RE: HEALTH CARE (Full Version)

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Mercnbeth -> RE: HEALTH CARE (7/22/2009 12:36:55 PM)

quote:

That's enough to encourage some change.

Thank you Lockit.

Yours is a situation that proves both sides of the argument. Yes it was difficult, but it got done. There are services, both social and private that you used. You were responsible and proactive. I don't know who those folks are who "hassle" and "name call" but I hope they are identified and suffer consequences for their actions.

It is understandable that you are tired having fought the fight. I appreciate that you don't expect anything better, but just expect something different. There is where you have more faith than I regarding a government bureaucracy being a better difference. Government involvement, whether SS or Health, never makes a better difference.

I too would welcome change. I also welcome choice, and detest any attempt to limit choice. I also believe in planning and projecting out consequences. The consequences of the health program AND the consequences of everything implementing the program will generate. Change for change sake, at any cost, and neglecting all the factors from cost to practical application, projects out to ultimate failure. No way all those factors have been considered in this Bill. Not when Congress and the President both represent they are not confident on all the details.

If the Bill has merit before the August recess, it will have merit after the August recess. It will also be read, dissected by the press on both sides, and both Congress, business, and more US citizens will be more informed. I think less and less of this Administration as I read more details from the Bill and see the pressure to pass it at any cost coming from the President.

Was the only thing learned by the Administration from the home foreclosure crisis the mortgage company's scheme of telling people; "You don't need to read the details - just sign and you'll be happy in your new home!" I guess they were, for a time, until they realized they couldn't really afford it.




Brain -> RE: HEALTH CARE (7/22/2009 12:38:55 PM)

I know if you work in the government and you get all the information you need from the person applying for Social Security or anything else that you need like unemployment insurance, or whatever, if you don’t fill out the application properly they can’t approve the claim.

When you work in the government the volume of work you have is ridiculous. In the private sector if you have 1,000 files in the government you would get 10,000 files. So the volume of work is ridiculous and half of the time delays are because people don’t fill out their applications properly.

And if you don’t believe that, consider all the mistakes people make here with punctuation and grammar all the time, sometimes with very simple stuff.





Lockit -> RE: HEALTH CARE (7/22/2009 12:46:45 PM)

I agree Mercnbeth! Thank you!




Lockit -> RE: HEALTH CARE (7/22/2009 12:54:36 PM)

I did the paperwork correctly. They lost it at the hospital who sub-contracted a company to help inpatients. I was led astray many times by the hospital and finally pulled an Erin Brockvich and blackmail threats. You either let my son go tomorrow by noon or I will be standing in front of a judge.. the judge that appointed the lawyer, that you all lied to, to try and cover things up. My son was released the next day and saved from what they had planned for him.

I even had the congress woman's office request the documents be sent to them and the social security when I found out two years later, they had nothing.

But we had medical malpractice caps in Colorado.  We had to ask permission to sue the hospital and after what I went through... I wasn't wanting to sue.  Just get my son safe and into my care where he could get better and wouldn't be drugged into being strapped down in a facilty for most his life.  He now is able to do what they said he never could.




philosophy -> RE: HEALTH CARE (7/22/2009 1:34:35 PM)

quote:

ORIGINAL: Mercnbeth

Government involvement, whether SS or Health, never makes a better difference.



....then why not disband the US military and contract out the work? Why bother with a diplomatic corps, why not just contract it out? If government never makes a positive difference, why not rewrite the constitution and phase it out? Why not privatise the courts?

i'm sorry Merc, but you're wearing blinkers on this subject. Government can be good or bad. It's actions can be positive or negative. However to assert that it is always negative, is to merely be the mirror image of those Marxists who want to bring everything under government control....it's just dogma.

In other countries, government is quite competent to run health care, and does so routinely.....US right wing propaganda notwithstanding. The problem, if there is one, is with the US government in particular not government per se. Therefore the obvious course is to reform the US political process.......not merely to abdicate responsibility and to hand over control to the private sector. Which has shown itself unable or unwilling to create a sensible health care system. The US health care system, in private hands, has failed.......and you want to keep control of health care in those hands. Surely that's rewarding failure?




CallaFirestormBW -> RE: HEALTH CARE (7/22/2009 1:41:22 PM)

quote:

ORIGINAL: philosophy

quote:

ORIGINAL: Mercnbeth

Government involvement, whether SS or Health, never makes a better difference.



