Tag Archives: Healthcare

Roundup: A few notes on the hybrid quotes

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Because the hybrid parliament debate will resume in the New Year, CTV has a collection of quotes from MPs both here and in comparable Parliaments abroad about the format, and I find some of the commentary to be lacking. A few notes:

  1. Lots of talk about being able to participate while stick, while ignoring that this is setting up an extremely unhealthy system of presenteeism. MPs should be allowed to take sick days or leave if they require treatment for something like cancer, and not be made to feel guilty about it.
  2. There was some talk about party whips setting up rules for when MPs can appear virtually, but there seemed to be a lot of “when they feel like it” happening, particularly since Niki Ashton only appeared in Ottawa for two days the whole fall sitting, which should be absolutely unacceptable.
  3. Our committees are in crisis because of how they have been limited by hybrid sittings and the lack of interpretation staff. Only two government bills that were not budget-related got passed in the fall. Two. Some bills were in committee the entire thirteen sitting weeks that they sat, and are still not out of committee. Additionally, there are some committee chairs who are only appearing virtually (while not sick or infirm), which should not be allowed because it’s impossible to moderate a room you’re not in.
  4. The piece did quote the interim head of the interpretation service, but absolutely none of the MPs raised a single concern for the injuries that they are telling the interpreters to suffer so that they can appear remotely when they feel like it. The continued lack of basic awareness or concern about this remains unconscionable, and it’s absolutely shameful that MPs can’t arse themselves to care.
  5. Only the Bloc raised the concerns that ministers aren’t accessible because they are moving increasingly remotely, and allowing virtual voting is even worse for that. It used to be the time when MPs could get a chance to catch a minister’s attention about a matter that requires their attention, because they were all in the Chamber at the same time. Now most ministers run out of the Chamber when votes begin and vote on their phones from their cars, and they are no longer accessible, and that is a very big problem. Similarly, the more MPs and ministers are remote, the less they are able to be button-holed by journalists, making them even less accountable than they already are (especially because the architecture of the West Block makes it too easy for them to avoid media, even when they are there).

I don’t care how convenient MPs find hybrid sittings or remote voting, it’s degrading our institutions and it needs to come to an end immediately.

Ukraine Dispatch, Day 302:

I could find no stories on the situation on the ground in Ukraine because absolutely all of the coverage was about President Volodymyr Zelenskyy’s trip to Washington DC. During Zelenskyy’s visit with President Joe Biden at the White House, we got confirmation that the US will be sending Patriot anti-missile systems to Ukraine. Zelenskyy then headed to the Capitol, where he met with Nancy Pelosi (who enthused that this was just like when her father met with Winston Churchill in Congress 81 year ago), before Zelenskyy addressed a joint session of Congress. His message—that aid for Ukraine isn’t charity, but an investment in democracy and security, at a time when a number of US representatives are publicly doubting the “blank cheque” that has been given to Ukraine.

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Roundup: That’s not what the Canada Health Act means

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As much as I have some residual shreds of optimism that some people are starting to wake up to what is going on with the collapse of our healthcare system and are finally starting to apportion blame where it belongs—namely the provincial premiers—that doesn’t extend to everyone. And lo, there are still far too many members of the pundit class in this country, including its newest inductee, who refuse to get the memo, and who misconstrue the system in order to pin the problems on Justin Trudeau. To add to that, my reply feed is inundated with people who believe the disinformation that Trudeau has either cut or withheld half of the funding for provinces, which bears absolutely no resemblance to what is happening in reality.

And do not start handwaving about the Canada Health Act, because you can pretty much guarantee that it doesn’t mean what you think it means.

https://twitter.com/EmmMacfarlane/status/1603805932995182592

https://twitter.com/EmmMacfarlane/status/1603806417819168768

Ukraine Dispatch, Day 297:

Russia launched a major missile offensive against Ukraine, whose forces intercepted some 60 of the 76 missiles fired at them. That further damaged critical infrastructure in places like Kyiv, Kharkiv, Kryvhi Rih, and Zaporhizhzhia. This of course strained electrical grids even further, as each subsequent attack strains the system even further, making it harder to recover from each attack.

