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[–] 137 points 1 year ago (34 children)

U.S. healthcare has shorter waits

Is that even really true to begin with?

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  • [–] 76 points 1 year ago (13 children)

    My thought exactly. Specialists are booking months out.

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  • [–] 27 points 1 year ago (10 children)

    I'm not from the US but once I was in Orlando and took a friend to the hospital cause she wasn't feeling well, she had insurance. We waited 4 hrs to even see a doctor, I have never waited that long even in public hospitals in my country

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  • [–] 16 points 1 year ago (4 children)

    That’s because ERs are the only way poor people see doctors in the US. Since we can’t go see a GP without insurance and a copay, we wait for the stomach pain that could have been treated to turn into sepsis from a gaping ulcer and then crowd into the ER.

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  • [–] 11 points 1 year ago (3 children)

    You guys should have rioted decades ago, I feel sorry for you, animals live better than (non rich) americans

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  • [+] 6 points 1 year ago (2 children)
  • [–] 1 point 1 year ago (1 child)

    I'd say nothing is more important than your health and you already lost that. You have people dying and suffering while waiting on healthcare.

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  • [–] 4 points 1 year ago (1 child)

    I waited from 6pm to 8am when my doctor's office opened, and then talked to them to determine if I needed to be there (yes, I should have been seen/treated, but now they could see me in the office).

    Only one patient was taking from the waiting room in that time.

    The US health care system is baaaad.

    And almost any specialist is months for a first visit, even for issues that that are life threatening.

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  • [–] 3 points 1 year ago

    That's insane, though I had something similar. I studied there for a year and at one point I dropped a bed on my toe (dont ask), hurt a lot, got all purple and I was pretty sure it broke. I found out in the US I cant just go directly to an orthopedist, even though its obvious I needed one, so I scheduled a general doctor. Long story a bit shorter: by the time I got an xray done, my toe had already calcified lol

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  • [–] 3 points 1 year ago* (2 children)

    i waited that long in public subsidized healthcare, i think they forgot me one time, when they put me in a room, i dint see anyone for like 4 hours because they forgot.

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  • [–] 1 point 1 year ago (1 child)

    Can't even sue them? Isn't that the national past time in USA?

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  • [–] 1 point 1 year ago

    it was a public hospital, subsidized by the state. the only truely rude experience was from the nurse that hung up for no reason, because she was expecting someone else. it wasnt a chronic thing, and it wasnt like the experience with an hmo doctor.

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  • [–] 13 points 1 year ago* (last edited 1 year ago)

    It is a common talking point people use when justifying their anti-universal healthcare stance.

    It is often paired with refusing to acknowledge the current state of US healthcare and thinking they are paying more for quality and access.

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  • [–] 39 points 1 year ago (7 children)

    Compared to European countries, no. Compared to Canada, yes.

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  • [–] 32 points 1 year ago (4 children)

    Elective surgery means surgery that can improve quality of life, but is not otherwise life saving right?

    Canada also has the lowest number of doctors per 10k, and the lowest wait for primary care.

    The US has more doctors, but the highest time to primary care.

    I don't know many elective surgeries that can be scheduled without a primary care referring the patient to the surgeon for consult. Not to mention, beside plastic surgery, it's usually a case where the patient has no idea they could benefit from the elective surgery.

    That graph is highly misleading.

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  • [–] 11 points 1 year ago

    Canada also has the lowest number of doctors per 10k, and the lowest wait for primary care.

    That's assuming you even have primary care. There's a desperate shortage of family doctors in Ontario.

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  • [–] 1 point 1 year ago

    Maybe you don't need an appointment to see a GP in Canada? I'm from Austria and GPs are walk-in for most things here, maybe they're the same. But yeah, the graph is pretty useless without explaining what kind of appointments and what kind of surgeries.

    To your last point: it could be, eg, your orthopedist (who isn't a surgeon) referring you to an orthopedic surgeon, no GP required in that case. But that just makes it even more complicated, because in some countries, you need a GP referral to any specialist. I think sometimes even every time you see the specialist.

