.  She lasted over a year.
                              My dad's 2nd wife's mother had all sorts of medical problems including severe dementia, heart problems, diabetes, legs swollen up like tree trunks.. could not walk, could not even operate her wheelchair.. and lingered like that for 15 years.
                              My grandfather had rheumatism as a child which gave him what is called a "rheumatic heart" that is like a time bomb.  He was told several times that he needed heart surgery to fix some problem, but he refused.  But then, when he was quite frail and weak, he consented to the heart surgery.  Unfortunately, by the time he consented to the surgery, they told him he was too frail and weak to survive the surgery and they would not do it.  He was in a wheelchair that he could not operate, and in a motorized hospital bed at home, and wearing an oxygen mask for over 2 years before dying. 
                              My sister in law had severe multiple sclerosis, attempted suicide with an intentional fall - leaving her a quadraplegic with broken vertebrae in her neck.  That left her head fused at a 30% angle.  She couldn't talk, the pupils of her eyes were unresponsive, on a feeding tube, and looked like a corpse for over 15 years before her heart gave out.  My idiot brother fought to keep her alive so he could continue to collect her benefits.  He kept her in a vegetative state of hell just so he could live off the income of her benefits.

                              Picture removed by admin

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                              • S Offline
                                spam17
                                last edited by

                                @Frederick:

                                @aadam101:

                                Nobody receives Hospice services for 15 years. Medicare actually caps it at six months (which is a long time for this service) and it's rather difficult to continue with the services via Medicare. Hospice is for end of life care. It's basically when treatment has stopped and you are just trying to make the patient comfortable until they die.

                                People rarely die when they are expected to.  They also don't die when their insurance coverage runs out (although sometimes I wonder…).

                                Just in my very limited personal experience:
                                My aunt was diagnosed with terminal breast cancer that had gotten to her lymph nodes.  She was told she would be gone within 3 months.  She lasted over a year.
                                My dad's 2nd wife's mother had all sorts of medical problems including severe dementia, heart problems, diabetes, legs swollen up like tree trunks.. could not walk, could not even operate her wheelchair.. and lingered like that for 15 years.
                                My grandfather had rheumatism as a child which gave him what is called a "rheumatic heart" that is like a time bomb.  He was told several times that he needed heart surgery to fix some problem, but he refused.   But then, when he was quite frail and weak, he consented to the heart surgery.  Unfortunately, by the time he consented to the surgery, they told him he was too frail and weak to survive the surgery and they would not do it.  He was in a wheelchair that he could not operate, and in a motorized hospital bed at home, and wearing an oxygen mask for over 2 years before dying. 
                                My sister in law had severe multiple sclerosis, attempted suicide with an intentional fall - leaving her a quadraplegic with broken vertebrae in her neck.  That left her head fused at a 30% angle.  She couldn't talk, the pupils of her eyes were unresponsive, on a feeding tube, and looked like a corpse for over 15 years before her heart gave out.  My idiot brother fought to keep her alive so he could continue to collect her benefits.   He kept her in a vegetative state of hell just so he could live off the income of wher benefits.

                                Your straight brorher?

                                ;D

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                                • FrederickF Offline
                                  Frederick
                                  last edited by

                                  @spam17:

                                  @Frederick:

                                  @aadam101:

                                  Nobody receives Hospice services for 15 years. Medicare actually caps it at six months (which is a long time for this service) and it's rather difficult to continue with the services via Medicare. Hospice is for end of life care. It's basically when treatment has stopped and you are just trying to make the patient comfortable until they die.

                                  People rarely die when they are expected to.  They also don't die when their insurance coverage runs out (although sometimes I wonder…).

                                  Just in my very limited personal experience:
                                  My aunt was diagnosed with terminal breast cancer that had gotten to her lymph nodes.  She was told she would be gone within 3 months.  She lasted over a year.
                                  My dad's 2nd wife's mother had all sorts of medical problems including severe dementia, heart problems, diabetes, legs swollen up like tree trunks.. could not walk, could not even operate her wheelchair.. and lingered like that for 15 years.
                                  My grandfather had rheumatism as a child which gave him what is called a "rheumatic heart" that is like a time bomb.  He was told several times that he needed heart surgery to fix some problem, but he refused.   But then, when he was quite frail and weak, he consented to the heart surgery.  Unfortunately, by the time he consented to the surgery, they told him he was too frail and weak to survive the surgery and they would not do it.  He was in a wheelchair that he could not operate, and in a motorized hospital bed at home, and wearing an oxygen mask for over 2 years before dying. 
                                  My sister in law had severe multiple sclerosis, attempted suicide with an intentional fall - leaving her a quadraplegic with broken vertebrae in her neck.  That left her head fused at a 30% angle.  She couldn't talk, the pupils of her eyes were unresponsive, on a feeding tube, and looked like a corpse for over 15 years before her heart gave out.  My idiot brother fought to keep her alive so he could continue to collect her benefits.   He kept her in a vegetative state of hell just so he could live off the income of wher benefits.

                                  Your straight brorher?

                                  ;D

                                  My oldest brother is one of those few people that are 100% straight.  He doesn't care what a woman looks like, nor how obnoxious they are.  If they have a source of income (benefits) and can tolerate him, he is goo goo gaa gaa in love with them.  He is also ultra liberal.

                                  Picture removed by admin

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                                  • A Offline
                                    aadam101
                                    last edited by

                                    @Frederick:

                                    @spam17:

                                    @Frederick:

                                    @aadam101:

                                    Nobody receives Hospice services for 15 years. Medicare actually caps it at six months (which is a long time for this service) and it's rather difficult to continue with the services via Medicare. Hospice is for end of life care. It's basically when treatment has stopped and you are just trying to make the patient comfortable until they die.

