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	<title>Comments on: Reforming For Profits II (Greenwald Update)</title>
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		<title>By: LDW</title>
		<link>http://www.noquarterusa.net/blog/30785/reforming-for-profits-ii-greenwald-update/#comment-1246686</link>
		<dc:creator>LDW</dc:creator>
		<pubDate>Sat, 22 Aug 2009 16:01:29 +0000</pubDate>
		<guid isPermaLink="false">http://www.noquarterusa.net/blog/?p=30785#comment-1246686</guid>
		<description>When &#039;per capita&#039; spending on healthcare statistics are compiled, they are arrived at by dividing total healthcare money spent by the entire population, man, woman &amp; child, insured or uninsured.
 
America&#039;s &#039;per capita&#039; spending is $7290. This amount includes insurance premiums, where much of the money is spent on administration and profit-taking, and includes money spent on drugs, which is much higher than in countries where the government actually bargains with the drug companies.
 
How much do other countries spend? Well, the average in OECD developed nations = $2964
 
And other countries?
Switzerland: $4417
France: $3601
United Kingdom: $2992 
Italy: $2686
Japan: $2581
 

From the Economist, http://www.economist.com/opinion/displaystory.cfm?story_id=14258877 “If American politicians peddle falsehoods about what goes on in other countries, Americans are correspondingly less likely to appreciate the extent to which they are being let down.” 
 

Americans are already spending enough to cover every man, woman and child in the United States,  and provide first rate, excellent healthcare, but the system is being looted by the insurance and drug companies and by private medical facilities that have been allowed to form a kind of medical cartel, which limits the choices of Americans and rations care for most of the people now covered.
 
The government does have to &#039;keep its hands out of the pockets&#039; of the American taxpayer, but luckily for the American taxpayer, there is a huge pool of money already in the system. The government just has to regulate how this money is being spent, so that more of it gets spent on healthcare, and less on mansions and yachts for the executives in the system.
 
Look at more statistics...Does America really have the best care in the world?
United States: one doctor for every 416 people
In Switzerland: one doctor for every 256 people
Netherlands: one doctor for every 256 people
 
Despite the enormous amounts of money spent on healthcare in the United States,  figures for infant mortality and lifespan put the United States in the bottom quarter of statistics for industrialized nations.  
 
America is already spending enough money. But Obama called in the insurance and drug lobbyists, and let them write legislation that would essentially give them more money to continue just as they are. When Obama tried to include a Public Option, the insurance industry saw this as a potential threat, and began seeding the media and fomenting the fearful with the idea that the Public Option would be akin to turning America into Stalinist Russia. The drug companies were already holding the winning ace in the legislation, because they promised a savings of $80 billion from an unknown ceiling of expenditures. The government promised to not negotiate the starting prices that the savings would be deducted from. That&#039;s like a store inflating prices on the stickers and then claiming huge percentages of savings in a sale.
 
Drug companies scream that they need the money they are paid, or else there will be no more motivation for innovation and research in America and America will lose its &#039;edge&#039;. The truth is that most research and development for new drugs and treatments is already mostly funded by the taxpayer and is done in universities and public hospitals, with the drug companies waiting to scoop up the lion&#039;s share of the profitable patents that ensue. The drug companies spend much, much more on advertising and lobbying and executive compensation than they do on research and development.  The drug companies also make a lot of their money on older patents, and they try to keep any new drugs on the back shelf until the old patents expire, because they don&#039;t want their new products to compete with the old ones. Furthermore, after patents expire, they have various barely legal ways to keep cheaper generic versions off the market.
 
Another huge waste of money in the American system, and one which is not even fully calculated in the &#039;per capita&#039; spending, is the legal morass of malpractice law. Tort reform is urgently needed. Settlements have to have some relationship to reality; experts called in to testify have to be better regulated; lawyers have to be paid on the basis of work done, not on a percentage of the win; and there has to be a &#039;loser&#039; pay element to the system, because now the doctor who is proven innocent still loses thousands and thousands of dollars in time and money spent fighting the case, and law firms can put junior, low paid para-legal teams to work on a variety of cases in a kind of legal speculation, looking for the jury award gold, and paying nothing for the lives and careers they disrupt and paying nothing for the burden they exact on society as a whole by increasing healthcare costs.
 

