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The exact is true for each and every business enterprise or endeavor touched by human hands, e. There is no dilemma that overall health treatment providers who abuse their placement and our have faith in to steal are a problem. So are these from other professions who do the same. Why does well being treatment fraud seem to get the 'lions-share' of interest? Could it be that it is the fantastic car or truck to push agendas for divergent teams exactly where taxpayers, overall health care customers and health care vendors are dupes in a health treatment fraud shell-game operated with 'sleight-of-hand' precision?

Consider a closer seem and one particular finds this is no recreation-of-likelihood. Taxpayers, consumers and companies always reduce due to the fact the issue with health care fraud is not just the fraud, but it is that our governing administration and insurers use the fraud trouble to further more agendas when at the similar time fail to be accountable and consider responsibility for a fraud challenge they facilitate and allow for to prosper. Astronomical Value Estimates What better way to report on fraud then to tout fraud value estimates, e.

It is no for a longer time a magic formula that fraud represents a single of the quickest escalating and most highly-priced varieties of crime in The us now We spend these charges as taxpayers and through increased well being insurance policy rates We ought to be proactive in combating wellbeing care fraud and abuse We will have to also make sure that regulation enforcement has the resources that it requires to deter, detect, and punish health and fitness treatment fraud. Unfortunately, the trustworthiness of the purported estimates is dubious at best.

Insurers, point out and federal businesses, and other folks may collect fraud information relevant to their very own missions, where by the form, excellent and quantity of data compiled differs greatly. These codes are used when trying to find compensation from payors for solutions rendered to individuals. Although made to universally implement to aid accurate reporting to mirror providers' expert services, several insurers instruct companies to report codes centered on what the insurer's personal computer editing plans identify - not on what the service provider rendered.

More, exercise creating consultants instruct providers on what codes to report to get compensated - in some scenarios codes that do not precisely replicate the provider's services. Consumers know what services they get from their medical professional or other supplier but could not have a clue as to what these billing codes or company descriptors imply on explanation of gains acquired from insurers.

This absence of comprehending may final result in individuals relocating on with no gaining clarification of what the codes necessarily mean, or may possibly outcome in some believing they have been improperly billed. The multitude of insurance plan designs out there now, with varying degrees of coverage, advertisement a wild card to the equation when companies are denied for non-coverage - especially if it is Medicare that denotes non-included services as not medically essential.

Proactively addressing the health and fitness treatment fraud trouble The govt and insurers do pretty minor to proactively address the challenge with tangible things to do that will outcome in detecting inappropriate claims in advance of they are paid out. Certainly, payors of overall health treatment promises proclaim to function a payment procedure based on have faith in that vendors bill precisely for expert services rendered, as they can not assessment each individual assert ahead of payment is created since the reimbursement process would shut down.

They claim to use sophisticated laptop or computer applications to glance for faults and designs in claims, have elevated pre- and publish-payment audits of selected companies to detect fraud, and have established consortiums and activity forces consisting of regulation enforcers and insurance policies investigators to study the dilemma and share fraud information. Nonetheless, this action, for the most element, is working with exercise after the declare is paid out and has minimal bearing on the proactive detection of fraud.

Exorcise health and fitness care fraud with the development of new rules The government's experiences on the fraud dilemma are released in earnest in conjunction with endeavours to reform our health care system, and our experience shows us that it ultimately success in the govt introducing and enacting new rules - presuming new laws will outcome in far more fraud detected, investigated and prosecuted - with out establishing how new rules will complete this extra proficiently than present legal guidelines that were not utilised to their comprehensive likely.

It was enacted by Congress to deal with insurance policy portability and accountability for individual privacy and health treatment fraud and abuse. HIPAA purportedly was to equip federal regulation enforcers and prosecutors with the equipment to attack fraud, and resulted in the creation of a range of new health and fitness treatment fraud statutes, such as: This act has just lately been launched by Congress with claims that it will make on fraud prevention attempts and strengthen the governments' capacity to investigate and prosecute waste, fraud and abuse in the two government and private health insurance policy by sentencing boosts redefining well being care fraud offense increasing whistleblower claims generating typical-sense psychological point out requirement for wellbeing care fraud offenses and growing funding in federal antifraud shelling out.

