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If Your Doctor Drives The Following Cars, He Is Probably A Criminal

Tyler Durden's picture




 

If your doctor drives any, and certainly all of the cars listed below, there is a virtually 100% certainty said doctor is a criminal...

... just like the above noted "Doctor" Xiulu Ruan, M.D., who is a doctor only by title: his real descrption is "legal" drug dealer, one who provides pain medication to drug addicted junkies for a (high) fee, and who is a favorite brand ambassador of such "legal' drug makers as Insys Therapeutics, maker of the Subsys 400 microgram Fentanyl anti-pain spray.

"Dr." Ruan, together with his business partner John Patrick Couch, M.D, were arrested earlier today on drug and fraud charges (full indictment pdf here) as part of an FBI and DEA raid of Physicians' Pain Specialists of Alabama Pain Center on Springhill Avenue and Airport Boulevard in Mobile. The practice, together with the adjacent pharmacy, C&R Pharmacy, was all part of a wildly profitably pain drug distribution ring.

The cars listed above, and which have now been confiscated by the state of Alabama, are what Ruan purchased with the spoils of fraudulently selling pain drugs to starved junkies, all under legal pretenses (the Pain Specialists website notes that on 4/18/2013, "Xiulu Ruan, MD, a fellowship trained physician, has broken his own world record of having 7 medical board/subspecialty board certifications."), and then padding his reimbursement demands from benefits programs.

Turns out Ruan's 7 'record' certifications were not enough and now he is assured of spending lenghty time in prison.

Why?

According to the charging document, Ruan and Couch, "conspired with each other and with others... to knowingly, willfully, and unlawfully distribute and dispense, and cause to be distributed and dispensed, Schedule II controlled substances including but not limited to: Oxycodone, Oxymorphone, Hydromorphone, Morphine, Fenantul, and Methadone, outside the usual course of professional practice and not for a legitimate medial purpose."

But for a perfectly legitimate business purpose: to make "tons of money", by first getting patients hooked to pain medications, and then stuffing them full of near lethal doses of said drugs, all of which the "doctors" would then get reimbursement for, while making both themselves and the manufacturing company millions of dollars:

According to the Grand Jury charge, "the objective of the conspiracy was to unlawfully increase the amount of reimbursement received from healthcare benefits programs."

But that's just the tip of the iceberg.

The real crime in question lies not so much with "doctors" Ruan and Couch who were merely low-level drug distributors, but with drug manufacturing and wholesale companies, particularly such as the abovementioned Insys makes of Subsys, which is the topic of a recent investigative piece by the Boyd Roddy of the Southern Investigative Reporting Foundation titled "Insys Therapeutics and The New “Killing It."

This is what Roddy had to say about INSY, a $2 billion market cap company, whose story provides a good glimpse into just how biotech companies have shortcutted their way to blockbuster stardom in the last few years:

Insys Therapeutics is doing pretty darn well. The company has had a remarkable level of financial success and its soaring stock price has made it a darling on Wall Street.

 

But that level of growth ought to warrant a raised eyebrow; going to over $222 million sales from about $15.5 million in just two years without inventing something like a better search engine is no mean feat. Fentanyl, after all, has been around for many years and while Subsys is the only spray version available, several of Insys’s competitors are well-established and better capitalized, with sales forces that reach all 50 states.

 

While details on the particulars of the breakthrough pain medication market are hard to find, or at least details that aren't self-serving management estimates, veteran sales staff from Insys and other pharmaceutical companies put its growth prospects at roughly 10% a year. If that's true, and the company is selling to oncologists then growth possibilities for Insys should be a function of that plus whatever they can take away from its larger competitors. Many companies would be happy for those odds.

 

But Insys grew north of 100%, implying that whatever organic growth they are getting is being aided by a whole lot of doctors who have grown profoundly fond of an expensive drug that brings an acre of governmental red-tape with it and that one of the largest pharmacy benefit managers will no longer touch.

 

The question then becomes "How?" and "Why?"

 

A SIRF investigation into Insys reveals that this growth has come at a remarkable price: Food and Drug Administration data shows that Subsys is proving lethal to a growing number of patients, many of whom, like Carolyn Markland, are taking it for so-called off-label indications, such as headaches and back pain.

For more answers of what really takes place every day in the corrupt underbelly of America's healthcare industry, the linked 4,100-word piece is a must read for anyone with even a passing interest in not only said industry, but for a spoiler alert, one need to only look at this table of the highest reimbursed doctors doctors for the 2013-2014 period under TRICARE, the U.S. military’s primary health insurance plan, one which represents 9.5 million people or 3% of the US population.

 

So, here's to you, Doctor Charlatan Xiulu Ruan: we hope prescribing millions in overpriced, potentially deadly pain medication to US army vets was worth it, and that the 13 sports cars you purchased on their hurting backs will either keep you warm at night, and keeps Bubba away during those long nights at the Talladega Federal Correctional Institution.

Source: US Indictment against John Patrick Couch and Xiulu Ruan

 

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Wed, 05/20/2015 - 15:22 | 6114624 SpanishGoop
SpanishGoop's picture

ObamaCares.