Americans have to stop chanting, &#039;We have the best healthcare in the world!&quot; and start asking &#039;How come we spend so much money? Who is looting our system? Do other countries have better solutions that we should consider?&quot;
 
It&#039;s time for blogs and newspapers and the television media to do genuine side-by-side comparisons of healthcare systems in other industrialized nations, and learn from them. 
 
It&#039;s time to stop listening to the fearmongers who find horror stories of negligence or malpractice in other countries and present these stories as being the whole story and proof that other nations live in a healthcare nightmare. If the worst stories of neglect and malpractice from the United States were presented as how all healthcare works in America, people would instantly recognize that this is a monumentally unfair way to view any system.
 
Americans have to start demanding that their politicians fight for them and for better healthcare in America, and stop fighting on behalf of the drug and insurance industry profits.</description>
		<content:encoded><![CDATA[<p>When &#8216;per capita&#8217; spending on healthcare statistics are compiled, they are arrived at by dividing total healthcare money spent by the entire population, man, woman &amp; child, insured or uninsured.<br />
 <br />
America&#8217;s &#8216;per capita&#8217; spending is $7290. This amount includes insurance premiums, where much of the money is spent on administration and profit-taking, and includes money spent on drugs, which is much higher than in countries where the government actually bargains with the drug companies.<br />
 <br />
How much do other countries spend? Well, the average in OECD developed nations = $2964<br />
 <br />
And other countries?<br />
Switzerland: $4417<br />
France: $3601<br />
United Kingdom: $2992<br />
Italy: $2686<br />
Japan: $2581<br />
 </p>
<p>From the Economist, <a href="http://www.economist.com/opinion/displaystory.cfm?story_id=14258877" rel="nofollow">http://www.economist.com/opinion/displaystory.cfm?story_id=14258877</a> “If American politicians peddle falsehoods about what goes on in other countries, Americans are correspondingly less likely to appreciate the extent to which they are being let down.”<br />
 </p>
<p>Americans are already spending enough to cover every man, woman and child in the United States,  and provide first rate, excellent healthcare, but the system is being looted by the insurance and drug companies and by private medical facilities that have been allowed to form a kind of medical cartel, which limits the choices of Americans and rations care for most of the people now covered.<br />
 <br />
The government does have to &#8216;keep its hands out of the pockets&#8217; of the American taxpayer, but luckily for the American taxpayer, there is a huge pool of money already in the system. The government just has to regulate how this money is being spent, so that more of it gets spent on healthcare, and less on mansions and yachts for the executives in the system.<br />
 <br />
Look at more statistics&#8230;Does America really have the best care in the world?<br />
United States: one doctor for every 416 people<br />
In Switzerland: one doctor for every 256 people<br />
Netherlands: one doctor for every 256 people<br />
 <br />
Despite the enormous amounts of money spent on healthcare in the United States,  figures for infant mortality and lifespan put the United States in the bottom quarter of statistics for industrialized nations. <br />
 <br />
America is already spending enough money. But Obama called in the insurance and drug lobbyists, and let them write legislation that would essentially give them more money to continue just as they are. When Obama tried to include a Public Option, the insurance industry saw this as a potential threat, and began seeding the media and fomenting the fearful with the idea that the Public Option would be akin to turning America into Stalinist Russia. The drug companies were already holding the winning ace in the legislation, because they promised a savings of $80 billion from an unknown ceiling of expenditures. The government promised to not negotiate the starting prices that the savings would be deducted from. That&#8217;s like a store inflating prices on the stickers and then claiming huge percentages of savings in a sale.<br />
 <br />
Drug companies scream that they need the money they are paid, or else there will be no more motivation for innovation and research in America and America will lose its &#8216;edge&#8217;. The truth is that most research and development for new drugs and treatments is already mostly funded by the taxpayer and is done in universities and public hospitals, with the drug companies waiting to scoop up the lion&#8217;s share of the profitable patents that ensue. The drug companies spend much, much more on advertising and lobbying and executive compensation than they do on research and development.  The drug companies also make a lot of their money on older patents, and they try to keep any new drugs on the back shelf until the old patents expire, because they don&#8217;t want their new products to compete with the old ones. Furthermore, after patents expire, they have various barely legal ways to keep cheaper generic versions off the market.<br />
