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Gillibrand pushes for lower prescription-drug costs
SYRACUSE, N.Y. — U.S. Senator Kirsten Gillibrand (D–N.Y.) recently made a stop in Syracuse to discuss her proposal for Congressional action to address the high cost of prescription drugs. Gillibrand, a member of the Senate Aging Committee, visited Upstate Medical University’s Institute for Human Performance on April 29 to outline her policy package, dubbed the […]
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SYRACUSE, N.Y. — U.S. Senator Kirsten Gillibrand (D–N.Y.) recently made a stop in Syracuse to discuss her proposal for Congressional action to address the high cost of prescription drugs.
Gillibrand, a member of the Senate Aging Committee, visited Upstate Medical University’s Institute for Human Performance on April 29 to outline her policy package, dubbed the “Gillibrand Prescription for Lower Drug Prices.”
“While our nation is recovering from the pandemic, drug prices remain unacceptably high, which puts a heavy financial burden on older adults and families in Syracuse and across the country,” the senator said in a news release about the proposal. “I am releasing [this] plan to provide a framework for slashing drug prices. From fighting price gouging to importing affordable drugs from Canada to enabling Medicare to negotiate drug prices, this plan will help us bring down costs for countless Americans.”
Dr. Mantosh Dewan, president of SUNY Upstate Medical University; New York State Senator John Mannion; Onondaga County Legislator Peggy Chase; Onondaga County Legislature Minority Leader Christopher Ryan, and Syracuse Common Council President Helen Hudson joined Gillibrand for her announcement.
Under current law, the secretary of U.S. Department of Health and Human Services is prohibited from negotiating lower drug prices on behalf of Medicare Part D beneficiaries, Gillibrand’s office said. In contrast, other government programs, like Medicaid and the U.S. Department of Veterans Affairs (VA) are allowed to negotiate.
The Democrat’s office cited a recent report by the Government Accountability Office that indicated Medicare paid twice as much for the same prescription drugs as the VA in 2017.
About Gillibrand’s proposal
The core pieces of the “Gillibrand Prescription for Lower Drug Prices” include a plan to” reimagine” financial assistance for Medicare.
The legislation would create the Medicare Cost Assistance Program, a new, streamlined program to provide help with Medicare Part A and Part B premiums and cost-sharing for low-income individuals. The measure would reimagine financial help for Medicare Part A, Part B, and Part D.
The legislation would also expand and streamline administration of the Extra Help program to provide premium and cost-sharing assistance to eligible low-income people with Medicare Part D.
The proposal also calls for reviewing brand-name price gouging. The legislation would level the market for Americans purchasing prescription drugs by “pegging the price” in the U.S. to the median price in Canada, the United Kingdom, France, Germany, and Japan.
Additionally, Gillibrand’s plan would give Medicare the authority to negotiate drug prices. The bill would direct the secretary of Health and Human Services to negotiate lower prices for prescription drugs under Medicare Part D.
The proposal would also allow patients, pharmacists, and wholesalers to import “safe, affordable” medicine from Canada and other major countries.
Gillibrand’s plan would also make Medicare beneficiaries in U.S. territories, such as Puerto Rico, eligible for the Medicare Part D Low Income Subsidy program. This program — known as “Extra Help,” — provides federal subsidies to help low-income seniors with their monthly premiums and other out-of-pocket prescription drug costs, Gillibrand’s office said.

UHS breaks ground for Wilson Project in Johnson City
JOHNSON CITY, N.Y. — Work is underway to develop the Wilson Project, a new, six-story, “state-of-the-art” clinical tower at UHS Wilson Medical Center, adding more than 183,000 square feet of space to the existing hospital. It represents the first expansion of the Johnson City campus in more than 30 years, UHS said. The UHS Foundation
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JOHNSON CITY, N.Y. — Work is underway to develop the Wilson Project, a new, six-story, “state-of-the-art” clinical tower at UHS Wilson Medical Center, adding more than 183,000 square feet of space to the existing hospital.
It represents the first expansion of the Johnson City campus in more than 30 years, UHS said.
The UHS Foundation is launching a $10 million capital campaign to support the project, which it is called the UHS Journey Campaign. To date, the effort has raised close to $6 million.