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  • What is misleading about it, it's just numbers? It basically says.. My knee hurts, let me go get it checked out: wait time column A. Physician says I need a knee replacement, wait time column B.

    The chart isn't claiming anything. It doesn't say what is better or worse, just the wait times.

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  • [–] 14 points 1 year ago (1 child)

    What stands out to me on that chart is that the US is more than twice as bad as any other country when it comes to wait time for primary care appointments.

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  • [–] 3 points 1 year ago

    right? like what is that… i consider a wait of more than a couple of days to be too long and just go to a random walk-in clinic… in a month most problems are gone already on their own or have gotten way out of control

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  • [–] 5 points 1 year ago (3 children)

    Yeah I have heard many many first hand anecdotes of people needing to schedule appointments months in advance

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  • [–] 1 point 1 year ago*

    certain health care facilities. i know for things like medi-caid/care it can be weeks to months in advance to see a specialist. they usually are quite fast in scheudling though. if anyone had kaiser, you can see a doctor quite quickly.

    ALso URGENT care is a thing. i can see that for private practices, or doctors that Are swamped because of short staffing.

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  • [–] 2 points 1 year ago (3 children)

    From my experience it depends on which health care provider you have. I have Kaiser and some things are pretty quick, some things aren't. I used to be on Covered California aka the ACA and things were a lot slower. Seems like, generally, the more money you pay in premiums the faster service you can get.

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  • [+] 1 point 1 year ago (1 child)
  • [–] 1 point 1 year ago*

    kaiser is so-so, but not great, they are just all doctors in one building type of deal. i had a pretty bad experience with a Kaiser ENT, deliberately ignored my concerns because he got MAD , apparently i was supposed to do only phone appointments and he felt like i waste my time according to him, and he vented his anger on the poor nurse that was in the area/ or the one that put me in the room. then he started laughing me out of the room because of that(i was having pretty frequent nosebleeds). when i switched ENT they found the cause of it(and i did have deviated septum as well, but that was apparently the source of his anger, because doctors do not like to hear patients mention procedures/surgery).

    also KAIser tends to be expensive as well, thats why some employers arnt willing to pay for it.

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  • [–] 46 points 1 year ago (11 children)

    I accidentally sliced my finger and non stop bleeding in the ER for 5 hours straight.

    This was from 2am to 7am. Not exactly peak times.

    American healthcare is broken.

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  • [–] 23 points 1 year ago* (3 children)

    No no. It cant be. Everyone in America keeps telling me the wait times in Canada are so high because of socialized medicine and you only have to wait 7 seconds to see a doctor in the glorious US of A.

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  • [–] 11 points 1 year ago (1 child)

    I am also Canadian and having used both healthcare system, I want to tell you that your Canadian conservative friends and conservative political talking points are all lying to you. It's far faster in Canada than in America.

    My point of view was from a suburb in Toronto and Vancouver vs NYC and Seattle.

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  • [–] 7 points 1 year ago

    Am Canadian. Got stung by a wasp on the foot last Saturday. Got worried yesterday when i noticed the red area around the sting grew. Contacted my gp's office at the CLSC, got an appointment to see her this morning, got a scrip for antibiotics since she thinks it's likely an infection, picked it up this pm and starting it tonight. 0$ for the consult, antibiotics are ~60$ (that's the only place my private insurance kicks in, my out of pocket is 12$).

    And this is a very standard experience in Quebec - with 1 caveat: my family's fortunate enough to have an assigned GP, there's a shortage and a pretty long (2y I think) waiting list; on the flip side there are a ton of walking/24/48h appointment clinics (also 0$) for those without.

    When i say 0$, i want to be clear: it's not free, it's part of what's covered by the RAMQ, which is the provincial health insurance company, but our yearly premium for that insurance is at most 800$.

    That's what happens when the health insurance is designed to hedge and amortize social costs rather than generate profits...