....then why not disband the US military and contract out the work? Why bother with a diplomatic corps, why not just contract it out? If government never makes a positive difference, why not rewrite the constitution and phase it out? Why not privatise the courts?

i'm sorry Merc, but you're wearing blinkers on this subject. Government can be good or bad. It's actions can be positive or negative. However to assert that it is always negative, is to merely be the mirror image of those Marxists who want to bring everything under government control....it's just dogma.

In other countries, government is quite competent to run health care, and does so routinely.....US right wing propaganda notwithstanding. The problem, if there is one, is with the US government in particular not government per se. Therefore the obvious course is to reform the US political process.......not merely to abdicate responsibility and to hand over control to the private sector. Which has shown itself unable or unwilling to create a sensible health care system. The US health care system, in private hands, has failed.......and you want to keep control of health care in those hands. Surely that's rewarding failure?


Actually, I just commented in similar vein over in the "Big Government.." thread. The thing is, the insurance companies, for-profit hospitals, HMOs etc, are only going to want to stay on board as long as they can KEEP making a profit -- and universal health care is a -guaranteed loss- proposition... so if the government -doesn't- pick this up and run with it when there is -clearly- no profit in it (if it's truly done for the benefit of the population), who will?

Dame Calla




philosophy -> RE: HEALTH CARE (7/22/2009 1:56:30 PM)

quote:

ORIGINAL: CallaFirestormBW


Actually, I just commented in similar vein over in the HEALTH CARE thread. The thing is, the insurance companies, for-profit hospitals, HMOs etc, are only going to want to stay on board as long as they can KEEP making a profit -- and universal health care is a -guaranteed loss- proposition... so if the government -doesn't- pick this up and run with it when there is -clearly- no profit in it (if it's truly done for the benefit of the population), who will?

Dame Calla



....this is the problem. This debate isn't being argued purely on pragmatic grounds......it's also drifted into ideology.  A significent lobby in the US simply don't believe that government ought to have more than the barest involvement in peioples lives. Given that position, there is no altermative to the private sector or charity. Thing is, as i'm sure you're aware.......the private sector is totally unable to provide universal health care because there simply isn;t a profit in it.....and the charitable sector simply doesn't have the resources, nor will it ever have the resources.

We've seen some incredible attempts to try to square the circle from those who don't believe government ought to be involved. We've seen it asserted that changing the laws regarding medical liability would have a significent difference...it's been suggested that a sort of  medical peace corps would take up the slack.

These ideas, though they may have some limited utility, simply wont solve the problem. As you've pointed out, the only entity in a position to solve the problem is government.




willbeurdaddy -> RE: HEALTH CARE (7/22/2009 2:03:29 PM)


quote:

ORIGINAL: cadenas

quote:

ORIGINAL: willbeurdaddy


quote:

ORIGINAL: cadenas

quote:

Canada
quote:

ORIGINAL: willbeurdaddy


quote:

ORIGINAL: Arpig

quote:

The only difference is who makes the decision, you or a bureaucrat.
The point you seem to miss willbuer (well one of many to be honest) is that it doesn't have to be that way. In Canada it is me and my doctor who decide what treatment I need, not some bureaucrat.



We've already discussed Canada ad nauseum. You and your doctor are welcome to decide on a course of treatment, and then you are welcome to wait 6 months to 2 years to get it.


It seems to me that you are talking about the US here... Because it's in the USA where you have to wait for HMO approval.




And how long does that take? There are numerous studies that compare wait times in the US and Canada, and if you try and claim they are longer here, you are sadly mistaken.


Care to share any of these studies?




Here is one of the less statistically dense and therefore understandable ones.

http://www.cdc.gov/nchs/data/nhis/jcush_analyticalreport.pdf

And here is an analysis of some of the causes of differences between outcomes based on that study:

http://healthcare-economist.com/2007/10/02/health-care-system-grudge-match-canada-vs-us/

And here is the most recent Canadian report card that includes knee/hip replacement times increasing, and radiation therapy improving but still well over what is considered the critical period after surgery:

http://www.waittimealliance.ca/June2009/Report-card-June2009_e.pdf (In contrast in the US the number delayed beyond the recommended period is much lower. I have report on another computer that compares them.)






willbeurdaddy -> RE: HEALTH CARE (7/22/2009 2:14:23 PM)

quote:

ORIGINAL: philosophy

.....the private sector is totally unable to provide universal health care because there simply isn;t a profit in it, the only entity in a position to solve the problem is government.