Creating a “great patient experience” is what this Wilson Project is really all about, John Carrigg, president and CEO of UHS, said in his remarks at an April 19 groundbreaking ceremony.
“The goal of the exciting new clinical tower that will take shape at this location is to provide a state-of-the-art healing environment for the patients we serve in the Southern Tier well into the future,” Carrigg said. “This groundbreaking ceremony represents a major step forward in the enhancement of UHS Hospital’s facilities … and the end result will be more than just a magnificent building … but most importantly a great place to provide and receive care.”
The building will include four inpatient medical/surgical units with 30 private rooms each.
Facing Main Street, the tower will be the “front door” to UHS services going forward, the health-care organization contends. It will feature a new emergency department, MRI suite, surgical-support area, and rooftop helipad, in addition to the patient rooms.
Carrigg went on to describe the Wilson Project as a “vital part of [the] UHS overall strategic and facility master plan.”
Rochester–based LeChase Construction Service, LLC is the contractor on the project. Construction will happen in three phases with completion set for summer 2025. Chianis + Anderson Architects, PLLC of Binghamton is the lead architect on the project.
“The Wilson Project will … truly enable us to recruit and retain outstanding health-care professionals and providers who will be naturally attracted to a modern, state-of-the-art working campus,” Carrigg said.
The project also adds to an area of Johnson City that has a health-care focus with Binghamton University’s health-sciences campus located in the same neighborhood, he added. The area is home to Binghamton’s School of Pharmacy and Pharmaceutical Sciences and the Decker College of Nursing.
The groundbreaking event included remarks from Broome County Executive Jason Garnar; Stacey Duncan, executive director of the Agency and president and CEO of the Greater Binghamton Chamber of Commerce; and state and local lawmakers as well.

People news: Saleem joins St. Joseph’s Health as hospitalist
SYRACUSE, N.Y. — Aleena Saleem, MD, has recently joined the team of hospitalists at St. Joseph’s Health Hospital. The hospitalist team offers diverse specialties to

Nurses at Upstate Medical are getting pay raises
SYRACUSE, N.Y. — Registered nurses (RNs) and licensed practical nurses (LPNs) at Upstate Medical University are receiving pay raises. In all, Upstate Medical will offer 1,481 RNs and 125 LPNs with the geographical area pay differential (GEO). GEO raises will allow it to be “more competitive” with nursing salaries, the health system says. The move
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SYRACUSE, N.Y. — Registered nurses (RNs) and licensed practical nurses (LPNs) at Upstate Medical University are receiving pay raises.
In all, Upstate Medical will offer 1,481 RNs and 125 LPNs with the geographical area pay differential (GEO). GEO raises will allow it to be “more competitive” with nursing salaries, the health system says.
The move represents “the first time” that the medical school is providing pay raises for LPNs, it said in an April 27 announcement.
Upstate Medical will pay the raises to eligible nursing staff in addition to their base pay. The raises are calculated based on years of service, experience, and education, the health-care organization said.
The move represents Upstate’s third RN GEO adjustment in the last four years. Previously, RNs received a GEO raise in 2019 and 2021.
“Upstate nurses are at the core of care we provide our patients,” Dr. Mantosh Dewan, president of Upstate Medical University, said. “Not only do Upstate nurses deliver medical care, they also lift up families during difficult hospitalizations and provide leadership throughout this top-tier academic medical institution — one that has proven itself to be essential to our Central New York community.”
The GEO raise will provide a pay boost between $9,000 and $14,187 annually for PEF-represented RNs and $7,000 annually for CSEA-represented LPNs. This 2022 GEO raise is in addition to GEOs received previously. The increase will allow Upstate Medical to “recruit and retain” nurses for patient care at its two hospitals.
PEF is short for New York State Public Employees Federation and CSEA is short for Civil Service Employees Association.
“As I’ve said for years, PEF’s goal is to increase the compensation and benefits package of state nurses to retain and attract skilled professionals to public service,” Wayne Spence president of PEF, said in a statement. “This is one more step that the president of SUNY Upstate Medical University is taking to move in that direction.”