 <br />
Another huge waste of money in the American system, and one which is not even fully calculated in the &#8216;per capita&#8217; spending, is the legal morass of malpractice law. Tort reform is urgently needed. Settlements have to have some relationship to reality; experts called in to testify have to be better regulated; lawyers have to be paid on the basis of work done, not on a percentage of the win; and there has to be a &#8216;loser&#8217; pay element to the system, because now the doctor who is proven innocent still loses thousands and thousands of dollars in time and money spent fighting the case, and law firms can put junior, low paid para-legal teams to work on a variety of cases in a kind of legal speculation, looking for the jury award gold, and paying nothing for the lives and careers they disrupt and paying nothing for the burden they exact on society as a whole by increasing healthcare costs.<br />
 </p>
<p>Americans have to stop chanting, &#8216;We have the best healthcare in the world!&#8221; and start asking &#8216;How come we spend so much money? Who is looting our system? Do other countries have better solutions that we should consider?&#8221;<br />
 <br />
It&#8217;s time for blogs and newspapers and the television media to do genuine side-by-side comparisons of healthcare systems in other industrialized nations, and learn from them.<br />
 <br />
It&#8217;s time to stop listening to the fearmongers who find horror stories of negligence or malpractice in other countries and present these stories as being the whole story and proof that other nations live in a healthcare nightmare. If the worst stories of neglect and malpractice from the United States were presented as how all healthcare works in America, people would instantly recognize that this is a monumentally unfair way to view any system.<br />
 <br />
Americans have to start demanding that their politicians fight for them and for better healthcare in America, and stop fighting on behalf of the drug and insurance industry profits.</p>
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		<title>By: donjo</title>
		<link>http://www.noquarterusa.net/blog/30785/reforming-for-profits-ii-greenwald-update/#comment-1245961</link>
		<dc:creator>donjo</dc:creator>
		<pubDate>Thu, 20 Aug 2009 19:01:23 +0000</pubDate>
		<guid isPermaLink="false">http://www.noquarterusa.net/blog/?p=30785#comment-1245961</guid>
		<description>Could someone politely tell me why a Director of Medicare/Medicaid hasn&#039;t yet been appointed by the Obamacons? Inefficiency in action; the motto of the present-day WH. Or is this being done on purposes?</description>
		<content:encoded><![CDATA[<p>Could someone politely tell me why a Director of Medicare/Medicaid hasn&#8217;t yet been appointed by the Obamacons? Inefficiency in action; the motto of the present-day WH. Or is this being done on purposes?</p>
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		<title>By: Ani</title>
		<link>http://www.noquarterusa.net/blog/30785/reforming-for-profits-ii-greenwald-update/#comment-1245882</link>
		<dc:creator>Ani</dc:creator>
		<pubDate>Thu, 20 Aug 2009 16:15:01 +0000</pubDate>
		<guid isPermaLink="false">http://www.noquarterusa.net/blog/?p=30785#comment-1245882</guid>
		<description>Great article, Linda.  This is precisely why I didn&#039;t want this idiotic plan to pass from the start -- it smelled &quot;fishy&quot;.</description>
		<content:encoded><![CDATA[<p>Great article, Linda.  This is precisely why I didn&#8217;t want this idiotic plan to pass from the start &#8212; it smelled &#8220;fishy&#8221;.</p>
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		<title>By: Ani</title>
		<link>http://www.noquarterusa.net/blog/30785/reforming-for-profits-ii-greenwald-update/#comment-1245880</link>
		<dc:creator>Ani</dc:creator>
		<pubDate>Thu, 20 Aug 2009 16:08:04 +0000</pubDate>
		<guid isPermaLink="false">http://www.noquarterusa.net/blog/?p=30785#comment-1245880</guid>
		<description>&lt;blockquote&gt;But it seems clear that the White House and key Democrats were always planning on negotiating it away in exchange for industry support. Isn’t that how it always works in Washington? No matter how many Democrats are elected, no matter which party controls the levers of government, the same set of narrow monied interests and right-wing values dictate outcomes...&lt;/blockquote&gt;

Even the clueless koolaid drinker Frank Rich basically made the same point -- the fix is in.  He even started to make the leap that Obama is part of that fix,  he is not victimized by it -- he was elected by it.  

