A Medical Career-Choice After 2012: Intern/ Resident/Fellow/Attending. The Semmelweis Society.

California

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To Live?

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Dr. Verner Waite before the California board. Click here.

Brown: Medi-Cal expansion could hit Calif. budget

http://www.dailynews.com/news/ci_22133907/seniors-decry-ban-christmas-tree-their-complex-newhall

timothy-white-california-state-university.html

No Academic Freedom For Dr. Switzer At U.C. Davis

College Officials Excuses Costing Students and Taxpayers

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Not-For-Profit Hospitals Make Billionsand Provide Little Charity Care

Wells Fargo to pay $175 million to settle lending bias allegations

L.A. sues US Bank over blighted, abandoned homes

California, look to Wisconsin

A graphic recording causes some spectators to leave the courtroom during a preliminary hearing for two Fullerton officers in the beating of a homeless man who screamed: 'Dad, they are killing me!'

UC-Davis-Pepper-Spray-Report/131496/?sid=at&utm_source=at&utm_medium=en

hero-vet-captures-cop-punching-special-needs-woman

Pepper Spray: Sergeant Pepper?

http://green.blogs.nytimes.com/2012/03/28/coastal-california-fog-carries-toxic-mercury-study-finds/?ref=science

Students Sprayed By Police: Students sue over pepper-spraying at UC Davis

The Police

Deafening Silence Of Indifference

UC Davis Launches Probe After Pepper Spray Video .

Doctor Sues Fresno Hospital Over Peer Review

The Right of The People Peacefully To Assemble...

655 => California is now unsafe: "AB 655 (Hayashi), also on the Governor's desk, is a horse of another color, well, at least a donkey of another color. This bill will allow transfer of alleged peer review material from one hospital to another when doctors apply for hospital privileges. The trouble is that there's nothing in the bill that allows sham peer review material, material that's flat-out wrong or defamatory, to be excluded from the transferred material. The accused doctor doesn't even need to be copied on the transferred material. Assemblywoman Hayashi, author of the bill, actually misinformed the legislature in an Assembly speech about the bill by asserting that there was no opposition (we have the video showing her doing just that). Attempts to get an amendment that would allow accused doctors to be fully informed were unsuccessful. The Governor should veto AB 655. Fax him that message at 916-558-3177."

Police Brutality Alleged

Bless You In Vacaville

IPAB: The Weinmann Report

 
 
  
I thought when you swore to uphold and enforce the law equally... it meant just that...
 

  

 Chief Charlie Beck of the Los Angeles Police Department has ordered a change of policy at LAPD “sobriety checkpoints,” where drivers are pulled over to be checked for intoxication. Formerly a driver found to be unlicensed had his car impounded for 30 days, whether he was sober or drunk. From now on only U.S. citizens and legal residents will have their cars impounded. Illegal immigrants will be spared. The chief’s logic is that citizens and residents have the choice to get a license, while “undocumented immigrants” do not, and so cannot be blamed for their transgression. The chief’s new policy met with applause from at least one quarter. Said Mexican consul general Juan Carlos Mendoza: “We really support this initiative by Chief Beck because it’s in favor of the Latino community.” So it is, and what could be more important than that? Surely not the principle of equal protection under the law.

 

Source National Review online. April 18, 2011



Insanity | No Tow Policy for Illegals says LAPD, American Born Public Still Under “Hook and Pay”

– 2011/03/17Posted in: US News

2Share

LAPD makes it easier for illegal immigrant drivers

 

Aiding and Abeiting: LAPD's endorsement of lawlessness is yet another example of liberal policy and political correctness that puts the safety of American born citizens in jeopardy when they get behind the wheel. Law enforcement for one group and not another should outrage any taxpayer with an inkling of sensibility.

Los Angeles Police Chief Charlie Beck announced Monday that his officers will no longer automatically tow the cars of illegal immigrant drivers stopped at sobriety checkpoints.

The policy comes in response to the concerns of Latino civil rights activists, who say impound fees are unfairly costing otherwise hardworking illegal immigrant drivers hundreds of dollars.