More than 470 receive degrees at Upstate commencement
SYRACUSE — Upstate Medical University started the month by recognizing its Class of 2022 during a commencement ceremony held at Upstate Medical University Arena at Onondaga County War Memorial in downtown Syracuse. The medical school awarded 474 degrees during the May 1 ceremony. In its online news release, Upstate Medical University provided a breakdown of
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SYRACUSE — Upstate Medical University started the month by recognizing its Class of 2022 during a commencement ceremony held at Upstate Medical University Arena at Onondaga County War Memorial in downtown Syracuse.
The medical school awarded 474 degrees during the May 1 ceremony.
In its online news release, Upstate Medical University provided a breakdown of the degrees.
The College of Graduate Studies awarded 19 doctoral degrees, including seven in biochemistry.
The College of Health Professions awarded 170 degrees (56 bachelor of science, eight bachelor of professional studies, 68 master of science and 38 doctorate of physical therapy). The college’s programs include clinical perfusion, medical imaging, medical technology, medical biotechnology, respiratory care, physical therapy, physician assistant, and radiation therapy.
The College of Medicine awarded 171 degrees (146 doctor of medicine, 22 master of public health degrees, and three certificates in public health.)
The College of Nursing awarded 110 degrees and certificates (29 bachelor of science, 76 master of science degrees, and five post-master certificates).
The medical school also presented honorary degrees to three people who have made “substantial contributions in areas of importance to Upstate,” including social justice, equity, clinician wellness, and evidence-based practice.
The three honorees are Dr. Vanessa Northington Gamble, Bernadette Melnyk, and Dr. Tait Shanafelt.
Gamble is university professor of medical humanities at George Washington University. She is the first woman and first African American to hold this endowed faculty position, Upstate said.
Melnyk is VP for health promotion and university chief wellness officer, the Helene Fuld Health Trust professor of evidence-based practice (EBP), and dean of the College of Nursing at The Ohio State University.
Dr. Shanafelt is chief wellness officer at Stanford Medicine and associate dean and Jeanie and Stewart Richie professor of medicine at Stanford University.
VIEWPOINT: Five Steps for N.Y. employers to save on health-care costs
When it comes to offering health benefits to employees, every employer has two primary goals: improve coverage and lower costs. Achieving those goals may help encourage a healthier workforce, while reducing absenteeism and presenteeism, both of which can sap productivity and make an employer less competitive. Importantly, medical care ranks as the second-largest expense (behind
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When it comes to offering health benefits to employees, every employer has two primary goals: improve coverage and lower costs.
Achieving those goals may help encourage a healthier workforce, while reducing absenteeism and presenteeism, both of which can sap productivity and make an employer less competitive. Importantly, medical care ranks as the second-largest expense (behind salaries) for employers, so it is vital employers maximize the value of their health benefits.
Rather than watching health-plan premiums go up year after year, what if employers could cut costs by up to 15 percent or more compared to their existing benefits package? While that might sound too good to be true, the growing popularity of level-funded plans is making that possible for some employers when they move from fully insured plans. Tellingly, a recent report found that 42 percent of small firms use a level-funded plan, up from just 7 percent two years ago.
To help employers, especially small and mid-size businesses, navigate the transition from fully insured to level-funded (or even self-funded) health plans, here are five steps to consider:
Evaluate your plan options. Historically, employers often selected either a fully insured plan or, as companies grew larger, moved to a self-funded arrangement. That yielded potential savings but came with additional financial risks if medical costs exceeded expectations. A third option some employers have recently adopted more often is a level-funded plan, which offers the potential savings available through a self-funded approach but with less financial risk. In short, employers with level-funded plans pay a fixed monthly fee to cover claims, administrative fees, and stop-loss insurance, which help protect against unexpectedly large claims. If medical claims are lower than expected, the employer can potentially keep some of the surplus refund at year-end.
Request an underwriting analysis. To determine if such upfront savings would be possible for your business, the next step is to request an underwriting analysis to review your company’s previous medical claims and other factors to help determine what reduction may be available. This can be coordinated by an insurance broker or by connecting directly with a health-insurance company that offers level-funded plans. Generally, employers with relatively younger and healthier workforces may save the most.
