Appearing on CNN yesterday afternoon, Nicolle Wallace, former spokeswoman to the presidential campaigns of George Bush and John McCain, claimed all doctors oppose the creation of a public plan, an integral component of reform. Indeed, the AMA, where President Obama spoke yesterday, has indicated that it will lobby against an effective public plan. But even though the AMA represents only 29% of American doctors (or much less than that, depending on if you subtract the dues payers who don’t currently practice), Wallace incredulously cited the AMA’s position as she boldly claimed to speak on behalf of the “docs”:
WALLACE: I think the biggest problem that Obama faces is not Republicans, it’s the doctors. [...] I think that most normal people look to their doctors for advice and for their reaction to the big health care debates that take place in Washington. And doctors are opposed, very strongly opposed to one of the central tenets of Obama’s plan.
BLITZER: Which tenet is that?
WALLACE: It is the public option. [...]
WALLACE: But there’s plenty of competition. The docs argue that you would crowd out private insurers.
Watch it:
As Paul Begala noted, the AMA doesn’t bother to even survey its members. So not only is Wallace wrong to try to speak for all American doctors when she attacks the public option, she doesn’t even necessarily speak for AMA doctors.
It is difficult to take the AMA as an honest player in the health reform debate. The AMA secures over 20% of its revenue from selling doctor information to the pharmaceutical lobby in a complex scheme to help the drug lobby market its products. This arrangement certainly clouds the AMA’s policy voice.
Unlike the AMA, Doctors for America, an actual member-driven group, conducted a poll of physicians over the weekend asking if they support the public option. Within 48 hours, over 1,500 responded from 48 states with an overwhelming 97% of respondents voting “Yes.” One of the respondents to the DFA survey, Dr. Andrew Janssen, noted:
As a rural family physician, I see people daily who cannot afford or who have been denied private insurance. Without a public insurance option meaningful health care reform is impossible.
Even with the AMA leadership opposing meaningful reform, physician members of the AMA should support a public insurance option. A robust public plan would not only eliminate unnecessary paperwork gimmicks used by private insurers today, but would also give providers timely payments that would allow doctors to focus on delivering the best quality care to their patients.
Could someone in the Corporate Media PLEASE challenge it, just one time, when a mouthpiece claims that a public option would “crowd out private insurers”?
How is that possible, unless either
A) the public option is mandatory
or
B) the public option is so much more appealing that private insurers lose ratepayers and have to adapt or die?
Isn’t B) what “free market competition” is all about?
June 16th, 2009 at 11:29 am….
am. pat.,
what’s red state’s take on this?
:)
June 16th, 2009 at 11:30 amAs a rural family physician, I see people daily who cannot afford or who have been denied private insurance. Without a public insurance option meaningful health care reform is impossible.
Thank You Dr. Janssen
only a fool would think that we could make any significant change to healthcare without a public option. Private companies are all about turning a profit, they’re not in the business of taking care of people. The government should be obligated to help citizens who cannot help themselves. A public option would only be exactly what it claims to be. Another option for those who cannot get private health insurance for WHATEVER REASON.
97% of 1500 dr.’s! basically anyone with some common sense would agree a public option is the best thing that could happen to health care.
i’m willing to concede that 3% of dr.’s, while they might be capable enough dr.s, lack somewhat in the common sense department.
June 16th, 2009 at 11:34 amThe physicians who practice primary care are far less likely to become members of the AMA than the specialist. They are also far more likely to support a simple public option plan.
But why would one expect a Bush/McCain mouthpiece to speak with facts? Hell hasn’t frozen over.
PEACE
June 16th, 2009 at 11:35 amWallace isn’t a mouthpiece — she’s a tool.
June 16th, 2009 at 11:36 amNIcile Wallace and Wolf Blitzer:
“I’m not a journalist, but I play one on TV”
June 16th, 2009 at 11:37 amOne Doctor, One Vote?
What sort of talk is that???
We don’t want democracy breaking out in corporate America, do we?
June 16th, 2009 at 11:37 amI’ve seen a doctor in an Intensive Care unit refuse surgery for a child, a life threatening surgery, because the family had insufficient insurance. I have never witnessed anything so atrocious before. For the most part Doctors have very little credibility. In my dealings with them, it is a business, and they have god like ego’s. That said I’m sure there are exceptions to the rule. There are good Doctors out there, unfortunately they are to few.