 

Wed, 05/20/2015 - 15:22 | 6114631 MonetaryApostate
MonetaryApostate's picture

ACA, affordable car act....

Wed, 05/20/2015 - 15:23 | 6114634 Silky Johnson
Silky Johnson's picture

I hope he kept a couple pain pills handy. He's going to need them after the first few nights in the "Slammer".

Wed, 05/20/2015 - 15:26 | 6114644 ShrNfr
ShrNfr's picture

Some Preparation H will come in handy too.

Wed, 05/20/2015 - 15:33 | 6114665 stacking12321
stacking12321's picture

the real criminals here are the DEA.

in a free society, people do not tell other people what they may or may not ingest into their own bodies.

Wed, 05/20/2015 - 15:35 | 6114672 NoDebt
NoDebt's picture

"So, here's to you, Doctor Charlatan Xiulu Ruan: we hope prescribing millions in overpriced, potentially deadly pain medication to US army vets was worth it, and that the 13 sports cards you purchased on their hurting backs will either keep you warm at night, and keeps Bubba away during those long nights at the Talladega Federal Correctional Institution."

Is it me or are the Tylers a little saltier today than usual?

Wed, 05/20/2015 - 15:41 | 6114689 green sheen
green sheen's picture

Doctors are the #3 killer. Bankers are #1

https://www.youtube.com/watch?v=okCVn8cJ0Os

Wed, 05/20/2015 - 15:51 | 6114726 Anusocracy
Anusocracy's picture

A little over a century ago a five-year old could buy drugs that are currently banned by the Nazi Imperial Federal Government. As long as he had the money.

What's wrong with the idiot public?

Wed, 05/20/2015 - 16:13 | 6114820 rejected
rejected's picture

You answered your question....

Wed, 05/20/2015 - 17:24 | 6115016 Manthong
Manthong's picture

Amateurs.. Wannabe’s..  Not a Veyron in the bunch.

Wed, 05/20/2015 - 18:05 | 6115162 ATM
ATM's picture

Who gave the government to power to force us to get a prescription to buy any drug? Certainly the Federal government has no such power.

Wed, 05/20/2015 - 19:59 | 6115483 sleigher
sleigher's picture

I have asked the same question many times.  I can plainly see the amendment to the constitution that prohibited the manufacture, sale or transportation of alcohol, as well as its repeal.  I have as of yet been unable to locate a similar amendment banning the sale of so called drugs.  Seems to me that drugs are perfectly lawful.

Wed, 05/20/2015 - 20:07 | 6115500 Manthong
Manthong's picture

gee.. that whole "Congress shall make no laws" thing does not seem to apply anymoar..

like the rest of the Constitution.

Wed, 05/20/2015 - 20:12 | 6115513 DeadFred
DeadFred's picture

The government, having a monopoly on the use of force, has given itself the right to conspire with the AMA to give said AMA a monopoly in providing medical care in this country. They defend this monopoly almost as vigorously as they defend their monopoly on the use of force and if you contest either of these monopolies they will stick a gun in your face to convince you that they have the right.

Wed, 05/20/2015 - 21:29 | 6115708 MontgomeryScott
MontgomeryScott's picture

This same 'government' is forcing you/me/us/everyone to sign on for O-care (or an O-care 'compliant' plan), with the promise that 'If you like your doctor, you can keep your doctor'.

WELL, I am starting to LIKE Dr. Ruan. Sounds like he knows how to game the system from both ends. Of course; now, HIS end is gonna be a 'game' for the 'system', I suppose.

I was just looking at properties in Mobile, AL. DAMN.

Lots of troops on the outside are gonna be mighty angry...

Wed, 05/20/2015 - 16:23 | 6114821 fascismlover
fascismlover's picture

An addict is an addict and the government can't change that.  All they can do is tax and spend and get bigger to "fight" addicts that they cannot change, at the expense of our money and our freedom. The only addicts that don't go to jail are the ones who are so afraid of jail that they resort to the worst drug of all - alcohol. 

Wed, 05/20/2015 - 16:36 | 6114880 boattrash
boattrash's picture

FFS, Wake up folks, people aren't buying that dope from the Dr.s, they're buying the Dr's note, as it is legally required to keep that fuckin job, now that we have agreed to be presumed guilty upon arrival to work, and must prove our innocence.

Wed, 05/20/2015 - 17:36 | 6115060 greenskeeper carl
greenskeeper carl's picture

It's a shame there isn't a harmless plant they could smoke or ingest that isn't filled with opiates and addictive as hell, and is impossible to OD on. Oh, wait, such a plant exists? Nevermind, it's a schedule 1 narcotic. This is the governments fault, like most societal problems. They do the bidding of their big pharma lobbyists. And also for sending so many to get fucked up in pointless, endless wars.