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  • [+] 8 points 1 year ago (2 children)
  • [–] 2 points 1 year ago

    It makes my head explode when people say wait times are longer in countries with public systems because all the hypochondriacs will be abusing it.

    It helps that in at least some countries (mine) you need to go to your PCP to even get a referral to a specialist unless you want to go to a private clinic and pay for the specialist. Then also all visits except PCP, are subject to a small fee. I suspect PCPs will stop sending you to specialists if you start raving about a new disease 5 times a month.

    My hypochondriac ex certainly went to the ER about 50-60 times in the 2 years we were together though. Mostly maternity ER (she claimed she started getting braxton-hicks at about 10-12 weeks and the hospital she wanted to give birth at was 100 km from home so it meant 2x100 km drives about 2-3 times a week during starting week 20 or so). I reckon in the US, insurance would've told her to fuck off quite soon and I would've been millions in debt for her bullshit.

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  • [–] 6 points 1 year ago* (1 child)

    Im Canadian and despite the American conservative talking points, I’ve never had to wait anywhere near that long and definitely not for a critical injury. There are busy hospitals but there are also more of them so you have options many times.

    We have however seen an erosion of our socialized healthcare by conservatives in power in that things keep being removed from coverage, and you have to go out of pocket on things that should be covered.

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  • [–] 1 point 1 year ago

    I had something similar happen to me like 5 years ago. I chopped part of my finger tip off with a slightly rusty axe while camping after having a few too many.

    I went into the ER the next day, waited about the same amount of time as you to be seen to have it checked out and get a tetanus booster. I got a bills from each doctor that happened to walk by, totalling in the realm of $2,000 after insurance. Literally all each did was say, "Ouch, lucky you didn't hit the bone!"

    Luckily, my fingertip grew back without nerve damage or anything. I'll probably try to stay up on my shots and get more confident on dressing myself next time, maybe try and make friends with nurses/vet techs. Shit's broken on every level.

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    [–] 45 points 1 year ago* (10 children)
  • [–] 35 points 1 year ago (5 children)

    When it's free or super low cost, it's paid by the government. This means the government has a vested interest in keeping you healthy so they don't have to pay more. It's a great set up.

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  • [–] -4 points 1 year ago* (last edited 1 year ago) (3 children)

    Tbf, for profit insurance companies also have a vested interest in keeping you healthy. Healthy people require less care which means more profits.

    It's just that insurance companies also have a vested interest to make sure that they don't pay out for expensive treatments either. You can be healthy and then get cancer which is expensive vs be a sloth whose only form of exercise is walking back and forth from the front door to their bed and has heart issues.

    Edit: judging by the down votes, I suppose it wasn't clear that I'm not trying to defend for profit health insurance. Let's be clear here: single payer is the best way to do healthcare. I was only trying to point out that the incentive to keep your customers healthy is the same regardless of who is paying. The only difference is the motive. One wants to make sure they have money for shareholders while the other wants to make sure they have money for everyone to get care.

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  • [–] 1 point 1 year ago* (1 child)

    individual health is about more than individual health… air quality, stress (including financial, other employment), quit campaigns, etc are all things that are solved at the national or regional government level. they’re all linked with better health outcomes, and incentives and profit motive are aligned when health care is paid for by government

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  • [–] 3 points 1 year ago* (last edited 1 year ago)

    lmao I had a period of like maybe 5 years when I didn't get a regular checkup when I was a kid because my parents kinda neglected it. I was insured under the family plan too.

    Edit: Forgot to add: USA btw

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  • [–] 65 points 1 year ago (12 children)

    Who told you about shorter wait times? Oftentimes you have to wait in months.

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  • [–] 14 points 1 year ago

    My other favorite refrain was the “You can keep your doctor!” crap that was a big selling point for that crowd.

    In this system I have had 4 doctors move practices while under their care because they’re playing the capitalist system. I was not able to benefit from continuity of care in any form.

    But at least I had to pay for it, not get it for “free” from a natl healthcare system. Yay.