Nonsense. Health care is a commodity (in the general sense of the word, not the CBOE list of commodities), somewhat unusual compared to others, but still a commodity and subject to the same supply and demand laws. In fact The differences between health care and other commodities tend to make health care even more profitable if left to consumers and providers ("best at any cost", lack of understanding of differences between high and low cost options, complete trust in the "salesman", unwillingness to comparison shop, emotional attachments that supersede practical considerations). In economic terms, demand is relatively inelastic, which leads to higher profit margins.

Get the tort and administrative costs out of the system and it can be both profitable and less costly.




philosophy -> RE: HEALTH CARE (7/22/2009 2:29:28 PM)

...and from your first link......

One of the important findings of this survey is that Americans in the poorest income quintile report fair or poor health, obesity and severe mobility impairment more frequently than their Canadian counterparts. At the other end of the income spectrum, there are no systematic differences in the reporting of fair or poor health or mobility impairment among the most affluent households on either side of the border.




cadenas -> RE: HEALTH CARE (7/22/2009 2:40:14 PM)

quote:

ORIGINAL: willbeurdaddy


quote:

ORIGINAL: cadenas

quote:

ORIGINAL: willbeurdaddy


quote:

ORIGINAL: cadenas

quote:

Canada
quote:

ORIGINAL: willbeurdaddy


quote:

ORIGINAL: Arpig

quote:

The only difference is who makes the decision, you or a bureaucrat.
The point you seem to miss willbuer (well one of many to be honest) is that it doesn't have to be that way. In Canada it is me and my doctor who decide what treatment I need, not some bureaucrat.



We've already discussed Canada ad nauseum. You and your doctor are welcome to decide on a course of treatment, and then you are welcome to wait 6 months to 2 years to get it.


It seems to me that you are talking about the US here... Because it's in the USA where you have to wait for HMO approval.




And how long does that take? There are numerous studies that compare wait times in the US and Canada, and if you try and claim they are longer here, you are sadly mistaken.


Care to share any of these studies?




Here is one of the less statistically dense and therefore understandable ones.

http://www.cdc.gov/nchs/data/nhis/jcush_analyticalreport.pdf

And here is an analysis of some of the causes of differences between outcomes based on that study:

http://healthcare-economist.com/2007/10/02/health-care-system-grudge-match-canada-vs-us/

And here is the most recent Canadian report card that includes knee/hip replacement times increasing, and radiation therapy improving but still well over what is considered the critical period after surgery:

http://www.waittimealliance.ca/June2009/Report-card-June2009_e.pdf (In contrast in the US the number delayed beyond the recommended period is much lower. I have report on another computer that compares them.)


The first study basically shows that INSURED Americans are about as well off as Canadians. It does not even address wait times.

The second one is not a study but an opinion piece that describes Canada's health care system as "socialist".

The third doesn't compare with the USA, but does consider 4 weeks a long delay. Keep in mind that in the USA, some HMO approval panels only meet once a month - and very often, such cases go on to appeals. California law says that such appeals have to be resolved within six months. I'd say that a 4 or 7 week delay in Canada looks rather appealing to me. And then it lists the procedures they looked at. They include plastic surgery, elective sterilization, etc. as well. Not exactly the most urgent procedures in the world.





philosophy -> RE: HEALTH CARE (7/22/2009 2:44:11 PM)

All you've really done is show that if you're lucky enough to have health insurance in the US you're not much worse off than everyone in Canada. Of course, if you don't have insurance then you are worse off.
Oh, and that you pay 4% more of your GDP for this.
Are you sure you're not a sort of universal health care agent provocateur? Sent here by socialist commisars to make such a piss poor job of defending the current system that the entire US lurches over to communism in disgust?