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QP: Being ham-fisted on the hunting rifle concerns

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The prime minister was off having a photo op with Doug Ford about electric vehicles, and his deputy was also absent, leaving Pierre Poilievre as the only leader in the Chamber. Poilievre led off in French, worrying about a report released today that predicts the price of food will increase by another seven percent next year, but blamed the federal government’s “inflationary spending” for it, which is utterly risible because we know that food price inflation has bene in large part because of climate change causing droughts in food-producing regions around the world. Randy Boissonnault noted that high food prices are global, because extreme weather events have led to poor harvests and supply chains remain snarled, while the government has taken action like the doubled GST credit and dental care. Poilievre switched to English to blame rising food prices on carbon prices, which is again not the problem. Karina Gould praised their measures to help vulnerable Canadians, and noted that if Poilievre was sincere about affordability, he would have voted for their measures. Poilievre then claimed that the government was trying to ban hunters because the of the sweeping nature of the list in the amendments at committee, and demanded the reverse the “ban.” Marco Mendicino first noted that tomorrow is the 33rd anniversary of the École Polytechnique shooting, and they remain in solidarity with victims. Poilievre insisted that they too are concerned about gun crime, but the problem are guns coming across the border rather than hunters, and demanded they reinforce the border rather than attacking hunters. Mendicino reminded him they invested $450 million in the border over the past two years, and invested in CBSA, while the Conservatives voted against all of those measures. Poilievre insisted that the results of the Liberal policy was an increase in violent crime, and that their expensive policies are not working, and switched to French to demand to know why the government isn’t targeting “real crime.” Mendicino repeated his previous response in French.

 Claude DeBellefeuille led for the Bloc, and raised a report that raises the alarm about species at risk, while the government has authorised oil exploration off the shore of Newfoundland and Labrador, which is the right whale’s habitat. Julie Dabrusin read that the marine protected area will remain protected and any exploitation activities in the area will be determined on a case-by-case basis, and that the tender process does not authorize production activities. DeBellefeuille repeated her question, calling it special treatment for oil companies. Dabrusin repeated that any proposal to drill in those areas would be subject to the Impact Assessment Act, but they are not there.

Leah Gazan rose for the NDP, raising the murder of three more Indigenous women in Winnipeg to an alleged serial killer, and the decision by the city not to look for remains in a landfill, and demanded more help. Marc Miller said that he too was concerned and that he spoke with the mayor and wanted to do more where he could. Niki Ashton took over by video on the same issue, raising that the alleged killer has ties to white nationalism, and again demanded more action. Miller said that he was concerned and has a meeting in January about coming to solutions.

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Roundup: Blame the premiers for the paediatric health crisis

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The crisis in our hospitals, particularly paediatric ones, continues to get worse. In Ottawa, CHEO now has Canadian Red Cross staff assisting. In Newfoundland and Labrador, their children’s hospital had to cancel surgeries. In Alberta, they are sending children in palliative care home because they need to redeploy those staff elsewhere. So what are people doing? Telling people to bother the federal government.

No.

This is squarely on the premiers. They have been consistently underfunding their healthcare systems, even with higher transfers the federal government has been sending the past couple of years, both because of the pandemic and with additional funds intended to help reduce wait times, but has that money gone to good effect? Nope. But you have several provinces who sent out vote-buying cheques to people, nearly all of them are running surpluses, and New Brunswick and Quebec are promising tax cuts, particularly for high-earners. They have been playing chicken with the federal government, driving the crisis so that they can be sent more money with no strings attached (this is one of Danielle Smith’s many complaints), and it really looks like they want the system to collapse so they can blame the federal government and bully them into acceding to their demands. But so long as everyone keeps fixating on what the federal government is going to do to fix the problem rather than playing blame on the premiers, where it belongs, this state of affairs is going to continue. It’s only when the premiers start feeling the pressure that they’ll make changes, and right now, they are being let off the hook by too many people. Don’t let them. Put the pressure where it needs to be, and that is the premiers.

