Introduction The Next Big Thing |
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How pivotal new industries are spawned by scientific breakthroughslike
the automobile industry of 1908 or the personal computer industry
of 1981
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Why wellness, spawned by recent breakthroughs
in biology and cellular biochemistry, is the next big thing
of the twenty-first century |
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Defining the existing $1.5 trillion U.S. medical
business or "sickness industry" and defining the nascent
"wellness industry," projected to reach sales of $1
trillion in the next decade |
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The five distinct characteristics of pervasive
industries that successful investors and entrepreneurs look
for, and how these five characteristics apply to wellness |
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Table of
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Chapter One Why We Need a Revolution
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How 61 percent of the US population
became unhealthy and overweight |
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How wellness became my cause |
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How consumers are manipulated by the
$1 trillion food and $1.5 trillion sickness industries |
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How traditional Western medicine rejected
wellness, and why people often reject new ideas (and what you
can do about it) |
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Lists $200 billion in existing opportunities
for entrepreneurs to make people well-in such areas as healthy
food, wellness insurance, exercise, and dietary supplementation |
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Table of
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Chapter Two Understanding and Controlling the Demand
for Wellness |
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Why the baby boom generation, currently ages 36-54, is driving
the current $200 billion in wellness sales to $1 trillion
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Why upscale consumer demand is insatiable |
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How to ride the shift between quantity
demand and quality demand for long term success |
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What most new entrepreneurs fail to
understand about the economy |
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Why a time of rising unemployment
can be the best time to start a new business |
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How the vitamin business shifted from
sickness to wellness |
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Table of
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Chapter Three What You Need to Know About Food
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What is food, and why do we need it
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How the $1 trillion food industry
exploits our prehistoric biological programming for food |
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The two major problems with our modern
food supply-causing obesity and malnutrition-and what you can
do about them |
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How our bodies remanufacture all our
cells on a daily to monthly basis, and why we need our daily
supply of proteins, vitamins and minerals |
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Empty calories the core of
the food supply problem |
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Table of
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Chapter Four Making Your Fortune in Food |
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The two main areas of wellness food fortunes producing
healthy foods and teaching consumers about healthy foods
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How religion and government fell behind
the wellness revolution |
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The dairy deception 40 percent
of our obesity comes from dairy products |
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The soy solution business opportunities
in soy |
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The soy wonder Steve Demos
of Silk soymilk products |
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The Gardenburger story, and how you
can avoid making the same mistakes |
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Special opportunities for wellness
restaurant entrepreneurs |
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Table of
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Chapter Five Making Your Fortune in Medicine |
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Why most wellness medical fortunes will be made by people
outside the medical industry
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Hippocrates: the first wellness physician |
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How the invention of the microscope
caused modern medicine to miss wellness |
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The invention of multivitamins and
multilevel marketing |
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Consumerlab.com making your
fortune in wellness information Why up to 1/3 of dietary supplements
fail |
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The wellness cardiologist opportunities
for medical practitioners |
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Physical exercise Jill Kinney
of Club One builds a $100 million fitness club |
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Table of
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Chapter Six What You Must Know About Health Insurance |
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The new economic slavery how the lack of health insurance
makes millions of employees into indentured servants
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How employers became the providers
of medical care, and its effect on the sickness industry |
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Squeezing the most out of those who
can afford the least |
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Treating symptoms versus prevention
to create lifelong daily customers |
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The coming crash of health insurance,
and why employees feeling the safest are the most at risk |
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The solution coming in 2002-2003 for
wellness-oriented entrepreneurs |
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Table of
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Chapter Seven The Goldmine in Wellness Insurance |
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Wellness Insurance health insurance to prevent disease
and its effect on the wellness industry
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High Deductible Health Policies (HDHPs)