Mercnbeth -> RE: HEALTH CARE (7/22/2009 2:57:12 PM)

quote:

In other countries, government is quite competent to run health care, and does so routinely.....US right wing propaganda


Talk about "blinders" - what will it take for you to appreciate the reality that the US is NOT like any other countries. Whosoever "wing" represents it, it is accurate to state that the US has different laws, civil and criminal, that make comparison impossible as well as irrelevant.
quote:

then why not disband the US military and contract out the work? Why bother with a diplomatic corps, why not just contract it out? If government never makes a positive difference, why not rewrite the constitution and phase it out? Why not privatize the courts?
Defending the sovereignty of the Country IS required by the Constitution, as are treaties and commerce with other nations. It also serves to enforce and protect the Constitution through its court system. Grasping at straws to try and make an argument out of them isn't an indication of a powerful position. The discussion is about government industry, setting up a bureaucracy, and eliminating choice; none of these activities are remotely similar to defending the nation's borders, making court rulings, or establishing diplomatic policy and treaties. However, if you want to discuss any of those, especially the ongoing use of US military in Afghanistan or Iraq, most likely I'll be on your side and against that waste of personnel, and economic resources. However - since you brought it up - weren't we promised the the US would be out of Iraq by June? Can we trust the integrity of this Administration when that fundamental campaign promise was broken and the final date of Iraq departure is unknown and indefinite? Again - just addressing the tangent you raised.

Curious though - Why the need to distract with this weak approach to the debate if your argument is so strong? Why not provide a valid argument as to why we should expect a newly formed US-Health Co. result different than the current Social Security result?

Oh and BTW - Government involvement should be limited to regulatory status and review. Government involvement or takeover of ANY industry is Fascism. So you won't misrepresent me, I do not think there should be no government or no government involvement. My belief is that there should be as little involvement as possible, it isn't effective, isn't efficient, and never accomplishes any goal because doing so is counter productive to the bureaucrats who would be out of a job if they did.

quote:

The US health care system, in private hands, has failed.......
It has? Where? Which one does not offer coverage? Again - you need to understand and become aware of reality before trying to speak on the subject.

People have failed by not planning or using access to insurance when available; there are bad consequences for that, no doubt. Current government programs set up to help people who can't pay, or won't pay and incur health costs have failed; again, pointing to a disjointed expectation when putting more administration and implementation responsibility on them. You'll never be able to convert anyone if fundamentally your facts are wrong, or in opposition to the observable world.

quote:

These ideas, though they may have some limited utility, simply wont solve the problem. As you've pointed out, the only entity in a position to solve the problem is government.
Why? What evidence do you have to support your claim? The one entity currently operating in the US created to "solve" the problem with supporting people in their old age is Social Security. How's that working? What basis do you support that the government solution in this instance will work any better? Perhaps it is your ideology that needs a review. The government does serve a purpose, by serving - not dictating.

quote:

The thing is, the insurance companies, for-profit hospitals, HMOs etc, are only going to want to stay on board as long as they can KEEP making a profit -- and universal health care is a -guaranteed loss- proposition... so if the government -doesn't- pick this up and run with it when there is -clearly- no profit in it (if it's truly done for the benefit of the population), who will?
Universal health care does NOT have to be a "guaranteed loss"; and I'd debate it is a loss at all. It's a loss in niches, the real old, the real sick, and the real litigation seekers.

Eliminate the litigants and require the establishment of an 'assigned risk' pool for the uninsured at participation levels equal to their voluntary markets and you solve the issue. First time treated you are 'assigned' an insurance company. It stays with you until you die, or get a job where health care is offered. No new 'Czar' or bureaucracy.

Except of course, the PACs, from the ambulance chasers to the insurance company lobbyists, paying off the politicians would be pissed as such as pragmatic solution and the bureaucrats wouldn't have a new job source for their friends and relatives. If 100% of the people were insured, the cost for me would go down. You can create those incentives without putting a new bureaucracy in place with unlimited funds run by a inefficient government.

To see the resignation and defeatism assigned to every source of solution other than the government points to a much bigger problem than health care. I thought the idea was to elect a change that came from thinking outside the box? Where's that occurring? More of the same is bad enough. More of the same with historical evidence pointing to failure and thinking it is somehow a good idea must be the result of brain washing or something.




philosophy -> RE: HEALTH CARE (7/22/2009 3:11:12 PM)

quote:

ORIGINAL: Mercnbeth

quote:

The US health care system, in private hands, has failed.......
It has? Where? Which one does not offer coverage? Again - you need to understand and become aware of reality before trying to speak on the subject.