Invest in wearables and wellness. Once an employer opts for a level-funded plan, it is important to help employees and their families play a more active role in their well-being and adopt ways to save on out-of-pocket costs. For instance, adding a wearable device well-being program can equip employees with a smartwatch or activity tracker, enabling individuals to monitor daily activity levels and earn financial incentives to help cover routine health-care costs. Encouraging employees to get or stay active may help build a culture of wellness while reducing the prevalence of costly chronic conditions, such as diabetes or heart disease.
Leverage other types of technology. In addition to wearables, employers with level-funded plans should include coverage and resources related to virtual care. That’s because virtual care, also known as telehealth, may offer employees a more convenient and affordable way to access medical care, including primary, urgent, and behavioral care, as well as chronic-condition management. With ongoing spread of the virus that causes COVID-19, encouraging the use of virtual care is especially important as an alternative to in-person care. In addition, unlike with most fully insured plans, employers with level-funded can receive detailed monthly data reports to help them better understand how employees are using their health benefits. This can enable tailored clinical interventions and communication campaigns, including to help reduce avoidable emergency-department visits and the use of out-of-network care providers or facilities.
Integrate additional benefits. Importantly, employers moving to a level-funded plan should continue to take a whole-person approach to health benefits, including maintaining or adding coverage for vision, dental, hearing, and behavioral-health services. That’s because research shows a link between overall health and oral, eye, and hearing health, including a connection to various chronic medical conditions. Also, businesses that combine medical coverage with specialty benefits through a single health-care company may in some cases be able to save up to 4 percent on medical premiums, as well as leverage data to help improve health outcomes, flag gaps in care, drive productivity, and reduce costs.
By considering a move to a level-funded plan and adopting these additional strategies, employers may make offering medical coverage to their workforces more affordable and personalized.
Michael McGuire is the CEO of UnitedHealthcare of New York.

MVHS, registered nurses agree on new contract
UTICA, N.Y. — Officials from Mohawk Valley Health System (MVHS) and the New York State Nurses Association (NYSNA) have reached an agreement on a new three-year contract. NYSNA represents the registered nurses at the St. Elizabeth Campus of MVHS. The nurses completed a ratification vote on April 29, with 96 percent voting in favor of
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UTICA, N.Y. — Officials from Mohawk Valley Health System (MVHS) and the New York State Nurses Association (NYSNA) have reached an agreement on a new three-year contract.
NYSNA represents the registered nurses at the St. Elizabeth Campus of MVHS. The nurses completed a ratification vote on April 29, with 96 percent voting in favor of the new contract, according to a release from NYSNA. The pact includes no givebacks along with significant wage increases.
NYSNA nurses had been working under an expired contract since the 2021 winter COVID-19 surge, according to NYSNA.
Highlights of the new contract include:
• Page increases of more than 15 percent over three years
• Personal time off buy-back at 100 percent up to 100 hours to compensate nurses who sacrificed personal time during the pandemic
• Preceptor pay at an additional $2 per hour
• Tuition refund of 100 percent, up to $8,000
• Retroactive pay of $150 per month for 2020 and 2021 for full-time employees, prorated for part-time and per-diem employees
• Increase in night differential
• No givebacks
“This new contract is a win for nurses and patients in Utica,” NYSNA Local Bargaining Unit President Sheila Conley, RN, said in the release. “By negotiating a fair contract that respects frontline nurses and offers more competitive wages and benefits, we hope to be able to improve staffing to deliver the quality care our community deserves.”
“We appreciate and highly value all of our nursing staff,” MVHS President and CEO Darlene Stromstad, said in a separate statement. “The last two years have been very challenging and stressful, and our nurses have been going above and beyond, showing great resilience and caring. I believe this is a good contract for our nurses; it is fair and equitable, ensures that nurses are being paid competitive marketplace wages, and is sustainable for an organization like ours that primarily serves a very vulnerable population. I want to thank the NYSNA leadership for their willingness to work toward a positive outcome for our nurses and the organization.”
MVHS continues to work with the various unions representing employees as it prepares to transition into the new Wynn Hospital that is under construction.