How the average healthy US family wastes up to $3,000
per annum on their health insurance |
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Wellness Savings Accounts (WSAs) and
Medical Savings Accounts (MSAs) |
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Combining HDHPs with WSAs/MSAs to
create Wellness Insurance |
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Structuring opportunities for Wellness
Insurance - for yourself, your dependents, your employees, and
your customers |
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Appendix 3 explaining Wellness
Insurance to your associates |
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Appendix 4 explaining Wellness
Insurance to your customers |
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Table of
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Chapter Eight Making Your Fortune in Wellness Distribution |
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Why distribution is the key to wealth in our modern economy
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How the distribution opportunity has changed in the 21st
century, from
| Physical distribution
is the process of helping customers physically obtain
products and services that they already know they want |
physical
distribution to
| Intellectual distribution
is the process of educating customers about products
and services, typically items that they either don't
know exist or don't know are now affordable |
intellectual
distribution |
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Category Busters A supersized wellness
distribution opportunity |
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Surviving and thriving in the new era of zero
marginal product costs |
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Combing High-Touch with High-Tech |
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The impact of the internet on wellness distribution |
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Table of
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Chapter Nine Staking Your Claim |
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Where is the best place for you to stake your claim in this
emerging $1 trillion industry that does incredible good
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Becoming a toolmaker providing
tools and services to the wellness industry |
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Staking Your Claim in Wellness Finance |
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Getting started how most entrepreneurs
start their business after first being unsatisfied customers |
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Combing your prior life experience
with your new wellness business |
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The Wharton Secret |
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Staking your claim through your religion |
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Table of
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Chapter Ten Epilogue: Unlimited Wellness |
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Why wellness is unlimited understanding DNA and its
immediate wellness opportunity
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How many of the 2.5 million new US
millionaires in the next 5 years will come from wellness |
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More than just money, the opportunity
to do incredible good |
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The importance of sticking to your
plan understanding frequency |
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The "invisible hand" behind
wellness |
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Appendix 4 how pending US healthcare
reform will affect wellness |
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Appendix Summary of Wellness Insurance |
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Wellness Insurance
is a new health insurance program that covers expenses incurred
to prevent disease-like weight control, vitamins, supplements,
and exercisealong with major medical expenses above
an annual deductible. Traditional health or "sickness"
insurance pays only for medical expenses when you are sick,
and pays mostly for treating the symptoms of disease rather
than for the prevention or disease. Individuals can obtain
Wellness Insurance today by combining a combining a
High-Deductible Health Policy (HDHP) with a savings account
to invest in their wellness, such as a Medical Savings Account
(MSA) or a Wellness Savings Account (WSA). Here's
a brief summary of why every eligible healthy individual should
switch to Wellness Insurance.
1. Cost Savings The
typical family no- or low-deductible health insurance policy
costs about $5,000 per year. A family HDHP with a $2,500 annual
deductible costs about $2,000/year, a $3,000 annual savings.
Even if the insured gets very sick and has to spend the full
$2,500 deductible, he or she is still ahead $500 per year
after switching to an HDHP.
2. Wellness Investment
Since the people who get accepted for HDHPs are healthy, switching
a family to a HDHP typically saves them up to $3,000 per year
($250 per month) in additional cash to spend on wellness (vitamins,
supplements, exercise) to keep them healthy. Only approximately
78 percent of US citizens with private health insurance today
are healthy enough to qualify for an HDHP.
3. Guaranteed Coverage for Life
Once someone has an individual (versus a group) HDHP,
no matter how sick they or a dependent become, or what conditions
they develop, their policy cannot be dropped nor premiums
increased for this reason. This allows HDHP insureds to change
jobs or go into business for themselves without being limited
by preexisting medical conditions in their family (provided
such conditions develop after they first obtain an individual
HDHP policy).
4. HDHP Income Tax Advantages
Beginning 2002, self-employed individuals can deduct
from their taxable income 70 percent of their health insurance
premiums, and 100 percent in 2003 and thereafter.
5. MSA Income Tax Advantages
Individuals with Medical Savings Accounts (MSA) may
take a tax deduction for up to $3,800 per year (increasing
annually with inflation in $50 increments) that they put into
their MSA until age 65, with the investment returns accumulating
tax-free. This money can be taken out tax-free anytime for
medical expenses, or like an IRA, for any purpose after age
65. While Congress has extended MSAs only until 2003, anyone
opening an MSA before then receives these benefits for life-including
the right to make future contributions until age 65 even if
Congress terminates the program in 2003 (which is unexpected).
6. Super Customers
A wellness provider can combine a subscription wellness product
offering with the WSA component of Wellness Insurance-creating
a class of "super customers" who have ready funds
available to invest in their wellness, often on a tax-advantaged
basis.