Wed, 05/20/2015 - 21:11 | 6115659 fascismlover
fascismlover's picture

That is not a panacea..at least not for old dudes. Several years ago, met up with a gurl and she was into the lifestyle.  She was maybe trying to impress me by giving me the best she had.  Hadn't smoked in 20 years and then was just a few times.  I figured it was the same so took some big ass inhales and didn't feel a thing, so took another.   About 5 minutes later, I was practically dead on her front lawn looking up at the sky.  I stayed there and begged for an ambulance to come so I could die in a hospital.  4 hours later, I came out of it and could move but barely walk.  Chalk that up to an old dude trying to do new things.  If you are young and grow up with whatever that was then fine.  If you are old, stay the F away unless you don't want to be old anymore, quickly.

Wed, 05/20/2015 - 22:01 | 6115801 MontgomeryScott
MontgomeryScott's picture

So, let me understand this correctly.

You hooked up with a shemale (a 'gurl', in the parlance), and decided that you had better get really stoned, because you knew what you were about to do. He/she slipped you a 'Mickey Finn' (they call it a 'Rufie', now, but I don't know why, unless it has something to do with the state of mind that 'puts you on the roof') , and you freaked out. Could have been dust, could have been Opiated Thai, could have been whatever. When she showed you her equipment, you ran out, screaming, and got as far as the lawn before you passed out from guilt and shame.

'...big ass inhales'...

It's called a 'HIT', you twit. You should'a QUIT. NEXT TIME, just go to a gay bar, and stop whining about your sexual preferences to the ZH people.

 

Wed, 05/20/2015 - 21:47 | 6115747 MontgomeryScott
MontgomeryScott's picture

You are under the misguided and erroneous assumption that the 'government' as it exists is NOT ACTIVELY taking part in the forced addiction of the masses to itself (or any so-called 'illegal substance'). I don't suppose you've heard of the C.I.A., or a place named Mina, Arkansas, or a group of pilots named 'Air America', or Evergreen Aviation, or Welfare, or Food Stamps, or A.F.D.C., or 'Social Security', or...

NAW.

I'm gonna sit here, and drink a Budwieser, and light up a Marlboro, and ruminate over your, ahem, 'wise statement'.

I suppose that you think that those 535 script-readers and rubber-stampers in D.C. actually WRITE the legislation that they vote on. TELL US ALL: WHO is ACTUALLY the 'government'?

OOOOOH! 'The worst drug of all - alcohol'!!!

Take a Prozac and go back to your masters.

A JOKE:

Q: You and your good buddy (who happens to be Mormon) like to fish. You ask him to come with you one day, and bring a twelve-pack along. What is the best way to keep your Mormon buddy from drinking all your beer?

A: Invite another Mormon to go with you.

Wed, 05/20/2015 - 15:47 | 6114716 smlbizman
smlbizman's picture

if you aint first....ur last...

Wed, 05/20/2015 - 15:54 | 6114743 Majestic12
Majestic12's picture

"not for a legitimate medial purpose"

Clap, clap, clap.  Yeah right, like Chemo drugs?

Chemo drugs actually "kill" 80% of those who take them, and the "doctors" make tens of thousands more than pain meds.

What a fucking joke article.

It should all be legal, "not schedule II".

You can't stop the extrreme addict. 

If he is only a harm to himself, and not others, let him decide, not the Federal Government.

 

Wed, 05/20/2015 - 16:35 | 6114879 Pure Evil
Pure Evil's picture

If a woman has a right to choose an abortion, and homosexual's should have the right to marry, then why o why doesn't an addict have the right to kill themselves with their drug of choice?

You would think in this case the "other" drug cartel, currently not south of the border, was making its filthy lucre legitimately.

I thought the whole purpose of Obamacare was to deliver you to the tender mercies of the medical establishment and stuff you full of legal drugs until all you good do was sit in front of the TV and drool all day while being brainwashed with patriotic programs about how the FED and Obama were saving the country from ISIS.

It's a sad day in America when a legitimate drug cartel can't make an honest US Hegemonic Dollar off all the shattered bodies and minds of our returning domestic extremists, formally called gun loving veterans.

Wed, 05/20/2015 - 17:48 | 6115096 Marco
Marco's picture

Citation needed on that chemo.

I agree on the legality thing though ... remove the profit motives for drugs and let it work itself out and don't make it near impossible for people dying in agonizing pain to get some fucking morphine derivatives.

Wed, 05/20/2015 - 18:28 | 6115264 crisrose
crisrose's picture

Don't know about the death rate but doctors make big bucks off chemo commissions.

 

http://www.nbcnews.com/id/14944098/ns/nbc_nightly_news_with_brian_willia...

Thu, 05/21/2015 - 00:55 | 6116238 pgroup
pgroup's picture

bwahahaha! you cite to Lyin Brian. what an unfunny joke.

Wed, 05/20/2015 - 15:49 | 6114724 Implied Violins
Implied Violins's picture

One of them dropped the soap.

Guess they'll just have to make more.

Wed, 05/20/2015 - 15:49 | 6114723 11b40
11b40's picture

I won't argue the freedon point, until somebody sends me the bill for them persuing their happiness.  

These scamming "doctors" are looting the system that WE all pay for.  You like helping these vermin buy sports cars?

Thu, 05/21/2015 - 05:31 | 6115447 August
August's picture

As a US-born, US-trained medical specialist (who left the US system in general disgust), I'll just toss this out there:

90%+ of American MDs are intelligent, ethical, hard-working guys and gals, though subject to the enticements and rewards offered by The Cartel.  5% or fewer are sleezy law-breakers, motivated by money. And 5% are borderline.