Without doubt, legislation enforcers and prosecutors Ought to have the applications to proficiently do their positions. Nevertheless, these steps alone, devoid of inclusion of some tangible and sizeable just before-the-assert-is-compensated steps, will have minimal impact on decreasing the prevalence of the challenge. What is one person's fraud insurance company alleging medically pointless providers is yet another person's savior service provider administering tests to defend from prospective lawsuits from legal sharks. Is tort reform a likelihood from all those pushing for health care reform?

Regrettably, it is not! Guidance for legislation inserting new and onerous specifications on suppliers in the name of combating fraud, having said that, does not surface to be a issue. If Congress actually needs to use its legislative powers to make a big difference on the fraud challenge they have to believe exterior-the-box of what has presently been performed in some variety or fashion.

Emphasis on some front-finish activity that specials with addressing the fraud in advance of it transpires. The pursuing are illustrative of techniques that could be taken in an work to stem-the-tide on fraud and abuse: Prohibit anybody from deviating from the described this means when reporting companies rendered providers, suppliers and adjudicating claims for payment payors and others.

Make violations a rigid legal responsibility problem. If these kinds of affirmation is not present assert isn't paid. If the declare is afterwards decided to be problematic investigators have the skill to communicate with both the supplier and the individual If these kinds of accreditation is not attained, then neither the staff nor the guide would be permitted to contact a health and fitness treatment assert or look into suspected health and fitness care fraud. And, in those people circumstances where by fraud is recognized in paid out promises any monies collected from companies and suppliers for overpayments be deposited into a national account to fund different fraud and abuse training systems for buyers, insurers, law enforcers, prosecutors, legislators and some others fund entrance-line investigators for state overall health treatment regulatory boards to look into fraud in their respective jurisdictions as perfectly as funding other health treatment relevant action.

Involve insurers to set up a factual basis for purported losses attributed to fraud coupled with demonstrating tangible proof of their efforts to detect and investigate fraud, as well as not paying out fraudulent promises. Insurers are victims of health treatment fraud. I know this web site gives quality based posts and other material, is there any other site which gives such things in quality?

This page definitely has all the information I needed concerning this subject and didn't know who to ask. Currently, health and fitness care fraud is all over the information. There undoubtedly is fraud in health and fitness treatment. The same is true for each individual small business or endeavor touched by human arms, e. There is no question that health and fitness treatment vendors who abuse their posture and our rely on to steal are a issue.

So are all those from other professions who do the exact. Why does wellness care fraud seem to get the 'lions-share' of focus? Could it be that it is the excellent vehicle to push agendas for divergent groups the place taxpayers, health care people and health care providers are dupes in a well being care fraud shell-activity operated with 'sleight-of-hand' precision? Get a nearer look and 1 finds this is no video game-of-opportunity.

Taxpayers, buyers and vendors usually drop for the reason that the trouble with well being treatment fraud is not just the fraud, but it is that our governing administration and insurers use the fraud issue to further more agendas though at the same time fall short to be accountable and take obligation for a fraud issue they aid and permit to flourish.

Astronomical Price Estimates What greater way to report on fraud then to tout fraud expense estimates, e. It is no longer a top secret that fraud signifies one particular of the quickest escalating and most high-priced types of criminal offense in The usa these days We fork out these charges as taxpayers and by way of better wellbeing insurance coverage rates We have to be proactive in combating overall health care fraud and abuse We must also assure that law enforcement has the tools that it wants to discourage, detect, and punish overall health care fraud. However, the dependability of the purported estimates is doubtful at most effective.

Insurers, state and federal organizations, and other folks might assemble fraud details relevant to their own missions, the place the form, quality and volume of knowledge compiled differs broadly. These codes are applied when searching for payment from payors for products and services rendered to people. While created to universally use to aid exact reporting to replicate providers' services, several insurers instruct suppliers to report codes based mostly on what the insurer's computer modifying programs recognize - not on what the supplier rendered.

Further, apply constructing consultants instruct vendors on what codes to report to get paid out - in some situations codes that do not correctly reflect the provider's service. Consumers know what solutions they obtain from their doctor or other provider but may perhaps not have a clue as to what people billing codes or service descriptors indicate on rationalization of gains acquired from insurers.