7. Dependent Coverage
Most employees receiving group health insurance from their
employer today reimburse their employer separately for dependent
coverage. Switching their dependents to an individual HDHP
will typically save them up to 60 percent in premiums for
their dependents and guarantee their family members affordable
coverage for life-regardless of what happens to their job
or what medical conditions their dependents may develop in
the future.
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Table of
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Appendix Frequently Asked Questions About Wellness Insurance |
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1. What is "Wellness Insurance
?
Wellness Insurance is health insurance that covers expenses
incurred to prevent diseaselike weight control, vitamins,
supplements, and exercisealong with major medical expenses
above an annual deductible. Traditional health or "sickness"
insurance pays only for medical expenses when you are sick,
and pays mostly for treating the symptoms of disease rather
than for the prevention or disease.
2. How Can I Get Wellness Insurance
Today?
Employers and health insurance companies will begin offering
wellness insurance in several years. But you can get Wellness
Insurance today by combining your own High-Deductible-Health-Insurance-Policy
(HDHP) with a Wellness Savings Account (WSA). A WSA, as further
explained herein, is an account used to pay for wellness expenses
which could be established with a wellness provider or a third-party
financial institution.
3. What is a High-Deductible-Health-Insurance-Policy
(HDHP)?
A HDHP is a traditional health insurance policy with a higher-than-usual
annual deductible-you are only reimbursed for medical expenses
incurred above a cumulative annual amount, typically $2,000
to $4,500 per year, but you typically save this amount or
more in your annual health insurance premium.
4. Why Would I Want an HDHP?
With an HDHP you decide how to spend the first few thousand
dollars for your family's medical care without having to ask
anyone's permission or argue later on for reimbursement. You
can join your own Health Maintenance Organization (HMO) or
Preferred Provider Organization (PPO)although most HDHP
providers include PPO membership at no additional charge.
You can select your own discount pharmacy plan, eyeglass plan,
vitamins and supplement plan, fitness club membershipor
any other customized wellness or sickness services. But, most
of all, if you are healthy, you will save thousands of dollars
that you can invest today in your continued wellness.
5. How Much Can I Save With an
HDHP?
The annual premium savings with an HDHP is usually equal or
less than the annual deductible amount. For example, a typical
low- or no-deductible health insurance family policy may cost
$5,000 per year, while the same policy from the same insurance
company with a $2,500 per person annual deductible may cost
only $2,000 per year-a $3,000 reduction in the annual premium.
With this HDHP, even if a member of your family gets very
sick and you have to pay for the first $2,500 of their medical
expenses, you are still ahead $500 per year. And if you all
remain well, you have up to $3,000 per year extra cash to
invest in your continued wellness and save for future health
expenses.
6. Why is such an HDHP Up to $3,000
Less Expensive?
Two reasons: (1) The first $2,500 per year of a family's medical
care is typically spent in $100 increments in 25 transactions-and
it costs the insurance company $30 or more to process the
paperwork for each transaction ($2,500 medical cost + $750
processing costs = $3,350); and (2) Only healthy people without
pre-existing medical conditions qualify for HDHP-insurance
companies generally reject about 22 percent of HDHP applicants
because they or someone in their family has a preexisting
medical condition.
7. How Come I've Never Heard About
HDHPs Before?
Three reasons:
(a) If you have a group health insurance policy, your employer
doesn't want you to leave the group since your typical $5,000
annual premium goes to support other less-healthy group members;
(b) Insurance brokers do not actively promote HDHPs for individuals
since the commission is about 1/3 to 2/5 of the commission
on a non-HDHP policy; and
(c) If insurance companies tried to advertise HDHPs, they
would get applications mostly from unhealthy applicants-which
are expensive to process and cause regulatory problems for
the insurance company when many of them get rejected.
8. What if a Member of My Family
Becomes Chronically Ill?
This is the best part about an HDHP. Once someone has an individual
HDHP, no matter how sick they or a dependent become, or what
conditions they develop, their policy cannot be dropped nor
premiums increased for this reason. This allows people with
an HDHP (versus employer-provided group health insurance)
to change jobs or go into business for themselves without
being limited by preexisting medical conditions of themselves
or a dependent.