Los Angeles Police Chief Charlie Beck said his department impounds about 1,000 cars a year from illegal immigrants at sobriety checkpoints – not because they’re drunk but because they don’t have driver’s licenses.

“As we reviewed our impound policies it became obvious to me that they had disparate impact on individuals based on something that was entirely out of their control,” Beck said.

California doesn’t issue driver’s licenses to undocumented immigrants.

Under the new policy, officers will give unlicensed illegal immigrants “reasonable time” to find someone else to drive their cars home.

“No longer will these checkpoints have an adverse impact on somebody merely because of their (immigration) status,” Beck said. “The sad truth is that the people who were most impacted by this law were the people that could afford it the least.”

For the Los Angeles Times article follow this link.

http://articles.latimes.com/2011/mar/12/local/la-me-lapd-tow-20110312

Using its wealth from many sources, including Medicare (but, admittedly probably MOSTLY from Medicare), the hospital not only hires lawyers but also promotes itself as an Enlightened Center of Goodness and Mercy, in contrast to all to those vicious doctors, who are never up to any good and whom the Enlightened Center of Goodness and Mercy has to watch like a hawk, to prevent them from harming the hospital's poor patients (NB: they're the HOSPITAL's patients).  In that context, the notion of diverting tax revenues to the Bad Side of a hospital-doctor dispute, as  well as the Good Side, would have no political support, as it  would seem to be a waste of money.  Much better for government to side in advance of any hearing or due process with the obviously winning party--the  party that DESERVES to prevail--namely, the hospital.  In any case, the doctors already get Medicare funds, to the extent that they bill Medicare and manage to persuade Medicare to pay them.
 
The David and Goliath metaphor is reversed in California, for certain and probably elsewhere too.  The California Supreme Court decided a year or two ago to characterize an aggrieved doctor's "retaliatory" lawsuit against a hospital for bad-faith peer-review as a SLAPP suit and to invoke California's anti-SLAPP statute against the doctor.  SLAPP is an acronym that stands for Strategic Litigation Against Public Participation.  The classic example was the Goliath-like Big Agribusiness corporation that proposed diverting a river to its fields for irrigation and leaving individual, David-like, small farmer, whose fields the river currently serves, high and dry.  Public hearings would go forward and the small farmer would appear to protest the plan, in the Public Interest.  Big Agribusiness would then hire lawyers to sue the small farmer who protested.  The suit, itself, would have no viable grounds at all but, in the meantime, the small farmer would have to incur huge attorneys' fees to defend against the groundless SLAPP suit.  Rather than do that, the small public-interest farmer would withdraw his protests or not appear at the public hearing at all, in the first place, and Big Agribusiness would prevail by Pure Intimidation,  That became a frequent social detriment, so the legislatures of several states enacted anti-SLAPP suits to forestall such misconduct.
 
In a "clever" strategy, hospital-attorneys persuaded the CA Supreme Court to approve the invocation of the anti-SLAPP statute in favor of the hospital by characterizing it as the David-like public-interest party (which seeks only to protect the public from all those bad doctors) and against the individual doctor, who is, of course, filthy rich and able to hire the sharpest, shyster-lawyers in the land, and whom they characterized as the Goliath-like Bad Guy, whose only purpose is to harm the hospital's poor patients, profit from it, and get away with it.

Metropolitan News-Enterprise

 

Wednesday, December 29, 2010

 

Page 1

 

Court of Appeal Upholds Legislative Fix to Local Judicial Benefits

 

By KENNETH OFGANG, Staff Writer

 

A measure enacted at a special session of the Legislature to continue county payments of benefits to local trial judges, over and their state salaries, was upheld by the Fourth District Court of Appeal yesterday.

Div. One, in an opinion by Justice Patricia Benke, said SBX2 11 adequately addressed the deficiencies which caused the court to declare the benefits unconstitutional in Sturgeon v. County of Los Angeles (2008) 167 Cal.App.4th 630.

Harold P. Sturgeon, whose taxpayer suit resulted in the 2008 ruling, sued again after lawmakers enacted SBX2 11 at a special session called to, among other things, “consider and act upon legislation to address the economy, including but not limited to efforts to stimulate California’s economy, create and retain jobs, and streamline the operations of state and local governments.”