Just my humble opinion, based on 20+ years working in large US community hospitals.

Wed, 05/20/2015 - 15:58 | 6114765 Antifaschistische
Antifaschistische's picture

Out of curiosity, I would like to see..

a) the Medical Schools these guys graduated from and

b) What is their 'Country of Origin'

Wed, 05/20/2015 - 16:09 | 6114800 Handful of Dust
Handful of Dust's picture

The Online National Fu Manchu University Medical of Southwest Sichuan, Northeastern Central Panda Campus.

Wed, 05/20/2015 - 16:41 | 6114894 OpTwoMistic
OpTwoMistic's picture

Does your doctor driving a Chevy PU mean he sucks?

Wed, 05/20/2015 - 16:58 | 6114936 Big Corked Boots
Big Corked Boots's picture

My doctor drives an F150. He's cool.

Wed, 05/20/2015 - 19:03 | 6115348 847328_3527
847328_3527's picture

My doctor doesn't drive amymore since he got Alzheimers. he can't remember where he parked it!

Wed, 05/20/2015 - 22:23 | 6115863 MontgomeryScott
MontgomeryScott's picture

Since I haven't been to a doctor in a decade or more, I guess I'm my own best doctor.

I remember where I parked my car. MY issue is that I don't remember what kind of car it is! I have SO MANY DIFFERENT ONES (since I stopped giving doctors all my money) that I seriously suffer from memory lapses in this regard.

847328_3527, do you know the kind of turmoil I'm experencing here? No, of course not. You're JUST A NUMBER...

Wed, 05/20/2015 - 22:08 | 6115820 MontgomeryScott
MontgomeryScott's picture

Driving Chevy pickups can lead to side effects, like oil spots on the driveway, coolant leaks, transmission failure, and strange noises from the rear of the vehicle. Some of these side effects are minor, and some can be catastrophic.

ALWAYS CONSULT WITH A DOCTOR BEFORE DRIVING A CHEVY PICKUP.

(This message brought to you by the Ad Council, in cooperation with the AMA and the European Car Dealership Alliance)

Wed, 05/20/2015 - 15:35 | 6114674 ajax
ajax's picture

 

 

We oxycodoned some folks...

Wed, 05/20/2015 - 16:05 | 6114787 Tall Tom
Tall Tom's picture

It is okay when the US Military aerosolizes Fentanyl and sprays it over observers, outside of the Restricted Area, at Freedom Ridge which overlooks Area 51 in Nevada. That is not an "illegal distribution". Right?

 

(Of course Freedom Ridge was soon incorporated ino Area 51 afterwards, courtesy of the BLM.)

 

But the true point is that these Doctors did not pay the bribes to the authorities at the DEA.

 

You either pay the DEA Agents off or you stay at the Grey Hotel for an extended period.

 

(I can bring up other documented incidents of the CIA or US Military dosing the American population with drugs. Let's play the Iran Contra Ollie North Drug Smuggling Crack Cocaine scheme as a starter for example. Fuck the US Military, the largest Drug Pushers of them all. Fuck the NSA.)

 

 

Wed, 05/20/2015 - 16:46 | 6114908 pods
pods's picture

Remember that Moscow Theater siege?

Russian special forces pumped aerosolized Fentanyl through the HVAC and killed everyone.
Nasty stuff. Dosed in micrograms.  

pods

Wed, 05/20/2015 - 18:02 | 6115148 Marco
Marco's picture

I didn't remember that, so I looked it up. They didn't kill everyone ... 130 out of 850, seems a decent result.

Bit of a strange story though, the terrorists probably saved a lot of the hostages by ordering them to lean forward in their chairs (don't want to go unconscious on your back, you'll choke on your own tongue).

Wed, 05/20/2015 - 20:24 | 6115539 Perseus son of Zeus
Perseus son of Zeus's picture

RIP Michael C. Ruppert. We know what happened.

Wed, 05/20/2015 - 16:41 | 6114895 Dolar in a vortex
Dolar in a vortex's picture

I'm going to bid on the Spyker and the 599.

Wed, 05/20/2015 - 19:36 | 6115430 stormsailor
stormsailor's picture

come on now, universal healthcare is a big win,......................

 

you can't find healthcare anywhere in the universe.

 

but if you go to those doctors like wild bill use to say, "i feel your pain",  and here's a little something to take the edge-off.

Wed, 05/20/2015 - 15:31 | 6114662 doctor10
doctor10's picture

mebbe someday congress and some bankerz might get a similar poctoscopy?

Wed, 05/20/2015 - 18:41 | 6115295 junction
junction's picture

Absolutely no mention in the article about what patients with chronic and near unbearable pain are supposed to do.  Plenty of the pain sufferers got injured on their job, many with spinal injuries.  Some are recovering from car accidents.  These pain pills and sprays can be life threatening but much less so than the methamphetamine that the Sinaloa drug cartel smuggles into the USA with the help of their DEA handlers.  These doctors' real crime is not cutting the DEA and the police in on their take from peddling pain medications.  As we know, the DEA will do anything to make money, from stealing cash from travelers to arresting and beating to a pulp indepedent criminal drug dealers (getting rid of their competition) to providing security for narco lords' drug shipments.   