June 16th, 2009 at 11:41 amInteresting tactic… usually you don’t shove a special interest group out in front of the argument. That’s what politicians are for, after all – to take the lead on behalf of the interests they work for. I don’t think it’s going to work the other way around.
June 16th, 2009 at 11:42 amWhite woman speak with forked tongue.
June 16th, 2009 at 11:45 amThe AMA opposition to any sort of real reform which includes competition for the big insurers is just a way to give cover to the blue dogs that are owned by the insurers. There is very little representation of the people of this country, but there is a large bloc of representation for the “people” called corporations.
June 16th, 2009 at 11:45 amShe “speaks for all doctors” in the same way that an AWOL abusive alcoholic/cocaine addict spoke for America after the criminal cabal installed him in the White House via 2 stolen elections.
The repug/neocons and their media tools don’t know what it is like to actually represent anyone and “speak for them” because their agenda goes against the best-interests of 90+ percent of America.
They are lucky to have the support of the 20% backwash.
June 16th, 2009 at 11:46 am. The AMA secures over 20% of its revenue from selling doctor information to the pharmaceutical lobby in a complex scheme to help the drug lobby market its products.
Drugs shouldn’t even be “marketed” at all! If something is the appropriate treatment for a diagnosed condition, then it should be prescribed. If not, then it shouldn’t. This is even more alarming than all of the “ask your doctor about” commercials clogging the airwaves. Marketing and advertising have no place in the process of healing people.
June 16th, 2009 at 11:49 amAs a physician, I find the AMA’s posture repellent. While there is certainly a percentage of physicians who care only about their wallets, most of the docs I know care alot about their patients, and upholding standards of professionalism.
The AMA, on the other hand – like many other big professional organizations – supports the salaries of its executive leadership via handouts from big contributors – like pharma and insurance companies.
Check out the National Physician’s Alliance if you want to see what a real doctors organization looks like.
http://npalliance.org/
June 16th, 2009 at 11:49 amMaybe Nicolle’s doctor doesn’t like the public option, so she assumes ALL doctors are the same.
June 16th, 2009 at 11:54 amthe corporate media makes a lot of money from the advertising of pharmaceuticals
they will never tell the truth about the “war on drugs” or public health insurance
June 16th, 2009 at 11:56 amA few points:
1) How can they continually talk about ‘competition’ when I, as the consumer, have little to no choice in what insurance plan I have? Like most Americans, I’m lumped in on a group option and I have to hope that my employer picks a plan that isn’t too outrageous in terms of premiums, deductibles, and ‘network options’. If there is a public option, it might force the company I’m currently stuck with to lower my out-of-pocket payouts in order to remain competitive with the other true option out there.
2) Docs and hospitals for profit make me, quite literally, sick. When I was required to have emergency surgery in 2008, I was not given a choice of facility because there was only one in town that handles any gynecological surgeries. Turned out it was also the sole ‘for profit’ hospital here in town. And what had already been the worst day of my life (finding out that my pregnancy was ectopic and needing to have it removed before I turned septic) also bilked me for nearly $4000 out of pocket expenses. It took me nearly a year to pay that off, which included me working every ounce of overtime I could, plus my Christmas money from my parents and the Christmas bonus I got at work in order to pay it off. That’s not really a reasonable ‘option’ to me. And I can’t imagine how much worse it would be if I had NO insurance.
I might add, I work in the insurance industry, and I don’t worry about losing my job to a public option. Although we don’t handle major medical, we still see medical billing, and the amount of out-of-pocket things people are left with is enough to boggle my mind. Those of us who see how tough these struggles are for the average Americans know reform is needed. Why can’t the doctors see it?
June 16th, 2009 at 11:56 amThe AMA also (successfully) opposed a retiree health provision in the original Social Security legislation in the 1930s, opposed (unsuccessfully) the Medicare Act in the 1960s (using Ronnie Raygun as a spokesman no less) and helped blow up Clinton’s reform efforst in 1993 all in the name of protecting their own absurd incomes. The AMA is the political action committee that coined the “socialized medicine” scare term years before the current crop of Republicans made the scene. The association may still get attention but it doesn’t speak for most of the doctors I know.