                                    People rarely die when they are expected to.  They also don't die when their insurance coverage runs out (although sometimes I wonder…).

                                    Just in my very limited personal experience:
                                    My aunt was diagnosed with terminal breast cancer that had gotten to her lymph nodes.  She was told she would be gone within 3 months.  She lasted over a year.
                                    My dad's 2nd wife's mother had all sorts of medical problems including severe dementia, heart problems, diabetes, legs swollen up like tree trunks.. could not walk, could not even operate her wheelchair.. and lingered like that for 15 years.
                                    My grandfather had rheumatism as a child which gave him what is called a "rheumatic heart" that is like a time bomb.  He was told several times that he needed heart surgery to fix some problem, but he refused.  But then, when he was quite frail and weak, he consented to the heart surgery.  Unfortunately, by the time he consented to the surgery, they told him he was too frail and weak to survive the surgery and they would not do it.  He was in a wheelchair that he could not operate, and in a motorized hospital bed at home, and wearing an oxygen mask for over 2 years before dying. 
                                    My sister in law had severe multiple sclerosis, attempted suicide with an intentional fall - leaving her a quadraplegic with broken vertebrae in her neck.  That left her head fused at a 30% angle.  She couldn't talk, the pupils of her eyes were unresponsive, on a feeding tube, and looked like a corpse for over 15 years before her heart gave out.  My idiot brother fought to keep her alive so he could continue to collect her benefits.  He kept her in a vegetative state of hell just so he could live off the income of wher benefits.

                                    Your straight brorher?

                                    ;D

                                    My oldest brother is one of those few people that are 100% straight.  He doesn't care what a woman looks like, nor how obnoxious they are.  If they have a source of income (benefits) and can tolerate him, he is goo goo gaa gaa in love with them.  He is also ultra liberal.

                                    He sounds a lot like Melania!

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                                    • FrederickF Offline
                                      Frederick
                                      last edited by

                                      @aadam101:

                                      @Frederick:

                                      @spam17:

                                      @Frederick:

                                      @aadam101:

                                      Nobody receives Hospice services for 15 years. Medicare actually caps it at six months (which is a long time for this service) and it's rather difficult to continue with the services via Medicare. Hospice is for end of life care. It's basically when treatment has stopped and you are just trying to make the patient comfortable until they die.

                                      People rarely die when they are expected to.  They also don't die when their insurance coverage runs out (although sometimes I wonder…).

                                      Just in my very limited personal experience:
                                      My aunt was diagnosed with terminal breast cancer that had gotten to her lymph nodes.  She was told she would be gone within 3 months.  She lasted over a year.
                                      My dad's 2nd wife's mother had all sorts of medical problems including severe dementia, heart problems, diabetes, legs swollen up like tree trunks.. could not walk, could not even operate her wheelchair.. and lingered like that for 15 years.
                                      My grandfather had rheumatism as a child which gave him what is called a "rheumatic heart" that is like a time bomb.  He was told several times that he needed heart surgery to fix some problem, but he refused.   But then, when he was quite frail and weak, he consented to the heart surgery.  Unfortunately, by the time he consented to the surgery, they told him he was too frail and weak to survive the surgery and they would not do it.  He was in a wheelchair that he could not operate, and in a motorized hospital bed at home, and wearing an oxygen mask for over 2 years before dying. 
                                      My sister in law had severe multiple sclerosis, attempted suicide with an intentional fall - leaving her a quadraplegic with broken vertebrae in her neck.  That left her head fused at a 30% angle.  She couldn't talk, the pupils of her eyes were unresponsive, on a feeding tube, and looked like a corpse for over 15 years before her heart gave out.  My idiot brother fought to keep her alive so he could continue to collect her benefits.   He kept her in a vegetative state of hell just so he could live off the income of wher benefits.

                                      Your straight brorher?

                                      ;D

                                      My oldest brother is one of those few people that are 100% straight.   He doesn't care what a woman looks like, nor how obnoxious they are.  If they have a source of income (benefits) and can tolerate him, he is goo goo gaa gaa in love with them.   He is also ultra liberal.

                                      He sounds a lot like Melania!

                                      You don't think Trump is a good looking man?  His greatest weakness is how pale his skin, and how fair his hair is.  Certainly Trump looks better than #44 Obama, #43 George W. Bush, and #39 Carter.  If you want to talk about hidieous, ugly, and monstrous - then we must talk about Hillary Clinton, Nancy Pelosi, and Auntie Maxine Waters.

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                                      • A Offline
                                        aadam101
                                        last edited by

                                        I would rather eat Hillary's snatch then get anywhere near a naked Trump.

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                                        • C Offline
                                          cteavin
                                          last edited by

                                          @aadam101:

                                          I would rather eat Hillary's snatch then get anywhere near a naked Trump.

                                          OMG, I just realized what could actually force me into committing suicide. If those were my two choices, I'd just leave this world permanently.
                                          :blownose:

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                                          • FrederickF Offline
                                            Frederick
                                            last edited by

                                            @cteavin:

                                            @aadam101:

                                            I would rather eat Hillary's snatch then get anywhere near a naked Trump.

                                            OMG, I just realized what could actually force me into committing suicide. If those were my two choices, I'd just leave this world permanently.
                                            :blownose:

                                            That reminds me of the question I have asked moonbats many times, but never gotten an answer.  If not Trump.. who?  They typically reply "ANYBODY!" without specifying anyone.  It's funny that even though they only had two choices - Trump or Hillary - none of them have the guts to say that they would prefer Hillary.  I did hear one mentally disturbed bitch democratic strategist say yesterday that she wishes Obama was president - which is ironic - because Obama has already completed 2 terms and can never be president again.  Oprah can't be president because the Russians have nude photos of her when she was 350 pounds having sex with Gayle King - and they could blackmail her.

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