Thu, 05/21/2015 - 01:00 | 6116248 pgroup
pgroup's picture

Meth is the answer to lack of dental insurance.

Wed, 05/20/2015 - 15:21 | 6114627 Bunga Bunga
Bunga Bunga's picture

Who are the wealthy customers funding all those toys would be much more interesting.

Wed, 05/20/2015 - 15:47 | 6114713 Spitzer
Spitzer's picture

normal ppl who like drugs

Wed, 05/20/2015 - 16:55 | 6114927 Dark Space
Dark Space's picture

The article said most of the patients were vets, so you and me are paying for it.

Wed, 05/20/2015 - 19:02 | 6115328 Bunga Bunga
Bunga Bunga's picture

I don't believe that bullshit. I guess 50% of the execs are all on dope. 

California call girl Alix Tichelman pleads guilty in heroin death of Google exec Forrest Hayes

http://www.ibtimes.co.uk/california-call-girl-alix-tichelman-pleads-guil...

Billionaire sought secret lair for sex, drugs, complaint says

http://www.latimes.com/business/la-fi-nicholas18jul18-story.html

 

Business Executive Charged with Kidnapping Over Crack Cocaine

http://whotv.com/2015/01/20/business-executive-charged-with-kidnapping-o...

 

... the list goes on

 

Those are here for a reason:

http://www.rehabs.com/about/executive-ceo-rehab/

Wed, 05/20/2015 - 15:22 | 6114632 pods
pods's picture

They got involved in the wrong drugs.

Shoulda sold Budweiser, a government approved drug.

pods

Wed, 05/20/2015 - 15:28 | 6114649 SheepDog-One
SheepDog-One's picture

Budweiser is similar to sex in a canoe......both fuckin close to water.

Wed, 05/20/2015 - 18:14 | 6115198 Kirk2NCC1701
Kirk2NCC1701's picture

Old Canadian joke, first told by Pierre Burton, where the question was: "What do making love in a canoe and American beer have in common?"

:-)

Wed, 05/20/2015 - 15:30 | 6114652 saints51
saints51's picture

Probably would, but distributorships have been sold a long time ago to incest satanic families who pledge their allegiance.

Wed, 05/20/2015 - 15:31 | 6114660 Miffed Microbio...
Miffed Microbiologist's picture

Idiots. I would have bought gold and canoed up my favorite river.

Miffed

Wed, 05/20/2015 - 15:50 | 6114729 Major Major Major
Major Major Major's picture

He is certainly eating his Ferrari now!

 

GoGro... be a Hero

Wed, 05/20/2015 - 17:57 | 6115129 espirit
espirit's picture

AMA is still the biggest union in the world, with the ABA next in line.

The Cartels need to realign their priorities.

(is there a ABA? American Banksters Association?}

Wed, 05/20/2015 - 15:52 | 6114741 Implied Violins
Implied Violins's picture

...in this baby:

http://canoez.blogspot.com/2011/10/worlds-most-expensive-canoe.html

I bet it can sink on demand.

Wed, 05/20/2015 - 15:56 | 6114757 Anusocracy
Anusocracy's picture

I would have donated it all to the SENS Foundation.

http://en.wikipedia.org/wiki/SENS_Research_Foundation

Wed, 05/20/2015 - 15:26 | 6114642 saints51
saints51's picture

Bullshit!!! This is Murica mother fuckers. People can get high if they choose. Uncle Sugar said so.

 

s/

Wed, 05/20/2015 - 17:59 | 6115135 espirit
espirit's picture

It's MY EBT, and I want it now!

Wed, 05/20/2015 - 15:26 | 6114643 i_call_you_my_base
i_call_you_my_base's picture

This illustrates the absolute moral and ethical bankruptcy in the US. You could be reasonably wealthy, but no, you have to become a drug dealer and be rich. At least a street dealer usually doesn't have any other options.

Wed, 05/20/2015 - 18:31 | 6115274 Kirk2NCC1701
Kirk2NCC1701's picture

When you're that poor and desperate in the inner city, and uneducated, and failed on Track A (quality education, then a hotshot professional or executive), there are these career tracks:

Track B (Arena, Studios):
- College Athlete --> Pro Athlete
- Entertainer (Actor, Dancer, Singer)

Track C (Economic Refugee):
- DOD, to make you into "The best you can be".

Track Z:
- Drug Dealer
- Ho or Pimp
- Con Artist, Thief

Track Zzz:
- Convict
- DOA

Wed, 05/20/2015 - 15:29 | 6114651 jcaz
jcaz's picture

Damn- there goes half of Q3 GDP......

Wed, 05/20/2015 - 15:29 | 6114653 janus
janus's picture

all of pharmacopia needs a damn good whacking.

dope, ssris, chemo/oncology, cholesterol meds...it's just grotesque.

amorica, this is what you get for making a religion of science.

https://www.youtube.com/watch?v=JCITRINXoLE

janus

 

 

 

Wed, 05/20/2015 - 18:01 | 6115144 espirit
espirit's picture

That's why they call it a 'Practice".