The New York State Nurses Association (www.nysna.org) represents more than 42,000 members across the state. It is the state’s largest union and professional association for registered nurses.
Mohawk Valley Health System (www.mvhealthsystem.org) is the result of the 2014 affiliation between Faxton St. Luke’s Healthcare and St. Elizabeth Medical Center. The integrated health system has 4,200 full-time equivalent employees and a combined operating budget of
$566 million. It serves Oneida, Herkimer, and Madison counties with 21 primary care locations, a Children’s Health Center, a Women’s Health Center, a Breast Care Center, Urgent Care, and general, orthopedic, and neurological surgeons.
OPINION: The recession could be here
U.S. economy contracts 1.4 percent in Q1 amid crushing inflation Well, that didn’t take long. It has only been a month since the spread between 10-year treasuries and 2-year treasuries in the bond market inverted on March 31. That has been a reliable recession indicator that has predicted almost every recession in modern economic history.
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U.S. economy contracts 1.4 percent in Q1 amid crushing inflation
Well, that didn’t take long. It has only been a month since the spread between 10-year treasuries and 2-year treasuries in the bond market inverted on March 31. That has been a reliable recession indicator that has predicted almost every recession in modern economic history.
Now, here we are, and the first quarter gross domestic product (GDP) has contracted 1.4 percent on an inflation-adjusted, annualized basis, according to data compiled by the U.S. Bureau of Economic Analysis (BEA). The economy is overheating. If the same thing happens in the second quarter, the U.S. economy will officially be in another recession, shortly after the brief 2020 COVID recession.
Usually, it takes on average about 14 months until a recession follows such a bond-market inversion, but again, that’s just on average. Sometimes, the inversion occurs when the recession has already started. Sometimes, the recession happens two years after the inversion. Only in hindsight do we find out which.
So, is this the recession right now? Here are a few indicators to keep your eyes on.
In the BEA’s GDP report, it should be noted that the economy did grow on a nominal basis by 6.5 percent annualized, by $382 billion to $24.4 trillion.
It’s just that with consumer inflation at 8.5 percent and producer inflation at 11.2 percent, rising prices more than offset the nominal growth. The same thing happened in the 1970s and early 1980s, with monster nominal GDP gains that were more than offset by double-digit inflation.
Similarly, exports nominally increased by $69 billion, but with the inflation adjustment, on the so-called real GDP, they decreased by $36 billion. Federal-government spending was nominally about the same each quarter of 2021, and again in the first quarter of 2022, at $1.57 trillion, but after adjusting for inflation fell by 1.5 percent.
How GDP is adjusted for inflation is important to understand, because it is one of the few accountability mechanisms that the American people have against a spendthrift federal government, which would prefer to conceal the terrible impacts of inflation on American working families as real wages are getting crushed.
Note that as a result of the inflation, real earnings are down 2.7 percent over the past 12 months, according to the Bureau of Labor Statistics. And it’s little wonder.
Congress spent and borrowed about $6 trillion to fight COVID after January 2020. That included the $2.2 trillion CARES Act and the $900 billion phase four legislation under former President Donald Trump, as well as the $1.9 trillion stimulus and $550 billion of new infrastructure spending under President Joe Biden.
As a result, the national debt has increased by $7.2 trillion to $30.4 trillion since January 2020, of which the Fed monetized half, or $3.4 trillion, by increasing its share of U.S. treasuries to a record $5.7 trillion while the M2 money supply has increased by $6.4 trillion to $21.8 trillion, a 42 percent rise in that same timeframe.
The supply-chain crisis is absolutely playing a role in the inflation. That is why having the Congress spend so much money and the Federal Reserve print so much money — especially after the economy was already largely reopened by the end of 2020 — was an unforced error. It was literally Milton Friedman’s “too much money, chasing too few goods.”
Robert Romano is the VP of public policy at Americans for Limited Government (ALG). The organization says it is a “non-partisan, nationwide network committed to advancing free-market reforms, private property rights, and core American liberties.”