Ukraine Dispatch, Day 285:

Ukrainian forces held a three-day amnesty for those looking to cross the Dnipro river in the Kherson region from the Russian-held side, in order to reunite families and get civilians to safety, but it sounds like Russian forces killed at least one person crossing the river. Meanwhile, the US’ intelligence chief says that the slower tempo of action in the conflict could wind up favouring Ukraine as Russian forces continue to be outmatched. Here’s a look at the fiscal situation Ukraine finds itself in, trying to finance the war without printing more money and driving up inflation. And here is a slideshow of the conflict.

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QP: Careful hewing to prepared lines about national security

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The prime minister was in the Chamber for his usual Wednesday spot of proto-Prime Minister’s Questions, as were all of the other leaders, which hasn’t happened for a few weeks. Pierre Poilievre led off in French, and he once again returned to the Global News report that China had funnelled money to federal candidates in 2019, and wanted to know if the prime minister had gone back to CSIS to ask if there was any evidence to support such an allegation. Justin Trudeau said that he has to be very careful in answering questions about national security, and with a script in front of him, recited that Canada and its allies are regularly targeted by foreign states like China, including during election campaigns, and that his government had more steps than any other including creating an independent panel tasked with assessing the risk coming from foreign countries, and those panels confirmed that the electoral integrity was not compromised, and concluded with yes, he receives regular briefings. Poilievre switched to English, said it was interesting that he said he did get briefings, and repeated to know if he got one post Global News report on the allegations. Trudeau repeated his same response in English, word-for-word, but added at the end that all parties are briefed about elections. Poilievre said that wasn’t the question, and wanted a yes-or-no answer on a post-Global News briefing. Trudeau very slowly enunciated that in all of the briefings he received, there has never been any mention of candidates receiving money from China in either 2019 or 2021, and praised the panels once again. Poilievre wanted a yes-or-no answer on whether Trudeau asked for briefings after the Global News story, but Trudeau went on about how Poilievre, a former minister, knows the importance of respecting national security guidelines and that because Poilievre was the former minister for elevations integrity, he knows this, but also added that when Poilievre was minister, he did nothing about adding security against interference while the current government did. Poilievre was incredulous by the notion that Trudeau didn’t demand a briefing on the story, but moved on to ask if there was any electoral interference at all. Trudeau reminded him that Canada is regularly subject to some level of foreign interference, including from China, including during elections, which Poilievre would know when he was minister of elections, and noted that the two previous leaders did get briefings before, during and after the elections on foreign interference.

Yves-François Blanchet wondered at what point the interference goes from a little to a lot, and wondered about Chinese money flowing into Trudeau’s riding was interference or influence. Trudeau stated that rather than allowing partisan accusations to muddy the waters, they created a panel to precisely look at those issues in an objective and non-partisan manner. Blanchet was more specific about Chinese money flowing into Trudeau’s riding at a time a bank was trying to get approval, and Trudeau said that while the Bloc was trying to cast doubt on the integrity of our institutions, he could assure them they were not affected.

Jagmeet Singh rose for the NDP, and in French, worried about an overloaded hospital in Quebec, and accused the prime minister of sitting on his hands, and demanded the government do more like they did in the pandemic. Trudeau reminded him that they have been working with the provinces. Singh switched to English to worry about Danielle Smith’s “Sovereignty Act” and that she would use it to undermine the Canada Health Act, which proves he doesn’t know what he was talking about because the whole gods damned point of the Act is to put conditions on federal dollars. Trudeau noted that he could understand why people were concerned, but he was going to focus on getting good results for Albertans.

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QP: We created two independent panels!