(cause they still don't have it right)

Wed, 05/20/2015 - 15:34 | 6114655 NoDebt
NoDebt's picture

I got dibs on the Spyker C9 Laviolette.  Especially considering they don't even exist yet.  Only the C8.

Sorry, I'm a "car guy".  I notice shit like this.

Wed, 05/20/2015 - 16:45 | 6114905 Yen Cross
Yen Cross's picture

  I'm guessing his 2nd Lamborghini is a Murcielago to keep his '94 Diablo company.

Wed, 05/20/2015 - 15:30 | 6114656 hoist the bs flag
hoist the bs flag's picture

well...No Bugatti Veyron Super Sport is on that list, I call BULLSHIT!

Wed, 05/20/2015 - 16:39 | 6114888 Pure Evil
Pure Evil's picture

That was next years choice. So little time, so many drug addicts to supply.

Wed, 05/20/2015 - 15:31 | 6114658 assistedliving
assistedliving's picture

peanuts...the trillion, yes, thats right, trillion dollar crime is in our desperate desire to pass ACA, our gubbermint is FORBIDDEN BY LAW TO NEGOTIATE DRUG PRICES

http://www.cbsnews.com/news/the-cost-of-cancer-drugs/

http://www.politifact.com/wisconsin/statements/2012/sep/04/tammy-baldwin...

 

Wed, 05/20/2015 - 15:31 | 6114661 reader2010
reader2010's picture

"In our era of..hedonism, when the goal of life is directly ..happiness, anxiety + depression are exploding."

- SLAVOJ ZIZEK

Wed, 05/20/2015 - 15:33 | 6114668 Occams_Chainsaw
Occams_Chainsaw's picture

Sadly it's people like this that make it a bitch for people in real chronic pain who do need daily pain meds to get them.

Wed, 05/20/2015 - 15:40 | 6114686 stacking12321
stacking12321's picture

when you say "people like this", i'm assuming you're talking about the DEA and assorted government bureaucrats that feel that you are their property and they have a right to tell you what meds you can take.

people need to stop believing in the myth that government has any legitimacy.

Wed, 05/20/2015 - 15:43 | 6114698 ajax
ajax's picture

 

 

And the scandal is their price. Look into how inexpensive opiates are to produce as opposed to how much they cost.

Wed, 05/20/2015 - 16:10 | 6114808 Christophe2
Christophe2's picture

Yep.  There is NO WAY any of that shit would be even 1% of the price, but then fucking doctors would be out of a high paying job, so they cry wolf and claim they need to control it all.

But luckily, these doctors all swear their hypocritic oath, so we are supposed to believe that it is IMPOSSIBLE therefore for them to do anything but just help us out of the goodness of their hearts and infinite corporate-backed wisdom.

The expensive sports cars and bimbos are just the fruit of good karma, sir!

Wed, 05/20/2015 - 15:35 | 6114671 TalkToLind
TalkToLind's picture

If your banker drives one of these cars, don't question him because he is legit.

Wed, 05/20/2015 - 15:40 | 6114687 SmedleyButlersGhost
SmedleyButlersGhost's picture

Probably True - the big boys have drivers. Maybe their kids have them though

Wed, 05/20/2015 - 16:59 | 6114938 boattrash
boattrash's picture

And remember! If your Dr. drives a finger up your ass at every visit, it's 100% likely he's queer.

Wed, 05/20/2015 - 17:03 | 6114946 boattrash
boattrash's picture

Another tip> If your banker drives his finger up your ass, he's a fuckin liar, and that ain't his finger.

Wed, 05/20/2015 - 20:13 | 6115517 Debt-Is-Not-Money
Debt-Is-Not-Money's picture

+1,000

Wed, 05/20/2015 - 15:35 | 6114673 Chupacabra-322
Chupacabra-322's picture

So, when's the Crimjnak Fraud UNITED STATES, CORP. INC. auction for the Luxury Auto's? Interested in the Ferrari's & Lamborghini.

Wed, 05/20/2015 - 15:38 | 6114679 Chump
Chump's picture

And remember folks, board certification and licensing protects YOU, the end consumer.  The AMA certainly provides a vital cartel...errr...service.

Wed, 05/20/2015 - 15:40 | 6114684 taketheredpill
taketheredpill's picture

 

FX traders eagerly awaiting Exotic automobiles for pennies on the dollar (same rate they got on their FX rigging fines).

 

 

Wed, 05/20/2015 - 15:40 | 6114685 Counterpunch
Counterpunch's picture

the shame of all this is that for most people who have significant pain after surgery or trauma - tylenol given with advil would do the trick.

But doctors are so terrified of tylenol's affect on the liver, they prescribe something that carries significant danger of addiction.

But most healthy people could deal with the recommended doze of tylenol for a few days or week, just need to not drink.  And the motrin can be low dose - there's a synergistic effect, very very effective for pain.

At root of course, the real problem is that generic ibuprofen and acetominophen cost pennies per dose.  And they don't send around big titted 24 year old pharma reps that know even less about pharmacology than the average family practitioner....