OPINION: America’s role includes leadership
The question of America’s role in the world is central to U.S. foreign policy, and we have debated it since the nation’s founding. Russia’s war against Ukraine has brought new urgency to the question. The U.S. has rightly taken a leading role in responding to Russia’s invasion with economic sanctions and other measures. We are providing
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The question of America’s role in the world is central to U.S. foreign policy, and we have debated it since the nation’s founding. Russia’s war against Ukraine has brought new urgency to the question.
The U.S. has rightly taken a leading role in responding to Russia’s invasion with economic sanctions and other measures. We are providing humanitarian and military aid to Ukraine and welcoming Ukrainian refugees. Importantly, we are working together with allies, especially the NATO alliance.
These actions have broad public support. While some Americans worry about a larger conflict with a nuclear-armed Russia, many think we should be doing more to help. In general, the American people agree the U.S. should be a leader in the effort.
Apart from responding to crises like Ukraine, however, Americans often disagree about what our role in the world should be. We have had serious, impassioned debates about this matter throughout our history, and our answers have evolved. Circumstances changed, and our beliefs and policies changed with them.
As I have noted before, you can get a sense of this from statements made by our presidents. George Washington said the United States should have commercial relationships with other countries but “as little political connection as possible.” Thomas Jefferson called for peace and commerce with all nations but “entangling alliances with none.” John Quincy Adams expanded trade agreements but declared that America “goes not abroad in search of monsters to destroy.”
By the 20th century, the monsters couldn’t be ignored. Woodrow Wilson said the U.S. would enter World War I for the world to “be made safe for democracy.” Franklin Delano Roosevelt, gearing up for World War II, contended that the U.S. would be “an arsenal of democracy.” Ambitious claims about America’s role continued through the Cold War. John F. Kennedy said America would “pay any price, bear any burden, meet any hardship … to ensure the survival and success of liberty.” Bill Clinton argued that America “stands alone as the indispensable nation.” George W. Bush contended that our objective should be “ending tyranny in our world.”
We haven’t always lived up to our high ideals and ambitious goals, however, and foreign-policy failures have diminished Americans’ appetite for intervention. Vietnam came to be seen by many as a mistake. In Iraq, we quickly ousted Saddam Hussein, but stable government was elusive. Our 20-year engagement in Afghanistan ended as it started: with the Taliban in control.
Exercising world leadership isn’t easy or cheap, and the American people have a huge stake in the decisions we make, because they will pay the price — in dollars spent and, sometimes, in lives lost — as those conflicts demonstrated.
The United States is the world’s economic, military and cultural leader, and that preeminence is the reason we have these debates about America’s role. Our power may not be unchallenged as it was after the fall of the Soviet Union — China’s influence is growing — but we still shape the global order more than any other country. The world looks to us to lead. I have attended many high-level international meetings over the years, and I was always struck by how other nations looked to the U.S. for leadership, especially in times of crisis.
We obviously can’t solve all the world’s problems. We need to always center American interests and act in accordance with American values; and it’s essential that we work our allies, not unilaterally.
But the crisis in Ukraine has brought home that the world needs leadership, and the U.S. is uniquely positioned to provide it. We can’t avoid the role of world leadership, and we shouldn’t want to either.
Lee Hamilton, 91, is a senior advisor for the Indiana University (IU) Center on Representative Government, distinguished scholar at IU Hamilton Lugar School of Global and International Studies, and professor of practice at the IU O’Neill School of Public and Environmental Affairs. Hamilton, a Democrat, was a member of the U.S. House of Representatives for 34 years (1965-1999), representing a district in south-central Indiana.

Pinckney Hugo Group, a full-service marketing communications firm, has promoted SARAH TOGNI, of Syracuse, to art director. Togni was previously a junior art director and has been with the agency for over three years. She has a master’s degree in advertising from the S.I. Newhouse School of Public Communications at Syracuse University and a bachelor’s
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Pinckney Hugo Group, a full-service marketing communications firm, has promoted SARAH TOGNI, of Syracuse, to art director. Togni was previously a junior art director and has been with the agency for over three years. She has a master’s degree in advertising from the S.I. Newhouse School of Public Communications at Syracuse University and a bachelor’s degree in communications from Le Moyne College.
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