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  • [–] 12 points 1 year ago (6 children)

    I can see my primary within hours normally, she can’t do much except refer me to who I really need see and those appointments take weeks to make and months to get to.

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  • [–] 13 points 1 year ago (2 children)

    I have a chronic pain issue and my primary referred me to a specialist that took sox months to see. They referred me to a different specialist with a six month wait-list. They then referred me to a more specific sub-specialist for another three month wait. I live in a reasonably well-off and well populated area, so I'm not out in flyover country or anything. I've heard the same from many people. Short wait-lists in America is a myth.

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  • [–] 6 points 1 year ago (1 child)

    100%. Took me 3 months to get an ENT appointment. They've still done fuck all about the actual issue almost a year and a half later. The profit incentive is for return customers, not to actually fucking cure anything here.

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  • [–] 3 points 1 year ago

    My first six month wait was for an ENT. I'm actually past ten years, well over a dozen referrals, and three useless surgeries, but that's another story.

    Pro-tip, if they want you to see a neurologist, make sure it's a headache specialist. I waited 6 months to see a neurologist recommended by an ENT, only to have her immediately refer me to a headache specialist because, duh, nasal sinuses are in the head. What really kind of pisses me off is that I asked the ENT if this specific Neurologist he recommended was good with my kind of issue, and he assured me they were. Total bullshit.

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  • [–] 4 points 1 year ago (2 children)

    We desperately need more doctors, and those doctors need to cost less.

    Free college would make a big difference for that.

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  • [–] 4 points 1 year ago (1 child)

    Sort of. The US medical system has multiple choke points, but an undergraduate degree is the least limiting. The bigger barriers are the limited number of med school spots and the even smaller number of residency spots. Med school is a whole discussion, I don't even think you should need an undergraduate degree, but whatever. The final filter is residency spots, which are functionally set by the government. They pay hospitals to take residents, and will only pay for a certain number each year. We gotta increase that number if we want to stop throwing away educated doctors before they can even get to helping people.

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  • [–] 3 points 1 year ago

    I'd say you're right honestly. Especially since the majority of courses are really pointless for doctors. Organic chemistry only serves to weed out those who can't or won't study. You'll use very little of it as a practicing doctor (Biology majors who take things such as immunology, genetics, etc def get more value than other majors)

    Med school acceptance is definitely an issue like you said also. Its only getting worse, with the average GPA/MCAT/extracurriculars being waaaay higher than even in the 90s.

    Residency, thankfully, is something theyre trying to address by increasing the slots. Of course they also have fucked anyone who needs FinAid for premed/med school so....

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  • [–] 2 points 1 year ago (1 child)

    Seems like a simple enough case that there can be a fact of the matter. Either U.S. wait time are shorter than single payer systems on average or they're not; no need to rely on anecdotal stuff.

    Is there anyone that can point to some good data on the subject?

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  • [–] 4 points 1 year ago

    Honestly? I can't do the searching for you this time, but it's all the top results when you look for average wait times between countries. The data is easy to access. Pretty much all developed nations have similar numbers, with wide variation between specialties.

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  • [–] 32 points 1 year ago (9 children)

    U.S. health care is something else. It took me 7 years to be diagnosed with a well-known disease that has a median survival duration of 2.5 years from onset.

    I'll leave it to your imagination the obstacles I faced. Frankly, I don't want to think about it.

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  • [–] -3 points 1 year ago (8 children)

    How much of what you experienced is due to the medical mindset (doctors are morons)?

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  • [–] 18 points 1 year ago (7 children)

    I'm not sure exactly what you mean but I would attribute it to four main reasons:

    • I'm rural and the quality of physicians here leaves a bit to be desired
    • Physicians are overworked and as a result, generally uncaring and unable to provide substantial help.
    • It takes months to get the ball rolling on every step of the process
    • Insurance is hellbent on denying everything

    My situation didn't improve until I was finally referred to a couple physicians in the right specialty who truly care and were willing to fight my insurance.