Wed, 05/20/2015 - 15:49 | 6114722 ajax
ajax's picture

 

 

Opiates cost pennies per dose as well but that's not what YOU pay for them.

Wed, 05/20/2015 - 15:58 | 6114767 Counterpunch
Counterpunch's picture

true - point is, people could go out and get generic over the counters. cheaper to buy, and probably more effective and safer if you exclude people with liver/alcohol issues.

Wed, 05/20/2015 - 16:33 | 6114868 pods
pods's picture

If you get generic hydro/oxy, you are paying pretty honest prices. Last script I got was ~$4 bucks I think at preferred pricing. 

I would think that is pretty fair.  

Sure you can get reamed if you don't buy generic, but you also can tell your doctor generic only.

And they aren't really making any new dope.  Last I saw was a morphine that was granulated with an enteric coating (to avoid abuse).

But you can say give me the cheap stuff.

pods 

 

Wed, 05/20/2015 - 16:57 | 6114933 Dark Space
Dark Space's picture

You can grow them in your office flower pot...

Wed, 05/20/2015 - 16:13 | 6114819 Christophe2
Christophe2's picture

You are forgetting Rick Simpson Oil, which has all that crap beat and can be made at home...

Wed, 05/20/2015 - 16:20 | 6114839 Counterpunch
Counterpunch's picture

huh?

pain meds, not purported anti-cancer meds.  I say purported because while cannabinoids, etc show promise, even a lot of pomise, its not a magic bullet.

Wed, 05/20/2015 - 16:27 | 6114854 pods
pods's picture

I will respectfully disagree with your assessment of pain management, from personal experience.

Speaking of pharmacology, why would a doctor prescribe an APAP tablet (Tylenol with a known addictive drug) if they were worried about your liver?

pods

Wed, 05/20/2015 - 17:03 | 6114949 Counterpunch
Counterpunch's picture

Everyone's different, of course, but for most people for a short term acute pain, to be more specific, the synergistic effect of generic tylenol/motrin is both very effective and probably a safer way to go than throwing in an opiate. 

Chronic and/or diffuse pain might be different.  For all I know, location of pain, too.

So for say, whiplash in a car accident, I think most people would be fine.  But I defer, of course, to personal experience.

 

Great point re apap... tylenol isnt something anyone should be taking for a long time. 

 

p.s. not a doctor or pharma, just personal experience and some research in grad school.

Wed, 05/20/2015 - 17:43 | 6115077 pods
pods's picture

Well opiates are over prescribed, and since they come from a guy in a white coat, people see it as "medicine" and not dope.  That is where a lot of the problems come from.

But all it really is is dope.  Sometimes even worse. The more refined you get with alkaloids, the worse it becomes.

Opium has lots of different active alkaloids.  Who's to say that some do not counteract the impact that the others make?

But we see a large concentration of one molecule and think that is the only or best one. Then when problems come about, we tinker with the molecule.
So instead of the slurry of possibles made in a tea, we get a refined one that opens the dopamine floodgates.

 Sucks cause if people actually grew them in their yards, and were familiar with WHAT they actually are, things might not be so bad.

But now it's legal dope, with no needle.

pods

Wed, 05/20/2015 - 19:15 | 6115376 Counterpunch
Counterpunch's picture

+100

Wed, 05/20/2015 - 21:19 | 6115680 stormsailor
stormsailor's picture

i had some pretty hard core pain for a couple of months over 2 major surgerys i had all kinds of prescription pain meds, but all they did was numb you a bit, make it where you couldn't sleep, and constipate you horribly.

 

ibuprofen was way,way,way better at killing the pain and didn't cause the horrible constipation.

Wed, 05/20/2015 - 17:10 | 6114974 boattrash
boattrash's picture

Pods, spot on. I think they call it "culling the herd".

Wed, 05/20/2015 - 18:14 | 6115202 Marco
Marco's picture

I doubt they are scared of the effect of tylenol on the liver ... I think they are scared their patients are morons who will combine a high dosis of tylenol with alcohol.

The margins of error with tylenol are very small for an over the counter drug, which isn't really the perception of the general population which makes it dangerous.

Wed, 05/20/2015 - 19:15 | 6115377 Counterpunch
Counterpunch's picture

very good point, I think you're right.

Thu, 05/21/2015 - 06:12 | 6116561 StychoKiller
StychoKiller's picture

Sorry, but Tylenol ain't gonna touch the pain from having your gall bladder removed with a cauterizer (Thank Heaven for Dilaudid!)

Wed, 05/20/2015 - 15:43 | 6114697 pazmaker
pazmaker's picture

what a pain in thass getting caught!

Wed, 05/20/2015 - 15:47 | 6114714 ajax
ajax's picture

 

 

"what a pain in thass getting caught!"  Take an oxycontin.

Wed, 05/20/2015 - 15:44 | 6114705 taketheredpill
taketheredpill's picture

 

 

Canada has recently changed the protocol for Diabetes testing.  Result will ensure that WAY more people get tagged as "pre-Diabetic", regardless of family history, lifestyle etc.  Great news for LifeCos and Pharmas (who presumably generated the newest "research").