June 16th, 2009 at 11:58 amCal Malenky Says:
Maybe Nicolle’s doctor doesn’t like the public option, so she assumes ALL doctors are the same.
June 16th, 2009 at 11:54 am
That counts as “research” at Liberty U.
June 16th, 2009 at 11:59 amAll of my doctors are in favor of a public healthcare plan. Many, in fact, are squarely in favor of single-payer. The AMA certainly doesn’t represent the majority of physicians; they are plain and simple a lobbying group which props up the private healthcare industry (and in reality, represents THEM). Let’s not forget that the AMA also opposed Medicare.
June 16th, 2009 at 12:00 pmhmmm… My old company proposed something similar to this (National PPO network). The proposal was eventually laughed out of the room as a massive violation of the professional relationship with our network providers.
June 16th, 2009 at 12:02 pmWhy is it that the media, CNN and MSNBC always go to the irrelevant minority to discuss important issues that they have no power to stop or pass? It does no good to ask the party of no what they think because you know the freaking answer. Talk to the democrats who will pass this legislation.
June 16th, 2009 at 12:02 pmIsn’t B) what “free market competition” is all about?
Ralph, we all know that there is no such thing…it’s a complete ruse.
June 16th, 2009 at 12:03 pmWhy no sound bite of obama getting boooooooed by his own peeps, yesterday? LOL!
June 16th, 2009 at 12:07 pmAmerican Patriot Says:
——————————————————————————–
Why no sound bite of obama getting boooooooed by his own peeps, yesterday? LOL!
June 16th, 2009 at 12:07 pm
We hold our own accountable , stooge ; a claim you and your imbecilic brethren cannot make in regards to Bush , the worst president in US history , who is hated worldwide ………
June 16th, 2009 at 12:12 pmPoliticians don’t want the dollars to stop from the insurance and pharmo companies, now do they.
Corrupt politicians, the worst money can buy.
Fcuk both parties.
June 16th, 2009 at 12:14 pmHey American Patriot, you never answered my question last night.
Did you feel like you were a political pawn when you served?
Or could it be you never served because you’re a punk ass chicken hawk who’s afraid of your own shadow?
June 16th, 2009 at 12:20 pmI’m so old, I remember when doctors made house calls. A visit to the doctor’s office was $10. Prescription medicines were, on average, $2 to $3 for a month’s supply at the pharmacy. I never used the health insurance coverage that I had from my employer. This was during the 1960’s and early 1970’s.
But then, along came the Republican Party and Richard Nixon….
http://businesspractices.kaiserpapers.org/nixononkaiser.html
June 16th, 2009 at 12:20 pmWell, she doesn’t speak for my doctor and the other doctors in her practice. They are all rooting for single payer, not just a “public option”. She told me that besides the fact that the payment from Medicare is very low for their services (something Obama needs to fix ASAP), all the doctors in her practice feel that dealing with Medicare is a breath of fresh air as opposed to dealing with the for-profit insurance companies. She said she has never had Medicare turn down a treatment she recommended whereas at least 20% of the treatments she recommends are turned down by the for-profit health insurance companies. She also said that the paperwork for Medicare is much easier to wade through than the paperwork for the insurance industry. And finally, she said that they receive payment from Medicare much faster than from Blue Cross and the others.
June 16th, 2009 at 12:21 pmAmerican Patriot Says:
Why no sound bite of obama getting boooooooed by his own peeps, yesterday? LOL!
June 16th, 2009 at 12:07 pm
Post the link, if you know how.
June 16th, 2009 at 12:22 pmAnother perfect example of how there is no opinion too far to the right to be given forum by corporate media and packaged as just another legitimate policy opinion. The notion that Wallace–or anyone else–speaks for all doctors is absurd on its face. Why is it up to Paul Begalia, instead of an actual journalist, to rebut such nonsense?
June 16th, 2009 at 12:22 pmAbsolutely right.
Pharma commercials on TV are the most glaring indicator of an industry gone completely wrong.
“Ask your doctor if it’s right for you”.
Shouldn’t we trust our doctor to KNOW what’s right for us?
And, as Bill Maher says, if you’re telling your doctor what drugs you want, isn’t he then just your dealer?