People have failed by not planning or using access to insurance when available; there are bad consequences for that, no doubt. Current government programs set up to help people who can't pay, or won't pay and incur health costs have failed; again, pointing to a disjointed expectation when putting more administration and implementation responsibility on them. You'll never be able to convert anyone if fundamentally your facts are wrong, or in opposition to the observable world.



....i see. So what you're saying is that every one of the US posters here who have told us of how the US health care system has failed them, have brought this on themselves or had it done to them by government. That the system is fine and the only entities to blame are individuals and government programs. That the health care corporations haven't put a foot wrong, and have only made mistakes when either government has forced them to, or when individuals have mucked things up.

Your faith in corporate America is touching...........however you'll never be able to convert anyone if fundamentally your facts are wrong, or in opposition to the observable world.

So, go on, tell Dame Calla (who actually works in the health care system) that all she has observed and deduced is wrong. That corporate health care will work, if only individuals would stop being foolish and government keeps well away. i'm sure that will jibe with her observable world.





Mercnbeth -> RE: HEALTH CARE (7/22/2009 3:25:13 PM)

quote:

....i see. So what you're saying is that every one of the US posters here who have told us of how the US health care system has failed them, have brought this on themselves or had it done to them by government. That the system is fine and the only entities to blame are individuals and government programs. That the health care corporations haven't put a foot wrong, and have only made mistakes when either government has forced them to, or when individuals have mucked things up.

So, go on, tell Dame Calla (who actually works in the health care system) that all she has observed and deduced is wrong. That corporate health care will work, if only individuals would stop being foolish and government keeps well away. i'm sure that will jibe with her observable world.


I don't discount those stories any more than I discount the horror stories and wait times for treatment that I hear on the other side of the issue. Silly me, I thought we were discussing a macro solution and not discussing how to deal with the horror stories. Or is it your representation that there will no longer be any of the examples that Calla represents occurring after implementation of this program? I believe that Calla has already stated that will not be the case - but you can disagree by providing a reference how in the UK, Canada, France, Italy, or any of the progressive countries with universal coverage, everybody is happy, content, healthy and seen by a Doctor and/or specialist immediately, without going through any paperwork, and without first passing a 'gate-keeper'.

quote:

Your faith in corporate America is touching...........however you'll never be able to convert anyone if fundamentally your facts are wrong, or in opposition to the observable world.
You make my argument - you point to exceptions in pointing to failure of corporate America when it comes to health care. It has been represented by your identified expert occurrences of those exceptions won't be eliminated. I point to entire government entities to point to the unreasonable expectation of future government success in the face of history. Thanks! And again, I do appreciate the difficulty in pointing to a successful government program as I've consistently pointing out.

However, 254 Million in the country ARE insured. Prioritizing and spending the resources being discussed for implementing this program for the exceptions is no way to run a business or a government. Not, at least, until any and every other option is tried and considered.




philosophy -> RE: HEALTH CARE (7/22/2009 3:37:42 PM)

quote:

ORIGINAL: Mercnbeth

You make my argument - you point to exceptions in pointing to failure of corporate America when it comes to health care. It has been represented by your identified expert occurrences of those exceptions won't be eliminated. I point to entire government entities to point to the unreasonable expectation of future government success in the face of history. Thanks! And again, I do appreciate the difficulty in pointing to a successful government program as I've consistently pointing out.


...oh i could point to multiple instances of highly successful examples of government run health care, but for some reason you believe that the US is soooo unique that no other government casn be used as a comparison. Convenient eh? Good job that no other industrialised nation in the world with a working universal health care system can be used an an example for a US one, because then there'd be a bit of a problem with your thesis. Very convenient.

quote:

However, 254 Million in the country ARE insured. Prioritizing and spending the resources being discussed for implementing this program for the exceptions is no way to run a business or a government. Not, at least, until any and every other option is tried and considered.


....oh good, a fairly high percentage of Americans have health insurance. Of course, according to your thesis those without insurance are probably too busy drinking expensive coffee to look after themselves properly. Good job there are no real and actual victims of economic oppression in health care terms whose lives will materially suffer while private health insurance is given yet another chance.