Legislators’ Findings

In enacting the bill, lawmakers found that “[n]umerous counties and courts established local or court supplemental benefits to retain qualified applicants for judicial office, and trial court judges relied upon the existence of these longstanding supplemental benefits provided by the counties or the court.”

Under SBX2 11, counties and courts that were supplementing judges’ salaries were required to continue to do so, subject to termination on 180 days’ notice. The bill also immunized all public entities and officers against any liability resulting from past payment of local judicial benefits.

Judges in other counties have long complained that their benefits are far less generous than those paid by Los Angeles County, which include participation in the county’s “MegaFlex” cafeteria benefits program—which allows a beneficiary to receive additional taxable income equal to 19 percent of salary, or benefits costing the county an equal amount—along with a “professional development allowance” and a 401(k) match of up to four percent of the judge’s salary.

Those amounts have now reached $57,000, over and above a state salary that may be the highest in the nation for trial judges, Sturgeon’s attorney told the MetNews.

“We think it is unconscionable they take that money from Los Angeles County,” Sterling E. Norris Jr. of Judicial Watch said, vowing to take the case to the state Supreme Court.

“Everybody was supposed to be a state judge and everybody cut back except Los Angeles County,” he said. “It’s a lot of gravy.”

 Norris argued that the purported fix was unconstitutional because it exceeded the scope of the special session, violated the right of judges in the other counties to equal protection, and delegated the Legislature’s duty to prescribe compensation to the counties.

First District Court of Appeal Justice James Richman, sitting by assignment as a Los Angeles Superior Court judge, rejected those arguments, as did the appellate court.

Benke noted that courts have broadly interpreted the requirement that a law enacted in special session be related to a subject specified in the governor’s proclamation. She cited a World War II-era decision upholding a law reorganizing the State Guard to call members of the State Guard into active service to aid the war effort.

The law was enacted in response to then-Gov. Culbert Olson’s call to “consider and act upon legislation augmenting the appropriation for the operation, maintenance and organization of the State Guard.” Members of the guard sued, claiming that the major reorganization and authorization for active-duty call-ups went well beyond the scope of the governor’s proclamation.

Scope of Session

The court, however, in Martin v. Riley (1942) 20 Cal.2d 28, said that once the governor designates a subject for the special session, lawmakers may consider “matters relating to, germane to and having a natural connection with the subject proper,” and that the Legislature will not be bound by “[a]ny matter of restriction or limitation” as to what it may enact.

The justices cited an 1886 Texas case, dealing with a special session called to reduce certain taxes, at which the Legislature raised other taxes. The Texas appellate court conclude that once the governor introduced the subject of tax reductions in the session, the Legislature had “practically absolute” power to increase other taxes to make up for the lost revenue.

Benke explained:

“[U]nder Martin v. Riley the Governor’s call opened up the subject of the operations of state and local governments....Whether the legislation in fact streamlined those operations is not of concern to us: the Governor’s proclamation gave the Legislature the power to legislate in the area of state and local government operations. ...Our opinion in Sturgeon I plainly disturbed the existing relationship between the county and the judges sitting in the county’s superior courts and by it terms required legislative action if the disputed benefits were to continue. In responding to our opinion, the Legislature plainly dealt with the operations of both state and local government by requiring that local governments continue to provide judges with the benefits pending the report of the Judicial Council with respect to statewide inequity in the payment of those benefits.”

This “interim solution,” the justice went on to say, satisfied the Legislature’s nondelegable duty to prescribe judicial compensation, since it reflected a state policy and contained adequate safeguards to prevent counties from adopting means that were contrary to legislative intent.

She cited the mandate that counties continue to pay the benefits they were paying before Sturgeon I, the requirement that the Judicial Council report to the Legislature on how to make the benefits more equitable around the state, the Legislature’s recognition of the use of local benefits as a means of attracting judicial talent, and the requirement that counties give 180 days’ notice before terminating benefits, thus giving lawmakers time to address the issue before termination takes effect.