June 16th, 2009 at 12:22 pmIt is obvious that it is the unchecked growth of private insurance’s ‘cut’ of health care dollars that has caused the inflation–doctors are not getting excessive payments from the insurers, any more than the insured people get Cadillac treatment from their insurers. It’s the middlemen of insurance who are making enormous profits, and the very fact that we cannot have a ’single-payer’ attests to the great clout they have gained from their ill-gotten gains–at our expense, and at the doctors’ expense. Get rid of all private insurance, maybe?
June 16th, 2009 at 12:24 pmWow. A President can go before a crowd that has not been hand-selected for ideological purity and can risk a hostile reaction when he says something that the audience finds uncomfortable.
Who knew?
June 16th, 2009 at 12:25 pmHas anyone actually seen the details of the health insurance plans that Congress has (that WE pay for). I don’t know how much, if any, a co-premium the politicians pay, co-pays, out-of-pocket, etc. We need that ammunition.
June 16th, 2009 at 12:26 pmAnd Pee, since when is the AMA Obama’s “own peeps”?
can you explain?
I’m thinking you can’t, but I thought it worth the effort to ask.
June 16th, 2009 at 12:27 pmralph the wonder locust Says:
Could someone in the Corporate Media PLEASE challenge it, just one time, when a mouthpiece claims that a public option would “crowd out private insurers”?
How is that possible, unless either
A) the public option is mandatory
or
B) the public option is so much more appealing that private insurers lose ratepayers and have to adapt or die?
Isn’t B) what “free market competition” is all about?
Yes, that’s what free market competition is all about. And that’s what they are afraid of, that the public option will be cheaper and work better so that Americans will all want to be part of the plan.
June 16th, 2009 at 12:29 pmPharma commercials on TV are the most glaring indicator of an industry gone completely wrong.
“Ask your doctor if it’s right for you”.
Shouldn’t we trust our doctor to KNOW what’s right for us?
And, as Bill Maher says, if you’re telling your doctor what drugs you want, isn’t he then just your dealer?
Right on, Ralph. These ads are egregious. I worked for one of the biggest (world-wide) pharma companies and hated their direct-to-consumer ads. There’s an ad running now (not my company) for Abilify. That is an anti-psychotic drug which can have profound and permanent side effects, that absolutely NO ONE other than a psychiatrist should ever be allowed to prescribe. It is being marketed, not just to the general public, but to family practice/general practice docs with free samples being provided. This is as sick as it comes.
June 16th, 2009 at 12:29 pmMy favorite part of the video clip was watching Paul Begala quietly sit there while Nicolle continued to dig the hole she was in deeper and deeper.
June 16th, 2009 at 12:30 pmwinddancer Says:
Has anyone actually seen the details of the health insurance plans that Congress has (that WE pay for). I don’t know how much, if any, a co-premium the politicians pay, co-pays, out-of-pocket, etc. We need that ammunition.
Here’s some information for you.
http://en.wikipedia.org/wiki/Federal_Employees_Health_Benefit_Plan
June 16th, 2009 at 12:33 pmPachydiplax de St. Augustine Says:
Hey American Patriot, you never answered my question last night.
Did you feel like you were a political pawn when you served?
Or could it be you never served because you’re a punk ass chicken hawk who’s afraid of your own shadow?
American Puppykiller has never “served” anything more important than a side of fries with the burger combo.
.
winddancer Says:
There’s an ad running now (not my company) for Abilify. That is an anti-psychotic drug which can have profound and permanent side effects, that absolutely NO ONE other than a psychiatrist should ever be allowed to prescribe.
I perked up at the one that said “side effects include … death.” I was like “hey, isn’t that the opposite of what medicine is for?”
June 16th, 2009 at 12:38 pmOT
Anyone see Austan Goolsbee on Colbert’s show last night. He likened the repugsniscum views of Obama and what he had to to upon coming into office.
Your house is on fire. The firefighters come, and carry your child outside — you don’t then charge the firefighter with kidnapping.
June 16th, 2009 at 12:50 pmI am paraphrasing, but you get the point.
I know many docs who are rabidly anti-AMA.
But a dumb question – as we all know that running the healthcare insurance (like all services) is done better by businesses than the government:
What percentage of the healthcare dollar for folks currently insured goes to the insurance industry (vs. to the doc, vs. to the hospital)
and what percentage of the healthcare dollar under a nationalized healthcare system would go to the administration of the plan ?