Mercnbeth -> RE: HEALTH CARE (7/22/2009 3:44:44 PM)

quote:

...oh i could point to multiple instances of highly successful examples of government run health care, but for some reason you believe that the US is soooo unique that no other government casn be used as a comparison. Convenient eh? Good job that no other industrialised nation in the world with a working universal health care system can be used an an example for a US one, because then there'd be a bit of a problem with your thesis. Very convenient.
Not only convenient but accurate, and obviously not debatable since you don't provide anything to the contrary. Sorry about that. If you can't deal with the facts concerning the current status of civil Tort law in the USA. Yes it is unique, yes it is a major cause for the current state of health expense in the USA. I've provided references but...

quote:

....oh good, a fairly high percentage of Americans have health insurance. Of course, according to your thesis those without insurance are probably too busy drinking expensive coffee to look after themselves properly. Good job there are no real and actual victims of economic oppression in health care terms whose lives will materially suffer while private health insurance is given yet another chance.
Whatever decisions they've made, they've generated their current situation and condition. Neither of us can speak to how the individuals got there. I don't represent that there are not actual victims. Do you represent there won't be under this program? There will be more. There will be victims of more contraction in the private sector job market. Add them to your victim list.

Are you representing that this Bill will eliminate victims?




CallaFirestormBW -> RE: HEALTH CARE (7/22/2009 3:53:27 PM)

quote:

People have failed by not planning or using access to insurance when available; there are bad consequences for that, no doubt.


Merc, I can only think that you are, somehow, blinded. You clearly haven't been listening to all the people who have been telling you that, despite their careful planning, they LOST THEIR ACCESS or were BLATANTLY DENIED ACCESS to health insurance, and are being cut out of the system in greater and greater percentages every single year... nor does this account for all the people who HAVE insurance, and whose insurance will not pay for -legitimate-, -documented-, and known effective care! I can't believe you've devolved to 'blame the victim' in your attempt to continue to justify your profit-first, corporate bias!
[sm=banghead.gif]

Dame Calla




philosophy -> RE: HEALTH CARE (7/22/2009 3:55:58 PM)

quote:

ORIGINAL: Mercnbeth

Whatever decisions they've made, they've generated their current situation and condition. Neither of us can speak to how the individuals got there.


...you just did! In one breath they've made their own bed, in the next no-one knows how they got there........come on Merc, you just switched position in the slim gap between two sentences.


quote:

 I don't represent that there are not actual victims.


...oh, and again. So which is it Merc? Actual victims or people generating their own situation or no-one actually knows. Three pretty much exclusive positions in three sentences.

quote:

Do you represent there won't be under this program? There will be more. There will be victims of more contraction in the private sector job market. Add them to your victim list.


...oh that's just foolish. Private sector hospitals wont be losing jobs, they'll just be billing different entities. Or are you referring to the medical insurance industry? Just how many jobs are there in that industry? More or less than the total number of uninsured in the US? Because if its less, far less, then universal health care will have far fewer victims overall. 

quote:

Are you representing that this Bill will eliminate victims?


No, universal health care will mean that the millions of uninsured Americans will no longer be victims of a heartless and short sighted health care system, while a few thousand able bodied people formerly employed by health insurance companies will have to find new jobs.
Millions versus thousands......hmmm.......that's a net gain. Rather a large one.

Arguably there'd be an expansion of front line services too, creating more jobs......although instead of denying health care to people they may have to retrain as nurses and doctors.




Mercnbeth -> RE: HEALTH CARE (7/22/2009 4:04:11 PM)

quote:

I can't believe you've devolved to 'blame the victim' in your attempt to continue to justify your profit-first, corporate bias!
Where is any "blame the victim"? People make choices. Sometimes the same choice made by two people produces a totally different result. I don't, but suppose I allowed my employees to choose to not take the health coverage I provide and instead get its equal value in salary. Did I create the victim if a person having that choice contracts a serious illness?

I challenge you to point to any representation I've made championing a "profit-first, corporate bias". I do represent a position that the government should be seen as the LAST point of solution; but much more can and should be done at the corporate level that the bureaucrats and PAC employees (Congress) don't want to address.

Whether blaming them, or feeling sorry for them; I've seen nobody represent that there will be NO victims under this program, so why put victims into the equation at all? Speak to the pragmatic issues of efficiency, funding, and implementation. Its a given that there always be victims; blame only is valuable in determining settlement amounts in the court system.




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