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Both the prime minister and his deputy were in the House together for the first QP in weeks, which is always nice to see. Pierre Poilievre led off in French, he asked if any public servants, security officials, or police inform the prime minister of Beijing’s alleged interference in elections. Justin Trudeau said that while security and police take foreign interference very seriously, he could assure Canadians that in the 2019 and 2021 elections, there was no foreign interference that could have changed any of the results in any significant way. Poilievre found the answer to be tricksy, and in English, wanted to know if there was any interference period. Trudeau pointed out that there is always some level of interference, be it cyber or disinformation, but they had assurances this was not an issue and that the elections were free and fair. Poilievre still was not satisfied, and asked again. Trudeau reiterated that they had the panel of top civil servants and national security who monitored both 2019 and 2021 and found no interference. Poilievre tried again, more slowly, if there were any briefings about alleged interference, period. Trudeau stated that he had no briefings, period, around foreign-funded candidates. Poilievre insisted this was a denial of an absurdity, and repeated yet again if he had any intelligence of any interference of any kind from Beijing during either election. Trudeau reiterated that the report from the non-partisan panel that there was no interference that impacted those elections.

Yves-François Blanchet led for the NDP, and raised that the RCMP was now investigating, and if democracy was at stake, the prime minister needed to know which alleged eleven candidates were in question. Trudeau repeated that all of the reports stated anything about any interference or funding directly or indirectly from China. Blanchet was not mollified and worried that Trudeau was somehow isolating China for the sake of grandstanding. Trudeau once again cited that China does try to interfere, which is why we work with allies to protect ourselves. 

Jagmeet Singh led for the NDP, and worried about conservative premiers trying to privatise healthcare, and demanded the prime minister do something about that. Trudeau noted that on some days the NDP demand he send more money to premiers and today he was telling them not to, but any future transfers would be subject to the Canada Health Act. Singh switched to French and sounded concern about Quebec hospitals in particular, and Trudeau reiterated that they were working with provinces to deliver “real results.”

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QP: Concern about Atlantic Canada’s incoming federal carbon price

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Though the prime minister was in town, while his deputy was not, neither were present in QP, either in person or virtually. Pierre Poileivre led off in French, and he led off with a complete misquote about what the prime minister said about interest rates, blamed the government for the Bank of Canada’s rate hikes, and demand the government stop its so-called “inflationary policies” that he said were pushing people to bankruptcy. Randy Boissonnault noted that there is an affordability crisis world-wide, which was why the government has a plan, and exhorted the Conservatives to support the budget bill when it was up for a vote after QP. Poilievre switched to English to decry that three Atlantic Canadian provinces will be subject to the federal carbon price backstop on July 1st, insisted that 40 percent of them are already living in energy poverty, and deployed his “triple, triple, triple” ear worm to demand that the government scrap its carbon price. Steven Guilbeault noted that there is no increase in carbon prices before July 1st, not during the winter, and that those three provinces will start receiving their climate rebates before that happened. Poilievre declared that the carbon price hasn’t worked because no province that has imposed it has met their targets (not entirely true), lamented the low ranking of our climate action, falsely claimed that 60 percent of people pay more in carbon prices than they get back, and again demanded the price be scrapped. Guilbeault recited that it was a fact that eight of ten households will get more back than they pay, and demanded the Conservatives release their own climate plan. Andrew Scheer got up to take over, and repeated same list of the falsehoods about the carbon price, demanded the government accept the science, and dropped the “not an environmental plan but a tax plan” point (take a drink!) Guilbeault got up to poke back, citing that the Conservatives don’t believe in science, and offered up the proof that when they were in government, their minister of science didn’t even believe in evolution, and it was a fact that emissions did decline in 2019 and 2020. Scheer stood back up and got breathier as he listed a number of false talking points about the carbon price and the environmental record of the government, and decried that three more provinces would be subjected to the federal price. Guilbeault recited that they have a great climate plan, unlike the Conservatives, because they had to play catch-up after ten years of Conservative inaction.

Alain Therrien led for the Bloc, and he accused the government of being reckless with their response to the news reports about alleged foreign interference in the 2019 election from China. Pam Damoff got up and read that the talking points about this being a serious issue and they ensured the election was free and fair. Therrien insisted that the issue was not the integrity of that election, it was the lack of transparency from the government on this. Damoff read that they established the independent panel and insisted that they have their eyes wide open, which is why they passed laws to close loopholes on foreign funding.