As for the equal protection argument, Benke—in addition to questioning whether standing exists to raise the issue in a taxpayer suit—said the law passes the rational basis test. She said there was “no difficulty finding such a basis in the Legislature’s express recognition that payment of the benefits by various counties and courts is needed to retain qualified judicial officers.”

Elwood Lui of Jones Day, who represented the county on appeal, did not return a MetNews phone call. Theodore Boutrous Jr. of Gibson, Dunn & Crutcher, who represented the Los Angeles Superior Court as intervenor, referred a request for comment to the court, which noted in a statement that while the decision immediately effects Los Angeles County, it “will also benefit the judges of the other 38 courts statewide that receive locally provided benefits.”

The case is Sturgeon v. County of Los Angeles, 10 S.O.S. 7158.

 

Copyright 2010, Metropolitan News Company

California Watch

Physicians versus Hospitals as Leaders of Accountable Care Organizations

Collusive (?RICO) hospital
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Libel: Doctor wins $559,000.

"Six of my cases were brought up for review by a tissue committee controlled by competitors. A nurse (sic), employed by the Saint Francis Hospital, testified that I had the highest rate of complication. Why such testimony was admitted is a matter of some interest, in itself. Liability for bearing false witness is an important related matter, in itself, and falls under the topic of immunity.  Under our gracious new laws, I would not be able to win $500,000 today were a nurse again caught committing libel."  Verner S. Waite M.D., FACS, Downey, California

Nursing home firm hit with $670-million judgment

Dr. Lyle Griffith, Hanford, California.

Adventist Hospital, Hanford, California

Nonprofit Newswire | CEO Pay at California Nonprofit Hospitals Outpaces Charity Care

Carmel Lawmaker in Front Line on Health

Health care department breaches privacy

Earthquakes

Will California become America's first failed state?

Peer Review Silver Lining at Times. Mir v. Charter Suburban Hospital (1994) 27 Cal.App.4th 1471. Co

Peer Review Silver Lining at Times. Mir v. Charter Suburban Hospital (1994) 27 Cal.App.4th 1471. Co

Doctor stands up for patient care, wins case against Kaiser Permanente

Peer Review in California Final Report, Comprehensive Study

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SMITH vs. Selma Hospital

Tenet Hospital in Garden Grove

Dubious program reported by Robert Weinmann, M.D., Contra Costa News, February 23, 2003

California goes broke, halts $3.5 billion in payments

Bailout

Fiscal Uncertainty
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Click here.

When Caregivers Harm: Problem Nurses Stay on the Job as Patients Suffer

Yes

timothy-white-california-state-university.html

Whales

Blue Shield of California is nonprofit.

Concierge Practice

Friday, August 5, 2011 UTILIZATION REVIEW BLUNDER COULD BE CORRECTED SOON: MEDICAL BOARD SUPPORTS AB 584 (FONG

http://www.nejm.org/doi/full/10.1056/NEJMp0805975

California and Medical Records Privacy

National Guard troops will go to the border

HealthyCal

Peer Review Silver Lining at Times. Mir v. Charter Suburban Hospital (1994) 27 Cal.App.4th 1471. Co

Information

UC Funding

Appeals Court Rules Calif. Can Reduce Medi-Cal Rates by 10% Read more: http://www.californiahealthline.org/#ixzz2FAFneJDb

sheriffs-crowd-control-spy-drone-suspended-after-privacy-uproar/

Covered California's Plans to Become Self-Sufficient

UC Police Pay $1,000,000 For Pepper-Spraying Students

Dr. Li For Congress

Importing Doctors: More than half of Kern physicians were foreign-schooled

Dont Frack With California

https://www.youtube.com/watch?v=ur4lcFnOloQ&feature=related

Thanks To Berkeley

U.C.

Analysis Finds Incorrect Use of Ranked-Choice Voting

Initiative would let illegal immigrants work in California legally

Douglas v. Independent Living Center of Southern California

Killing Medicaid the California Way

No Restrictive Covenant

No Quota?