The corporate owned media picks our Presidents.  NOW do these people see why they WANTED Obama?  I was shocked by how many Dems I talked to last year just couldn&#039;t figure this out.  I said ask yourselves &quot;who benefits&quot;?  If it were really Hillary Clinton who was the &quot;corporate wh*re&quot; as some tried to paint her, then the media would have been pushing for her instead of vilifying her daily.  I assure you we would have seen a lot more vetting of Obama than we did.  Instead, he got the messianic treatment.  

They got the salesman they wanted.  Hows that working out?</description>
		<content:encoded><![CDATA[<blockquote><p>But it seems clear that the White House and key Democrats were always planning on negotiating it away in exchange for industry support. Isn’t that how it always works in Washington? No matter how many Democrats are elected, no matter which party controls the levers of government, the same set of narrow monied interests and right-wing values dictate outcomes&#8230;</p></blockquote>
<p>Even the clueless koolaid drinker Frank Rich basically made the same point &#8212; the fix is in.  He even started to make the leap that Obama is part of that fix,  he is not victimized by it &#8212; he was elected by it.  </p>
<p>The corporate owned media picks our Presidents.  NOW do these people see why they WANTED Obama?  I was shocked by how many Dems I talked to last year just couldn&#8217;t figure this out.  I said ask yourselves &#8220;who benefits&#8221;?  If it were really Hillary Clinton who was the &#8220;corporate wh*re&#8221; as some tried to paint her, then the media would have been pushing for her instead of vilifying her daily.  I assure you we would have seen a lot more vetting of Obama than we did.  Instead, he got the messianic treatment.  </p>
<p>They got the salesman they wanted.  Hows that working out?</p>
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		<title>By: rose</title>
		<link>http://www.noquarterusa.net/blog/30785/reforming-for-profits-ii-greenwald-update/#comment-1245877</link>
		<dc:creator>rose</dc:creator>
		<pubDate>Thu, 20 Aug 2009 16:05:49 +0000</pubDate>
		<guid isPermaLink="false">http://www.noquarterusa.net/blog/?p=30785#comment-1245877</guid>
		<description>we need mass protests that challenge all these crooks and liars and vote out all the crooks and send in the ones that aren&#039;t, yet. seems Ralph Nader was right along with Pumas, who were supposed to be bitter,uneducated, white, haters, doesn&#039;t it?  I do think Hillary could have done 100% better, but she would have been crucified, no matter what, by the same ones that are still waiting for the masterful chess moves!</description>
		<content:encoded><![CDATA[<p>we need mass protests that challenge all these crooks and liars and vote out all the crooks and send in the ones that aren&#8217;t, yet. seems Ralph Nader was right along with Pumas, who were supposed to be bitter,uneducated, white, haters, doesn&#8217;t it?  I do think Hillary could have done 100% better, but she would have been crucified, no matter what, by the same ones that are still waiting for the masterful chess moves!</p>
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		<title>By: grayslady</title>