9. What if I Receive Free Health
Insurance From My Employer?
Even if you receive free health insurance from your employer,
you should consider getting a HDHP for your dependents and
possibly for yourself. Most private employers charge employees
for dependents who participate in the company's group policyand
if your family is healthy it could be much less expensive
to buy them an individual HDHP. This will guarantee your family
coverage if anyone develops a medical condition and you have
to change jobs or your company plan is terminated. Additionally,
ask your employer about restructuring your job (e.g. as an
independent contractor) so that you get paid more if you drop
out of the company's group policy.
10. What are the Tax Implications
of Paying for My Own Health Insurance?
Thanks to recent federal legislation, beginning in 2002 self-employed
individuals may deduct 70 percent of the amount they spend
on health insurance, and 100 percent in 2003 and thereafter.
Prior to this legislation, it was often not advantageous to
obtain your own health insurance since employer-provided health
insurance enjoyed up to a 2-to-1 income tax advantage over
purchasing health insurance yourself with after-tax dollars.
11. What is a Wellness Savings
Account (WSA)?
A Wellness Savings Account (WSA) is a deposit account you
open with a wellness provider or at a third-party financial
institution to invest the money you save by having an HDHPthis
money is used to pay for current wellness expenses and the
deductible amount on your HDHP should you become ill. Anyone
with an HDHP should have readily-available savings of at least
the annual deductible amount (e.g. $2,500) in case they or
a family member become seriously ill.
12. What is a Medical Savings Account?
A Medical Savings Account is a special type of WSA authorized
by Congress on an experimental basis until 2003. Similar to
an IRA, you receive a deduction from your income taxes for
up to $3,800 per year that you put into your MSA, your interest
and dividends accrue tax-free, and after age 65 you may take
your money out without penalties for non-medical purposes.
But even better than a IRA, you may take your money out anytime
tax-free to pay medical expenses before or after age 65.
13. How Do I Quality to Open an
MSA Account
In order to qualify to open an MSA, you must first obtain
a special type of MSA-approved HDHP with a $3,050-$4,600 annual
cumulative family deductible. Then, you are allowed to invest
in your MSA up to 75 percent ($2,300-$3,800) of this deductible
amount each year. These figures are all increased annually
with inflation in $50 increments, and are roughly half these
amounts for single (non-family) individuals. To qualify for
an MSA you may not be covered under any other major medical
plan.
14. What Happens to My MSA After
2003?
Congress is allowing only 750,000 individuals to open MSAs
until 2003-at which time the program expires unless it is
renewed by new legislation. However, even if the program is
terminated, anyone opening an MSA before December 31, 2002
receives these benefits for the rest of their lives-including
the right to make continued annual contributions of $3,800
or more until age 65. Most political analysts today expect
the MSA program to be extended and expanded before 2003.
15. What is a Super-MSA?
A Super-MSA is an MSA designed for higher-income taxpayers
with family income in excess of $75,000 per annum. You contribute
the maximum each year to your MSA, but do not plan to make
annual withdrawals except for emergencies. The money in your
Super-MSA is invested for the highest long-term return and
accumulates interest and dividends tax-free. Since taxpayers
today receive all their income tax deductions when they put
money into their MSA (versus taking it out for medical expenditures),
there is no financial incentive to remove it before retirement-provided
they have other funds available to pay medical expenses below
their HDHP deductible. MSA funds accumulate interest tax-free,
and MSAs have all the advantages of an IRA and then some-thus
the first savings account any taxpaying family should have
should be their Super-MSA.
16. Can Employers Offer MSAs and
HDHPs to their Employees?
Yes. Employers with up to 50 employees may offer MSAs with
HDHPs to their employees. If the employer grows beyond 50
employees, they are allowed to continue to offer MSAs to all
employees provided their average number of employees since
1996 remains below 200. The employer obtains a group HDHP
for all employees and makes equal contributions to each employee's
MSA-tax-deductible to the employer and tax-free to the employee.
An employer-sponsored MSA program saves employers money over
group health insurance-while offering healthy employees an
up-to-$3800 after-tax bonus (worth up-to-$7600 in pre-tax
wages) to spend on wellness today or save for future medical
expenses.
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