This lack of knowledge could consequence in shoppers transferring on devoid of attaining clarification of what the codes imply, or could consequence in some believing they had been improperly billed. The multitude of insurance policy options out there these days, with varying stages of coverage, advert a wild card to the equation when companies are denied for non-protection - especially if it is Medicare that denotes non-covered companies as not medically needed.

Proactively addressing the wellbeing treatment fraud problem The governing administration and insurers do quite tiny to proactively tackle the dilemma with tangible activities that will end result in detecting inappropriate promises ahead of they are paid out. In fact, payors of overall health treatment claims proclaim to work a payment system centered on belief that providers bill precisely for companies rendered, as they can not evaluation each and every claim in advance of payment is manufactured because the reimbursement technique would shut down.

They declare to use complex computer system applications to appear for problems and styles in statements, have amplified pre- and put up-payment audits of chosen providers to detect fraud, and have produced consortiums and activity forces consisting of law enforcers and coverage investigators to analyze the dilemma and share fraud info. Nevertheless, this exercise, for the most part, is working with activity soon after the assert is paid and has very little bearing on the proactive detection of fraud.

Exorcise health and fitness care fraud with the generation of new legislation The government's stories on the fraud challenge are printed in earnest in conjunction with attempts to reform our health and fitness treatment system, and our encounter displays us that it finally final results in the governing administration introducing and enacting new laws - presuming new guidelines will outcome in additional fraud detected, investigated and prosecuted - devoid of establishing how new laws will carry out this much more successfully than existing legislation that were being not employed to their whole prospective.

It was enacted by Congress to handle insurance coverage portability and accountability for affected individual privacy and health and fitness treatment fraud and abuse. HIPAA purportedly was to equip federal law enforcers and prosecutors with the tools to attack fraud, and resulted in the development of a range of new well being care fraud statutes, which includes: This act has recently been launched by Congress with claims that it will construct on fraud avoidance initiatives and bolster the governments' potential to investigate and prosecute waste, fraud and abuse in both equally authorities and non-public wellbeing insurance by sentencing improves redefining wellbeing treatment fraud offense increasing whistleblower statements producing common-sense mental point out need for well being treatment fraud offenses and expanding funding in federal antifraud investing.

Undoubtedly, law enforcers and prosecutors Must have the resources to effectively do their careers. Nonetheless, these steps by itself, with out inclusion of some tangible and important prior to-the-claim-is-compensated actions, will have minor impression on lessening the incidence of the problem.

What is actually one person's fraud insurance provider alleging medically needless products and services is yet another person's savior service provider administering assessments to protect versus probable lawsuits from authorized sharks. Is tort reform a likelihood from people pushing for health treatment reform? Sadly, it is not!

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Support for laws placing new and onerous requirements on companies in the identify of fighting fraud, nevertheless, does not seem to be a problem. If Congress genuinely would like to use its legislative powers to make a distinction on the fraud difficulty they have to feel outdoors-the-box of what has already been done in some sort or fashion. Focus on some entrance-finish activity that specials with addressing the fraud before it transpires. The adhering to are illustrative of actions that could be taken in an effort and hard work to stem-the-tide on fraud and abuse: Prohibit any one from deviating from the described that means when reporting providers rendered vendors, suppliers and adjudicating claims for payment payors and others.

Make violations a stringent legal responsibility concern. If this sort of affirmation is not existing claim is not paid out. If the declare is afterwards decided to be problematic investigators have the capability to talk with both equally the provider and the individual If this kind of accreditation is not obtained, then neither the worker nor the expert would be permitted to touch a wellbeing care claim or examine suspected overall health care fraud.

And, in all those scenarios where fraud is set up in compensated promises any monies collected from providers and suppliers for overpayments be deposited into a national account to fund several fraud and abuse instruction courses for shoppers, insurers, regulation enforcers, prosecutors, legislators and many others fund entrance-line investigators for condition well being treatment regulatory boards to investigate fraud in their respective jurisdictions as perfectly as funding other well being care similar action. Call for insurers to build a factual basis for purported losses attributed to fraud coupled with exhibiting tangible evidence of their endeavours to detect and examine fraud, as properly as not having to pay fraudulent statements.