		<link>http://www.noquarterusa.net/blog/30785/reforming-for-profits-ii-greenwald-update/#comment-1245865</link>
		<dc:creator>grayslady</dc:creator>
		<pubDate>Thu, 20 Aug 2009 15:13:00 +0000</pubDate>
		<guid isPermaLink="false">http://www.noquarterusa.net/blog/?p=30785#comment-1245865</guid>
		<description>Thanks for covering this, Linda. We need Glenzilla&#039;s analysis to go viral. &quot;Health care reform&quot;, as currently being discussed, isn&#039;t about &quot;death panels&quot; or the public option--it&#039;s about which political party can count on receiving the largest share of campaign contribution dollars from Pharma and insurance companies. Obama&#039;s private deals with these folks already tell you everything you need to know about the reasons for this legislation. Obama, Rahm and Axelrod (the new Rove) are laughing themselves silly that they&#039;ve outmaneuvered the Repubs on tying up future (and current) health industry donations. The citizens who voted for these amoral individuals don&#039;t matter one whit.</description>
		<content:encoded><![CDATA[<p>Thanks for covering this, Linda. We need Glenzilla&#8217;s analysis to go viral. &#8220;Health care reform&#8221;, as currently being discussed, isn&#8217;t about &#8220;death panels&#8221; or the public option&#8211;it&#8217;s about which political party can count on receiving the largest share of campaign contribution dollars from Pharma and insurance companies. Obama&#8217;s private deals with these folks already tell you everything you need to know about the reasons for this legislation. Obama, Rahm and Axelrod (the new Rove) are laughing themselves silly that they&#8217;ve outmaneuvered the Repubs on tying up future (and current) health industry donations. The citizens who voted for these amoral individuals don&#8217;t matter one whit.</p>
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	<item>
		<title>By: jbjd</title>
		<link>http://www.noquarterusa.net/blog/30785/reforming-for-profits-ii-greenwald-update/#comment-1245858</link>
		<dc:creator>jbjd</dc:creator>
		<pubDate>Thu, 20 Aug 2009 14:25:51 +0000</pubDate>
		<guid isPermaLink="false">http://www.noquarterusa.net/blog/?p=30785#comment-1245858</guid>
		<description>Then, get him out of there.  (Does your state have a law that requires the nominee for POTUS from the major political party to be eligible for the job, in order to get his name printed on the state&#039;s general election ballot?)</description>
		<content:encoded><![CDATA[<p>Then, get him out of there.  (Does your state have a law that requires the nominee for POTUS from the major political party to be eligible for the job, in order to get his name printed on the state&#8217;s general election ballot?)</p>
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		<title>By: creeper</title>
		<link>http://www.noquarterusa.net/blog/30785/reforming-for-profits-ii-greenwald-update/#comment-1245856</link>
		<dc:creator>creeper</dc:creator>
		<pubDate>Thu, 20 Aug 2009 14:15:42 +0000</pubDate>
		<guid isPermaLink="false">http://www.noquarterusa.net/blog/?p=30785#comment-1245856</guid>
		<description>Death panels are already firmly in place at the VA.  Recommendation from VA surgeon on repair of an aortic aneurysm that meets all the criteria for surgery:

&quot;Re-refer when aneurysm is larger.&quot;</description>
		<content:encoded><![CDATA[<p>Death panels are already firmly in place at the VA.  Recommendation from VA surgeon on repair of an aortic aneurysm that meets all the criteria for surgery:</p>
<p>&#8220;Re-refer when aneurysm is larger.&#8221;</p>
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		<title>By: tzada</title>
		<link>http://www.noquarterusa.net/blog/30785/reforming-for-profits-ii-greenwald-update/#comment-1245847</link>
		<dc:creator>tzada</dc:creator>
		<pubDate>Thu, 20 Aug 2009 13:40:54 +0000</pubDate>
		<guid isPermaLink="false">http://www.noquarterusa.net/blog/?p=30785#comment-1245847</guid>
		<description>&lt;strong&gt;The Death Book for Veterans
Ex-soldiers don&#039;t need to be told they&#039;re a burden to society.&lt;/strong&gt;

&lt;blockquote&gt;If President Obama wants to better understand why America&#039;s discomfort with end-of-life discussions threatens to derail his health-care reform, he might begin with his own Department of Veterans Affairs (VA). He will quickly discover how government bureaucrats are greasing the slippery slope that can start with cost containment but quickly become a systematic denial of care.

Last year, bureaucrats at the VA&#039;s National Center for Ethics in Health Care advocated a 52-page end-of-life planning document, &quot;Your Life, Your Choices.&quot; It was first published in 1997 and later promoted as the VA&#039;s preferred living will throughout its vast network of hospitals and nursing homes. After the Bush White House took a look at how this document was treating complex health and moral issues, the VA suspended its use. Unfortunately, under President Obama, the VA has now resuscitated &quot;Your Life, Your Choices.&quot;&lt;blockquote&gt;

http://online.wsj.com/article/SB10001424052970204683204574358590107981718.html&lt;/blockquote&gt;&lt;/blockquote&gt;</description>
		<content:encoded><![CDATA[<p><strong>The Death Book for Veterans<br />
Ex-soldiers don&#8217;t need to be told they&#8217;re a burden to society.</strong></p>
<blockquote><p>If President Obama wants to better understand why America&#8217;s discomfort with end-of-life discussions threatens to derail his health-care reform, he might begin with his own Department of Veterans Affairs (VA). He will quickly discover how government bureaucrats are greasing the slippery slope that can start with cost containment but quickly become a systematic denial of care.</p>
<p>Last year, bureaucrats at the VA&#8217;s National Center for Ethics in Health Care advocated a 52-page end-of-life planning document, &#8220;Your Life, Your Choices.&#8221; It was first published in 1997 and later promoted as the VA&#8217;s preferred living will throughout its vast network of hospitals and nursing homes. After the Bush White House took a look at how this document was treating complex health and moral issues, the VA suspended its use. Unfortunately, under President Obama, the VA has now resuscitated &#8220;Your Life, Your Choices.&#8221;<br />
<blockquote>
<p><a href="http://online.wsj.com/article/SB10001424052970204683204574358590107981718.html" rel="nofollow">http://online.wsj.com/article/SB10001424052970204683204574358590107981718.html</a></p></blockquote>
</blockquote>
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		<title>By: Doc99</title>
		<link>http://www.noquarterusa.net/blog/30785/reforming-for-profits-ii-greenwald-update/#comment-1245839</link>
		<dc:creator>Doc99</dc:creator>
		<pubDate>Thu, 20 Aug 2009 13:06:27 +0000</pubDate>
		<guid isPermaLink="false">http://www.noquarterusa.net/blog/?p=30785#comment-1245839</guid>
		<description>Now they&#039;re talking openly of &lt;a href=&quot;http://online.wsj.com/article/SB125072573848144647.html&quot; rel=&quot;nofollow&quot;&gt; &quot;Splitting the Bill.&quot;&lt;/a&gt;
All the &quot;reform&quot; falls by the wayside while the tax hikes get passed.</description>
		<content:encoded><![CDATA[<p>Now they&#8217;re talking openly of <a href="http://online.wsj.com/article/SB125072573848144647.html" rel="nofollow"> &#8220;Splitting the Bill.&#8221;</a><br />
All the &#8220;reform&#8221; falls by the wayside while the tax hikes get passed.</p>
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		<title>By: tzada</title>
		<link>http://www.noquarterusa.net/blog/30785/reforming-for-profits-ii-greenwald-update/#comment-1245838</link>
		<dc:creator>tzada</dc:creator>
		<pubDate>Thu, 20 Aug 2009 12:57:33 +0000</pubDate>
		<guid isPermaLink="false">http://www.noquarterusa.net/blog/?p=30785#comment-1245838</guid>
		<description>*agenda*</description>
		<content:encoded><![CDATA[<p>*agenda*</p>
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		<title>By: tzada</title>
		<link>http://www.noquarterusa.net/blog/30785/reforming-for-profits-ii-greenwald-update/#comment-1245837</link>
		<dc:creator>tzada</dc:creator>
		<pubDate>Thu, 20 Aug 2009 12:56:25 +0000</pubDate>
		<guid isPermaLink="false">http://www.noquarterusa.net/blog/?p=30785#comment-1245837</guid>
		<description>This whole administration is poison, anything they propose will always have a dark adgenda. They have made a modern day Trojan Horse.</description>
		<content:encoded><![CDATA[<p>This whole administration is poison, anything they propose will always have a dark adgenda. They have made a modern day Trojan Horse.</p>
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