Bake Sale As Berkeley Protest

Death At L.A. Children's Hospital

California DREAM Act Now On Its Way to Gov. Brown's Desk

Center For Justice and Accountability

Catching a Wave Implementing Health Care Reform in California

The Weinmann Report

Monitors for safety or control?

California Franchise Tax Board

AMENDED IN SENATE JULY 17, 2007

AMENDED IN SENATE JUNE 6, 2007

AMENDED IN ASSEMBLY APRIL 17, 2007

california legislature200708 regular session

ASSEMBLY BILL No. 632

Introduced by Assembly Member Salas

February 21, 2007

An act to amend Section 1278.5 of the Health and Safety Code,

relating to health care facilities.

legislative counsels digest

AB 632, as amended, Salas. Health care facilities: whistleblower

protections.

Existing law provides for the licensure and regulation of health care

facilities, as defined, by the State Department of Public Health. Under

existing law, a health facility is prohibited from retaliating or

discriminating against an employee of a health facility that has presented

or initiated a complaint or initiated, participated, or cooperated in an

investigation or proceeding of a government entity relating to the care,

services, or conditions of the facility. Existing law makes the violation

of these provisions a crime and subject to the assessment of a civil

penalty.

This bill would prohibit a health facility, from discriminating or

retaliating against any patient, employee, a member of the facilitys

medical staff, or any other health care worker of the facility who because

that person (1) has presented a grievance, complaint, or report to an

entity or agency responsible for accrediting or evaluating the facility

or to any other governmental entity; or (2) has initiated, participated,

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or cooperated in an investigation or administrative proceeding related

to the quality of care, services, or conditions at the facility, as provided.

This bill would provide that an employee who has been discriminated

against in employment in violation of those provisions shall be entitled

to reinstatement, reimbursement for lost wages and work benefits caused

by the acts of the employer, or to any remedy deemed warranted by the

court pursuant to those provisions, or to any applicable provisions of

statutory or common law, as specified. The bill would also entitle a

health care worker who has been discriminated against, in violation of

those provisions, and who prevails in court, to restitution and any legal

costs associated with pursuing the case, or to any remedy deemed

warranted by the court pursuant to those provisions, or any other

applicable statutory or common law.

Because the bill would expand the definition of a crime, it would

impose a state-mandated local program.

The California Constitution requires the state to reimburse local

agencies and school districts for certain costs mandated by the state.

Statutory provisions establish procedures for making that reimbursement.

This bill would provide that no reimbursement is required by this act

for a specified reason.

Vote: majority. Appropriation: no. Fiscal committee: yes.

State-mandated local program: yes.

The people of the State of California do enact as follows:

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SECTION 1. Section 1278.5 of the Health and Safety Code is

amended to read:

1278.5. (a) The Legislature finds and declares that it is the

public policy of the State of California to encourage patients,

nurses, members of the medical staff, and other health care workers

to notify government entities of suspected unsafe patient care and

conditions. The Legislature encourages this reporting in order to

protect patients and in order to assist those government entities

charged with ensuring that health care is safe. The Legislature

finds and declares that whistleblower protections apply primarily

to issues relating to the care, services, and conditions of a facility

and are not intended to conflict with existing provisions in state

and federal law relating to employee and employer relations.

(b) (1) No health facility shall discriminate or retaliate, in any

manner, against any patient, employee, member of the medical

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AB 632 2

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staff, or any other health care worker of the health facility who

because that person has done either of the following:

(A) Presented a grievance, complaint, or report to the facility,

to an entity or agency responsible for accrediting or evaluating the

facility, or the medical staff of the facility, or to any other

governmental entity.

(B) Has initiated, participated, or cooperated in an investigation

or administrative proceeding related to, the quality of care, services,

or conditions at the facility that is carried out by an entity or agency

responsible for accrediting or evaluating the facility or its medical

staff, or governmental entity.

(2) No entity that owns or operates a health facility, or which

owns or operates any other health facility, shall discriminate or

retaliate against any person who has taken any actions pursuant to

this subdivision.

(3) A violation of this section shall be subject to a civil penalty

of not more than twenty-five thousand dollars ($25,000). The civil

penalty shall be assessed and recovered through the same

administrative process set forth in Chapter 2.4 (commencing with

Section 1417) for long-term health care facilities.