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I came across this TS Eliot quotation today and it seemed so appropriate: Or they do not see it, or they justify it because they are absorbed in the endless struggle to think well of themselves. They want change but they want it to happen at a rate they feel comfortable with and — crucially — they want to feel in control. And that is, of course, exactly what independence would give them. A greater degree of control over their own lives and own futures.

Hm… totusi ai avut si noroc.. Si eu as fi preferat varianta cu lista de mailuri, doar ca de multe ori asta costa cam mult… depinde de marime. Und das haben sie sicherlich! December will be like Christmas every day with tweets from David about life on the road and vids and recaps and pics. That is a good tip especially to those new to the blogosphere.

Brief but very precise info Thanks for sharing this one. I am so thankful that we made it to Seattle so that you could capture our little guy. Have you heard of Shel Silverstein? He wrote poetry for kids books, then partnered with an entertainer named Pat Daily who sings bawdy drinking songs with foul language the old days! He died a few years back… a loss to all who loved his work. Scorpions would make me scream… not a good match! You write great articles and I'm always emailing or sending a link to my friends and family. This article has got me thinking as to what would be a place for Israel to start.

I am thinking that the Kineset could be a place to start. A loyalty oath to the State of Israel would be a good start since since all people of Israel can be elected to the Kineset, the least they should have to do is swear an oath of allegiance that protects them and their family. Wow, reading that many posts is a huge undertaking. So many bad jokes and burn pile reports. Really anything with a ball.

Balls just make me nervous. Not sure where that fear comes from but it is real, very real. Best way to enjoy it is with some green salad and french dressing and some good wine. Wow, that as what I was exploring for, what a data! If he could see himself through my eyes.. Someone in my Myspace group shared this website with us so I came to check it out. Terrific blog and wonderful style and design. I simply want to say I am just very new to blogs and really loved your website. You really have beneficial articles and reviews.

Bless you for revealing your website. Von den rund verkosteten Weinen. How long has this been the case? Nice to know the others do use it. When used responsibly it serves a purpose. Perhaps limit the number of characters that are read by the spiders after the meta tag? Good to be visiting your blog once more, it continues to be months for me. I want this write-up to total my assignment in the university, and it has exact same subject together with your post.

Remember to use the custom items. I went over this internet site and I conceive you have a lot of excellent information, saved to my bookmarks:. If information that the press prints is untrue, does not concern anything outside the story, and, has no baring on their work ie Max Mosley ; or if the information cannot be proven privacy should be dominant. If, however, the information is true and does affect their work, the media should be able to publish the information. Freedom of the Press should give private and public members of society freedom from the press and its speculation and lies.

Found your write-up pretty fascinating in fact. I actually appreciated reading through it therefore you make fairly some fantastic details. You need to either go all E. Never mix the two if possible. Good Luck with that. It as not that I want to duplicate your web site, but I really like the design.

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He came to Medicine Hat today and intervied a number of peaple involved in this mess. It will be on the News. The overall look of your site is wonderful, let alone the content!. Thanks For Your article about sex. Is it best to demure rather than write a half-hearted or overly general letter? Great idea for a blog. I have a friend who dabbles in this kind of investing in our town, but I never thought Id find an entire blog devoted to this kind of real estate investing.

Jul29Michael Christon Totally agree Simon — Any business which is not embracing social media and hence technology is going to be left behind. Clearly, the internet is just the same — and social media has the potential to really open the doors to great business. I always wanted to write on my blog something like that.

Can I implement a part of your post to my blog? Seems that last gun crime prosecution was that of a farmer in an isolated farmhouse who shot at a pair of burglars — with some 20 previous convictions — after they violently broke into his home in the middle of the night. Well ya, Kemp was a big man, but Paxson also unloaded Bob Sura and Wes Person somehow the one thing Paxson was good at was dumping salary.

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It might be trading a problem for a problem, but Hughes can be moved and at this point I think he should be. This very blog is obviously cool as well as diverting. I have discovered helluva helpful things out of it. I ad love to return every once in a while. Ich bin von deinen Karten begeistert. Sie sind dir beide gut gelungen und durch ihre Farbgebung sehen sie richtig edel aus.