June 16th, 2009 at 12:51 pmDoes the media have just have one big pool of Republican losers to choose from? Do they just randomly pick these asshats from a list of people who know nothing about what they are talking about, but will fill some air time? Why did CNN ask Nicole Wallace to talk about healthcare? She doesn’t know her ass from a hole in the ground and during McCain’s campaign, she slowly melted down into a puddle of gibberish. She used Palin-like rationals that never made any sense and missed the point of the discussions almost every time.
Media, please think of who you are going to put in front of the camera. Nicole looks good but cannot tell the difference between a scalpel and a scapula
June 16th, 2009 at 12:52 pmWhat I find strange about that statement is that every single doctor I’ve ever spoken to about this subject (which comes out to a pretty high total) support not only a “public option” but true single payer universal healthcare.
There’s a reason for this, you know. That reason is simple. A doctor’s duty is to help the sick, not to make a fortune pushing the newest and greatest drug. Some doctors have forgotten that. Most have not. Most of them are sickened by the sheer numbers of people who cannot get access to quality healthcare, and they know good and well how they manage to stay alive – they show up at the ER on the weekends, and don’t pay the bill, leaving the rest of us to pick up the tab on our insurance bills.
Here’s the truth of the situation, guys – a single payer system would require a tax increase. But when you consider $700-900 a month for a family insurance plan, $1000 a year of which is to cover the uninsured that show up at the ER for a runny nose on a Saturday night, you come out better with the higher taxes. And here’s the real point for me – I don’t care if my taxes go up, because I give a damn whether people can get medical treatment. Other than the FACT that a healthy populace creates a stronger economy, I’m not so selfish as to think that I deserve healthcare because I have a good job, but that guy working at McDonald’s doesn’t. I don’t understand people who think this way. How can people be so cruel and self-absorbed as to actually rather save a few dollars on their tax bill while people suffer from treatable illnesses? It makes me sick.
Then I think about the people like my mother – diagnosed with late-stage cancer. She was lucky, because she didn’t only have insurance, she had supplemental insurance specifically for cancer treatment. If it wasn’t for that, she’d have met her lifetime limit on her health insurance years ago. What do people with no insurance do when faced with the potentially millions of dollars it can cost to treat a disease like that? The honest, yet disgusting answer is: they die. How can anyone tell them that they deserve it all because they didn’t make enough money to pay out $12,000 a year for insurance?
June 16th, 2009 at 12:57 pmSorry for getting so long-winded. This subject is near and dear to me, and I support fully and actively the implementation of a true universal healthcare policy in this country. I find it disgusting that we claim to be the best country on the planet, but can’t find it in ourselves to shell out a little extra dough to keep the people alive and healthy.
June 16th, 2009 at 1:00 pmObama received many applauses and a few standing ovations yesterday. He did receive a murmurer of boos at one point where he said this:
I don’t find anything wrong with that and I am sure most people wouldn’t either, but the words of no cap on malpractice caused the minor stir.
June 16th, 2009 at 1:06 pmTrolls want to point out that Obama was booed — they are merely parroting what they see on the rightwing blogs and the fox punditry.
I have posted his actual speech.
typo correction:
June 16th, 2009 at 1:08 pmconstantly looking over their shoulder for fear of lawsuits.
Marie, there you go using facts.
Facts are not welcome in right wing ideology (facts tend to disprove their assertions)
June 16th, 2009 at 1:11 pmAh, yes, the American pharma Marketing Arm.
June 16th, 2009 at 1:14 pmObama is talking to the wrong people. It’s insurance companies and their regional monopolies and unwillingness to settle blatant cases of malpractice that drives up the cost of healthcare.
Oh, and Obama? I like you and everything, but if you’re going to criticize doctors for wasting money, then don’t bring up the cost of the farking Gulf War at the meeting to make your point! THAT is something YOU are now in a position to do something about and we’re getting tired of waiting. >:(
June 16th, 2009 at 1:18 pmsmidget:
I’m sorry about your mother. As someone in the supplemental insurance industry, we see so many people who can ONLY afford to pay for supplemental policies. The problem being: they’re designed to ADD TO your major medical, not to be a replacement for. So when some kid’s appendix ruptures and all they carry is a cancer policy, or an accident policy, they still have no insurance. We see loads of fraud for the very same reasons – we’re the only insurance some can afford.