(c) Any type of discriminatory treatment of a patient by whom,

or upon whose behalf, a grievance or complaint has been submitted,

directly or indirectly, to a governmental entity or received by a

health facility administrator within 180 days of the filing of the

grievance or complaint, shall raise a rebuttable presumption that

the action was taken by the health facility in retaliation for the

filing of the grievance or complaint.

(d) (1) There shall be a rebuttable presumption that

discriminatory action was taken by the health facility, or by the

entity that owns or operates that health facility, or that owns or

operates any other health facility, in retaliation against an

employee, member of the medical staff, or any other health care

worker of the facility, if responsible staff at the facility or the entity

that owns or operates the facility had knowledge of the actions,

participation, or cooperation of the person responsible for any acts

described in paragraph (1) of subdivision (b), and the

discriminatory action occurs within 120 days of the filing of the

grievance or complaint by the employee, member of the medical

staff or any other health care worker of the facility.

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(2) For purposes of this section, discriminatory treatment of an

employee, member of the medical staff, or any other health care

worker includes, but is not limited to, discharge, demotion,

suspension, or any other unfavorable changes in the terms or

conditions of employment or of the privileges of the employee,

member of the medical staff, or any other health care worker of

the health care facility, or the threat of any of these actions.

(e) The presumptions in subdivisions (c) and (d) shall be

presumptions affecting the burden of producing evidence as

provided in Section 603 of the Evidence Code.

(f) Any person who willfully violates this section is guilty of a

misdemeanor punishable by a fine of not more than twenty

thousand dollars ($20,000).

(g) An employee who has been discriminated against in

employment pursuant to this section shall be entitled to

reinstatement, reimbursement for lost wages and work benefits

caused by the acts of the employer, and the legal costs associated

with pursuing the case, or to any remedy deemed warranted by

the court pursuant to this chapter or any other applicable provision

of statutory or common law. A health care worker who has been

discriminated against pursuant to this section shall be entitled to

restitution and the legal costs associated with pursuing the case,

or to any remedy deemed warranted by the court pursuant to this

chapter or other applicable provision of statutory or common law.

A member of the medical staff who has been discriminated against

pursuant to this section shall be entitled to reinstatement,

reimbursement for lost income resulting from any change in the

terms or conditions of his or her privileges caused by the acts of

the facility or the entity that owns or operates a health facility or

any other health facility that is owned or operated by that entity,

and the legal costs associated with pursuing the case, or to any

remedy deemed warranted by the court pursuant to this chapter

or any other applicable provision of statutory or common law.

(h) The medical staff of the health facility may petition the court

for an injunction to protect a peer review committee from being

required to comply with evidentiary demands on pending peer

review matters from the complainant in an action pursuant to this

section, if the evidentiary demands from the complainant would

impede the peer review process or endanger the health and safety

of patients of the health facility during the peer review process.

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(h)

(i) For purposes of this section, health facilitymeans any

facility defined under this chapter, including, but not limited to,

the facilitys administrative personnel, employees, boards, and

committees of the board, and medical staff.

(i)

(j) This section shall not apply to an inmate of a correctional

facility or juvenile facility of the Department of Corrections and

Rehabilitation, or to an inmate housed in a local detention facility

including a county jail or a juvenile hall, juvenile camp, or other

juvenile detention facility.

(j)

(k) This section shall not apply to a health facility that is a

long-term health care facility, as defined in Section 1418. A health

facility that is a long-term health care facility shall remain subject

to Section 1432.

(k)

(l) Nothing in this section abrogates or limits any other theory

of liability or remedy otherwise available at law.

SEC. 2. No reimbursement is required by this act pursuant to

Section 6 of Article XIIIB of the California Constitution because

the only costs that may be incurred by a local agency or school

district will be incurred because this act creates a new crime or

infraction, eliminates a crime or infraction, or changes the penalty

for a crime or infraction, within the meaning of Section 17556 of

the Government Code, or changes the definition of a crime within

the meaning of Section 6 of Article XIII B of the California

Constitution.

O

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