Alexandre Boulerice rose for the NDP, and he recited the party’s angry talking points about grocery chain CEOs. Randy Boissonnault recited that the issue of food price inflation is global but they have tasked the Competition Bureau with ensuring there was no price gouging. Blake Desjarlais took over in English to cite the reports that Loblaws was firing the unionised workers in their Edmonton warehouse—which is not a federal issue—and Andy Fillmore repeated Boissonnault’s talking points in English. 

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Roundup: The federal walkout in the face of the premiers’ games

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The federal-provincial health ministers’ meeting broke down with federal ministers Jean-Yves Duclos and Carolyn Bennett walking out after a communiqué from the premiers was leaked, decrying a failure of the talks, drafted five days ago, indicating that there was no intent to listen to the federal government’s position on tying increased funding to accountability measures like outcomes and pan-Canadian data. Duclos said in his press scrum after walking out that just increasing the transfer to provinces is not a plan, which is one hundred percent correct, because we know that provinces have a demonstrated history of spending additional federal dollars on other things that are not healthcare. (Duclos’ statement here). The provincial spokes-minister, Adrian Dix, carried on with his disingenuous talking points about not being able to fix the system without more money, or demanding a first ministers’ meeting about this, the only purpose of which would be for the premiers to gang up on the prime minister for the cameras. Dix also painted this false picture of lamenting that the federal government couldn’t come together with them like they did over COVID, completely ignoring that the federal government sent billions of additional dollars to provinces for COVID and most of those provinces simply put that money directly onto their bottom lines to end their fiscal year with a surplus, which is not the point of sending money to them for healthcare.

Justin Trudeau, earlier in the day, was already calling the premiers out on this bullshit by pointing out that they are crying poor while they are offering tax breaks for their wealthier citizens, which is not a sign that their budgets are hurting for federal dollars. And this is exactly the point—premiers have largely decided to make this the federal government’s problem, because they can get away with this particular lie. Legacy media will continue to take the line that so long as a single federal dollar is involved, this becomes a federal responsibility, which is not how this works. The crumbling healthcare system is not the federal government’s problem. They have done nothing but increase funding year over year. The provinces have created this mess, and in all likelihood exacerbated it deliberately in order to force the federal government’s hand in giving them a lot more money with no strings attached, but the federal government isn’t blinking, and is finally starting to call bullshit. Let’s see if legacy media actually catches on (but I have serious doubts they will).

Ukraine Dispatch, Day 259:

President Volodymyr Zelenskyy says he’s willing to negotiate peace—on his terms, and not Russia’s, but forestalled criticism Russia was levelling against him. Otherwise, there was more shelling in Bakhmut, and two civilians were seriously wounded by unexploded mines around Kharkiv.

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Roundup: Pretending the promise of money was new

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Provincial health ministers met in Vancouver yesterday in advance of their federal counterpart joining them, and boy did the bullshit ever flow, particularly in their characterisation of what has transpired. The federal minister, Jean-Yves Duclos, put out a statement before the provincial minsters had a press conference that basically reiterated what the federal government has been saying for months now—that yes, they are willing to spend more money, but they want outcomes attached. What was different was specific language about common metrics for health data, cooperation on health workforces, and that the federal government was willing to also engaged in specially tailored one-off agreements with provinces on specific investments.

To hear BC’s health minister, Adrian Dix, tell the tale, the federal government has been “radio silent” for over a year, which is not true, or that this is the first time they’ve raised money issues, which is again, not true, and the message has been consistent. But some of his counterparts are already rejecting the federal strings, and insisting that this is some kind of centralization or micromanaging (it’s not). Dix also pretended that the progress he has made around some reforms in BC are being done elsewhere around the country (they’re not) as “proof” that the provinces are getting their acts together on healthcare, which is, again, not true, and nobody wants to call out the provinces for letting things get to a crisis through chronic underfunding, in large part because they spent federal dollars on other things, and because certain premiers appear to be wilfully breaking their systems in order to try and privatise as much as they can without penalty under the Canada Health Act. If the starting point for these negotiations is the truth, well, that appears to be in short supply, which could be a big problem for everyone going forward.