June 16th, 2009 at 1:20 pmAllYouNeedIs
Thanks for that. It’s been nearly 10 years since her diagnosis. She’s never been in remission, but through experimental medications she’s managed to have a complete halt in growth.
Your point about supplemental policies is completely valid. That almost happened to my husband. When he qualified for insurance at his work, I asked him how much it was, and he said that the “cheap” option was around $15 a paycheck. I knew that didn’t sound right, suggested that it was supplemental, and bingo. No one at his company bothered to tell him that the insurance he wanted was made to be used with a regular health insurance plan. People who don’t know much about insurance are getting raked over the coals on this kind of stuff, I guarantee it.
June 16th, 2009 at 1:48 pmAlso, AllYouNeedIs
I know you probably can’t mention which company you work for, but my supplemental insurance is AFLAC, and if that’s who you work for, take my compliments to work with you, because AFLAC is awesome.
June 16th, 2009 at 1:51 pmAsk a doctor how he or she feels each time an insurance company decides after the fact that they will not cover a procedure.
June 16th, 2009 at 3:00 pmWhat we have in America shouldn’t even be called ‘medical insurance.’
We have an industry that refuses to cover illness and refuses to pay for the things they do cover.
In a system that requires insurance–that has huge penalties for not having it–how is it possible that insurance is impossible to get?
“Pre-existing conditions should never have been legal–it should be outlawed in any insurance–and an insurance company should be required to pay–and pay quickly–any medical practice indicated by a physician.
The fact that we have a system that allows this is just insane.
Free market? In a free market, any company that welshed on its agreements would be in the dock and its officers with their heads on spikes in the public square.
So we must add to the 46 million uninsured people in the USA, the people that only has a supplemental insurance, who in fact, are playing russian roulette, betting that, if they have a health problem, it’s covered by the supplemental.
It’s worse than I tought.
June 16th, 2009 at 3:00 pmI find it so easy to bash John McCain that I tend to forget the huge act of bravery and suffering that he endured as a POW. For his past service Senator McCain deserves the respect of all Americans as do all Of the past and present prisoners of war. Sir for that I salute you, but it is not without caveats.
I will never forget how you voted against American veterans for better medical care. Care when the military hospitals were an embarrassment to our country. Yet in spite of the conditions of these hospitals, you saw it in your heart to vote for further funding reductions.
As a veteran I need these services to continue my life. I also have skin cancer, but I don’t seems to be getting that five star treatment you seems to enjoy. I was tossed out for a year and a half for having the audacity of having two coins to rubs together. Try and pick up any kind of decent health care with pre-existing cancers, Mister Health care industry know it all.
I believe that in the best interest of this country and in the best interest of upholding your once favorable standing in this country, you should retire from public office. You have, at the least the option of picking one of seven homes to enjoy you golden years in. Damn site better than the typical vet. Especially one living in the streets.
June 16th, 2009 at 3:51 pmThe right-wing, caucasian, investment-class, crony machine wants nothing to do with free trade. They want fixed trade.
This public option thing will die by the time the Republicans in the Democratic party get their hands on it, and some already have. Mark my words. This is not going to happen.
The “Democrats” are going to disappoint you and accept corporate bribes over saving the economy, since they have the majority. Thanks to Slicky Willy, the Democratic Party is bought, and they are giving you lip service only.
They are going to do nothing to “change” America in any way significantly, and will lose their asses in 2112. We will then be stuck with Palin, while Obama runs away with his millions.
June 16th, 2009 at 7:16 pmThe drug companies have become entirely too powerful. They are ruling the whole field of psychiatry. Diagnosis are being made based on a reaction to an anti-depressant. Talk therapy is nearly impossible to get.
Not only are they advertising on television, they have long been doing viral marketing through front groups. They even start their viral marketing campaigns to sell their drugs before they have been adequately tested. I remember asking my VA shrink about a drug I had reading about that was supposed to improve sleep. He told me that the drug wasn’t being released because in testing, the flesh of many subjects died and fell off, then the subjects died.
BigPharma is a ghoul.
June 16th, 2009 at 9:35 pm@55
:-)
June 16th, 2009 at 9:57 pmAmerican Parrot
Why dont you go kill yourself you ignorant piece of filth?
June 17th, 2009 at 5:35 amThank you..
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