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I mean…look at that Dorian Grey-esque portrait. I was lucky enough to get tickets for this, and a couple of sixth graders, Keshav Raghavan and Andrew Tierno, came along also. Marcus was funny and charming. We were spellbound as he spoke about writing the Book Thief, and how real the characters had become for him. Magic to hear a writer talk about his work! There was a hermit crab inside and it pinched her ear. She never wants to go back! LoL I know this is totally off topic but I had to tell someone!

I just stumbled upon your blog and wanted to say that I have really enjoyed browsing your blog posts. It is about looking at the bigger picture. You make some valid points, but you are not taking into consideration that women do play significant roles in the university community in the very same ways that you cite sororities, RMs, etc. Excellent consider, I in words of one syllable accepted this exact on a pristine colleague who was just doing somewhat study in that. Thanks pertaining to lunch! I am a breast cancer survivor of 21 years. I bet they are going to want one too. So now I am going to see about having a party with my family and friends who also survived having breast cancer.

I have a recipe for cookies that would take to white whole wheat well, I think…it has 4 kinds of dried fruit in it, so it's already healthy-ish. Jeanne in Toledojburton at gmail. American's only again right? There are some hot pictures under the name taproot there. Ilyenkor mennyit esznek egy nap? I get terrible fluid in my ears whenever I have a contamination from grains — and garlic interestingly! And it can be a rough one. Women can be anything and everything they want. Sounds silly and mushy, but Jeez it is so true!!!!

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I will remain to keep her in our prayers. Such a lovely girl! Nothing can prepare you for that moment. When I overheard the surgeon quietly tell the nurse "get her outta here. My website is in the very same area of interest as yours and my visitors would really benefit from a lot of the information. I like the idea of reusing space but the quality of living in London has taken such a dive.

Bedrooms in houses have been partitioned in two and every space in a house has been turned into a sleeping space. I know I inherited my love of cooking from him. He likes to roast chicken or turkey the old-fashioned way. Much like I do, I especially like the planning and preparations that goes. Hello,burned the dban iso-file on CD. This is usually causedby diskswith bad sectors. Send the logfile with all support requests. Saving logfileto floppy disk… a floppy disk in Dos format was not found.

Press enter to save the log file. The points you made in this article are very clear and I completely agree. Your opinion is educated and I hope to see more work such as this from you. Let me know if you need any more help! What a horrible story… you poor thing! There is a lot more info on this site on the different brands of clay and which clays are better for the different techniques.

Click the link by my name for more on that or use the search box at the top of the page to search on any topic you like. A few weeks ago I made one as well using apples for my fruit. I'm sure I'd like the dates or even prune version. I am a bit skeptical re J. K listening to the 50 marchers re conversation land…there is a technique in bargaining, which has a formal name which I can't recall, of suggesting something outrageous, when people [predictably] freak out, an offer less outrageous is presented.

This causes so much relief to the freaked out people, they gratefully agree, without noticing that the second offer would have been considered outrageous had the first even more outrageous proposition not been suggested first. Har jag missat vinnaren? I love these stamps Bev! I had some in my basket last night until I realised that I really could not afford any more stamps!! You are so lucky getting them for free!

The colouring on the image is amazing, I expecially love her hair!! Z, I hear ya! I felt the same way about writing it! I am impressed, I must say. Your blog is important; the matter is something that not a lot of people are speaking intelligently about. So happy to get discovered this post.. Excellent ideas you possess here.. I value you blogging your perspective.. I value you conveying your perspective.. I blog often and I truly appreciate your information. The article has truly peaked my interest.

I subscribed to your Feed too. How often you update your site? Don't forget about Dan Blather calling FL early for Bore, in a naked attempt to supress the GOP vote in the panhandle, where polling places had not yet closed. Also ich nehm es an…, oder? Haben meine mehr davon und die anderen Kinder auch! This particular blog is no doubt educating and besides amusing. I have found a bunch of interesting things out of this amazing blog. I ad love to return again soon. The aches and pains are a killer. Also seeing everything set up is killing me.