Ukraine Dispatch, Day 258:

Ukrainian officials are accusing Russian forces of looting empty homes in Kherson after they ordered civilians out of the city (likely a forced deportation, which is a war crime) in advance of the Ukrainian advance on the city, and then the Russians cut the power to the city and blamed Ukrainian “sabotage.” The epicentre of the fighting remains Bakhmut and Avdiivka in the Donetsk region, where Ukrainians say that hundreds of Russians are being killed every day.

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Roundup: Bored with the discourse?

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Over the weekend, I was forwarded this particular diatribe from the Globe and Mail’s generally awful television columnist, John Doyle, about how boring Canadian political shows are. And he’s right about that—they’re generally pretty terrible (even if their hosts are wonderful people), but Doyle largely misdiagnoses why.

“This boredom-with-the-government narrative is very much the story that pundits like to peddle in Canada and part of a broad-brush assumption that only furthers the dangerous idea that Canadian politics are tedious and unworthy of engaged attention,” Doyle asserts, not incorrectly, but this needs a bit more delving into where the issues are. Doyle is again not incorrect when he points out that the repetition of the same small group of talking heads across different shows is a sign that “Ottawa is a small place with a small set of people jawing on about the same topic, often using the same phrases, over and over,” but it’s getting closer to one of the problems.

“What’s missing from these political conversations on TV is the sense that Canada is socially, politically and economically dynamic,” Doyle says. “What we see is a media power structure that is entrenched and sometimes literally bored by the discourse.”

This is part of it, and while he talks about how he doesn’t want us to devolve into American-style political coverage of partisan shouting matches (which was de rigeur when Evan Solomon was hosting Power & Politics because he believed it was what led to “good TV”) and that he wants Canadian TV to make better use of the medium, part of the problem is the shrinking media environment. These shows are made on a shoestring budget with a very small group of producers, and have to fill a defined news hole every day, and in order to do that, they have established rolodexes of reliable commentators who they know will drop everything to show up on TV, even if they have little of use to say (actual experts not always being reliably available which is why they are harder to book), and talking heads to fill that airtime. To add to that, there is pressure to diversify who those talking heads are, so they wind up using the same few across all channels because they’re all trying to tick the same boxes with the limited number of bodies available.

For the rest of the airtime that isn’t devoted to the talking head panels, much of that is devoted to things like MP panels, in an age of iron-clad message discipline, so you don’t get actual insight or debate, you get recited talking points and hosts simply both-sidesing everything rather than calling bullshit on any of it. Not every host—some are better than others (particularly some that are filling in for main hosts), but when the main tactic is to play Devil’s advocate and simply recite the other party’s talking points and getting them to respond, it doesn’t make for illuminating television, and it lets the politicians get away with murder, because they’re not being challenged. I only wish we had Rosemary Barton back doing the accountability interviews on a daily basis, because she was good at it and did call the MPs on their bullshit because she knew how. But this isn’t because the media power structure being bored with the discourse—it’s because it’s under-resourced and afraid to challenge that discourse, which is a very different problem than what Doyle imagines it to be.

Ukraine Dispatch, Day 257:

More Russian strikes over the weekend continued to attack electrical generation in Kyiv and other regions in Ukraine, causing more blackouts as winter approaches. In all, some 35 towns and villages in nine regions were hit, while Russians continue to dig in at Kherson in the south in advance of a Ukrainian counter-offensive, while the front line in Donetsk is now at the outskirts of Bakhmut. The good news is that the Zaporizhzhia nuclear power plant has been re-connected to the power grid, so it doesn’t have to rely on emergency diesel generators to cool the reactors (which are currently all shut down).

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