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  • [–] 6 points 1 year ago*

    I moved to a rural location and your four points are exactly how it is. I have to harass my doctor to get them to put in referrals. My wife had to go and physically walk a referral from the doctor to the hopsital across the parking lot to make sure they actually got it. Then stayed and scheduled it right then b/c getting a callback for scheduling is a crapshoot.

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  • [–] 1 point 1 year ago (4 children)

    That's exactly what I meant, the biggest problem in the medical field is the doctors themselves, they're basically useless at this point. You could replace them with a potato and give you the same first three points of your list, but for cheaper.

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  • [–] 1 point 1 year ago (1 child)

    I would've been right there with you a few months ago, but I must admit diagnosis did unlock a lot of help for me.

    The medical system needs to place a lot more emphasis on prompt and accurate diagnosis, though. Without it, you have people suffering and dying indefinitely. It's like they don't care about that, though. They're happy to blame you for your symptoms and refer you to a psychiatrist or physical therapist. (Something that happened to me twice..)

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  • [–] 1 point 1 year ago

    Doctors have morphed into bureaucratic drones. It's not really their fault, medical school does a number on them.

    I was not a sickly child, the few interactions I had with doctors in the 1970s and 1980s were 100% positive. I remember them fondly.

    Something happened to this profession that has transformed them into dense, stupid brutes.

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  • [–] 29 points 1 year ago (11 children)

    Where are the shorter waits?! I called for a primary care appointment in July and only appointment was November or January the next year. FOR A 15-30 MINUTE APPOINTMENT. My insurance was billed $300+ for the visit.

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  • [–] 11 points 1 year ago (6 children)

    Conservatives bitching about how if we had Canada's healthcare, we'd be waiting forever.

    I have AMERICAN healthcare and I have to schedule a basic ass mandatory checkup 4-6 months in advance.

    If it was an emergency, the next available slot is six weeks.

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  • [–] 5 points 1 year ago (4 children)

    if we had Canada's healthcare, we'd be waiting forever.

    Or another approach, calculate how much time it takes to save the cash for any given procedure and compare that to any socialized care. Say for an MRI, lab work, root canal, etc.

    USA system is great if your wealthy. Otherwise you might as well be in a developing country as far as your access to all these high tech treatments we need massive profits on.

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  • [–] 2 points 1 year ago (2 children)

    USA system is great if your wealthy. Otherwise you might as well be in a developing country as far as your access to all these high tech treatments we need massive profits on.

    That's pretty much the definition of a developing country. If you are rich you can live like a king in any country that's not currently an active war zone.

    The measure on how good a country is setup is how well the poor in that country live.

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  • [–] 2 points 1 year ago

    Canada still doesn’t cover root canals. Dental is only now starting to come in on the public health care as is HRT.

    Meanwhile I learned just how many people are living on ibuprofen (for years) or just saving up to get the tooth pulled rather than a canal.

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  • As a Canadian the last time that I had to go to the ER I was in and out in 2 hours and it cost me nothing out of pocket.

    Now when it comes to procedures themselves oh there's a bit of a wait. But generally if it's serious you get bumped ahead cuz we use triage rules for most things.

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  • [–] 6 points 1 year ago (1 child)

    Sounds like it's time to find a new primary doctor, that's insane.

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  • [–] 6 points 1 year ago*

    This is the new doctor 😭😭.

    I called another place and they actually said to call back in a couple months. The healthcare system is so consolidated in my state that there's only a few systems to go to. Maine.

    I could schedule something hours away but then I'd need to take time off work to go or I won't go because of the inconvenience

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  • [–] 4 points 1 year ago

    My insurance was billed $300+ for the visit.

    Rest assured, they didn't pay $300+. Of course if you'd paid for it out of pocket without negotiating, YOU would've paid $300+.

    That's part of why the prices are so goddamn high. EMR and billing software for the US market gets a "billed" and "expected" field on charges and the "expected" value in particular differs by insurance I believe.

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