She is so relaxed in there. Finito in un buco della memoria… da non credere! Lo dice il Partito Interno, per bocca del MinAmore. This awesome blog is obviously cool and also factual. I have picked many helpful advices out of it. The site uniquely options pixel advertisements, periodic theme modify, free month-to-month site status or report, new mouse rollover solution to enhance web-site rank, categorized advertisement, more rapidly internet site loading supporting jpg format instead of other time consuming picture formats, real time website clicks, and so on. Weiter so, dann klappst auch mit den Lesern.

They manipulate the news to destroy the left's competition and the "settlers" of course. I have a few really good days and then simply fall back into my unhealthy ways. I understand that none of us is perfect but my goal is just to be healthier! Moreover, my brother always utilizes a financial loan, which occurs to be really useful. When I feel something terrible or discouragement , I want to go home and hide in my room. The home is the best place for everbody. It is a shelter with warm and hope.

We can take new energy to keep going. This place is about began and end. I can be hungry and the smell downwind from fast food restos makes me want to vom. Hi EsbeidyYou need to have one valid ID, like the matricula, or a passport in order to apply for the DACA, you can use an expired ID for purposes of show that you have been here all this time. Wow, would I love to be aboard that train, seeing the Norwegian countryside. Or even just sitting on your bench, seeing the station.

Haha, it would be funny to see lazy pigeons taking the train instead of flying to their destination. Only two days until Yom Kippur, so I posted the synagogue benches. So this ones for you. You can never have enough bibs so I would add these great bibs to my collection. I am in the process of weaning my 6month old bub so this price would be just perfect!!!! I get a reply to my comment on someone's video…go to look for it and my comment is GONE!!! Work on things that don't work, sometimes videos never load to play…WTF?!?!

Thanks for sharing your thoughts and images! No doubt there is a politcal component to this decision and collusion by the security services on both sides of the Atlantic. But anyone with a criminal record, let alone someone who had served time for assault on a police officer, would be taking their chances at the border. Even assuming he had been granted a waiver of ineligibility I have no doubt even minor problems with the paperwork would provide the excuse both governments were after.

Totally agree about dinner. Especially with our crew running places every night of the week. Thanks for your prayers and support too. Looking forward to the 21 days. Why are writers so shy to say cock? Joy, when you posted the first sneak peek in the pumpkin patch I knew this wedding was going to be amazing!!! Congrats on winning such a fabulous book! I might just go get a copy too. Beat any store bought ones for sure, healthy and yet delicious.

Por otra parte, hace usted mal en asumir los arreglos del inmueble. Eso le corresponde al propietario. The question is, are these forces strong enough to prevent what seems to be the inevitable…. Thank goodness my dude proposed to use the. Thence I received the college loan and made real my old dream. Your web site provided us with valuable info to work on. You have done a formidable job and our whole community will be thankful to you. Thank you Abby for sharing this. As painful as it must be, it is loving of you to share your sorrow and regret with us.

God bless you, He is going to use you for his purposes, I will continue to pray for you daily. Wow, superb blog format! How long have you ever been blogging for? The total look of your website is magnificent, let alone the content! Thanks for the info Lewis and L L! I read the worry about bootlegging on Vans Fb page posted by some fans. I remember all the great chats we had on michael fairmans blog.

You can offer them some part of the amount you owe instead of all of it for a specified period. For this, you and your credit card company have to negotiate and settle for a particular amount. What might you recommend about your post that you just made a few days in the past?

Ideally announce it was happening in advance. This particular blog is definitely entertaining as well as factual. I have picked helluva helpful tips out of this source. I ad love to visit it again soon. If you dont mind, where do you host your webpage? I am looking for a great host and your site seams to be extremely fast and up all the time. Angie, the cookies are so cute…I love passion fruit…too bad that I cannot find often here. The pictures are awesome as always.

Hope you are having a fantastic week: I found it while searching on Yahoo News. Do you have any tips on how to get listed in Yahoo News? I ave been trying for a while but I never seem to get there! Where are you from? Do you have excellent grades? Your best bet might be to contact a youth group in your area who can help support you at this difficult time. And… Do think about returning home if home is a safe place for you to be. That is a great tip particularly to those new to the blogosphere. Short but very precise info Appreciate your sharing this one.

I know the feeling. I think at the conclusion of the panic and shiftiness, when things settle, the answers to the questions are always the same.

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