Wed, 05/20/2015 - 16:04 | 6114783 Kassandra
Kassandra's picture

That's happening in the U.S. too. It's enough to keep you away from doctors.

Wed, 05/20/2015 - 16:34 | 6114874 pods
pods's picture

They have databases now for that, it's all automated.

"Took a Statin drug: Will have diabetes."

Count on it.

pods

Wed, 05/20/2015 - 18:22 | 6115245 Marco
Marco's picture

Aren't all obese people basically pre-diabetic?

Wed, 05/20/2015 - 15:45 | 6114707 Calculus99
Calculus99's picture

Long said it in the UK - Most scammers and frausters drive a Bentley.

DO NOT do deals with an independent UK businessman who drives a Bentley UNLESS you really check him/her out. If anything doesn't check out or makes sense, 90% chance you're dealing with a conman.   

Wed, 05/20/2015 - 18:04 | 6115160 One of these is...
One of these is not like the others..'s picture

BENTley. The clue is in the name.

Wed, 05/20/2015 - 15:46 | 6114710 BrokusDickusMaximus
BrokusDickusMaximus's picture

As long as they keep my hydrocodone coming all is right with the world. It is a pain to jump through the hoops to get them. I'm just not ready for a fused neck and lumbar just yet. I have maybe 5-8 years before I get the scooter chair. I'll need a 4x4 model here in the mountains.

Wed, 05/20/2015 - 16:36 | 6114882 pods
pods's picture

Sucks to be there. I was there a long time ago.  Hydro is not going to help long term. Trust me.

Every couple of years I hurt it again but nothing like years ago. That was a couple years of fucking hell.

pods

Wed, 05/20/2015 - 18:35 | 6115283 Marco
Marco's picture

Nothing is going to help long term, we're all dead in the end.

Our bodies are imperfect machines we are using long past our use by dates ... a proper diet isn't going to grow cartilage, our body isn't designed for it. Nature intended us to simply die when stuff like that runs out, fuck nature.

Wed, 05/20/2015 - 15:48 | 6114721 Honey Badger
Honey Badger's picture

In my book, QE is a drug

Wed, 05/20/2015 - 15:51 | 6114732 YHC-FTSE
YHC-FTSE's picture

Tip of the iceberg methinks. Saw a documentary on RT about the FDA, big pharma, doctors and the insurance scams - the quadrumvirate of evil fuckers killing people for profit with bullshit symptoms and pharmaceuticals to "cure" them, many of them off label.

Healthcare is one area where the motivating factor should never be profit before the wellbeing of people.

Wed, 05/20/2015 - 16:06 | 6114790 crisrose
crisrose's picture

The problem is healthcare is illness care.  People eat crap, destroy their own bodies and then run to the doctor for meds.  

Wed, 05/20/2015 - 17:04 | 6114952 Counterpunch
Counterpunch's picture

diabetes is mostly preventable.

statins are horseshit

 

Wed, 05/20/2015 - 15:52 | 6114737 Totentänzerlied
Totentänzerlied's picture

Cause blaming the supplier has always worked out so well before, right?

How's that war on drugs working out?

Prohibition still going stro- oh never mind...

The campaign against premarital sex and unwed parenthood! wait both of those are still increasing...

Gun control! working like a cha- oh, well, uh...

Idolatry! yes banning idol and image worship was a ... well ... an abject failure...

Abortion! prohibiting doctors from performing abortions went real wel... aw shit...

Censorhip! yes, censorship is a success story... wait ... dammit...

and on and on and on

Wed, 05/20/2015 - 15:52 | 6114739 gaoptimize
gaoptimize's picture

I had a kidney stone a while back.  It would have been nice to be able to go out in the garden and cut some poppy for tea until it passed.  That right was taken from us circa 1928.  I had ~9 hours of excruciating pain to consider this loss of freedom.

Wed, 05/20/2015 - 17:00 | 6114940 Skateboarder
Skateboarder's picture

Plus, you just committed thought crime by thinking about growing your own poppy. Cue pyschologist writing you up with a disorder like "Rational Thinking Disorder." We'll need to wipe your brain clean, sir, for your own safety and protection.

Wed, 05/20/2015 - 21:14 | 6115666 shovelhead
shovelhead's picture

You can grow a  papiver soniferum varital called China White legally as an ornemental poppy.

You'd really have to do something pretty extreme to call attention to yourself to call out the flower police to see if you were scarifying the pods.

I'd rather be an opium addict with unlimited supply than be a chronic extreme pain sufferer. There's Nepalese opium smokers over 100 years old.

Wed, 05/20/2015 - 15:52 | 6114742 Richie Cunningham
Richie Cunningham's picture

And the best thing is, it's all subsidized, by us! 

Wed, 05/20/2015 - 15:54 | 6114748 bahaar
bahaar's picture

And to think FDA makes such a fuss over need for pain medication to be abuse proof.

Wed, 05/20/2015 - 16:00 | 6114771 Atomizer
Atomizer's picture

It's Medicare double dipping. ACA scam is x4. Doctors will start buying G650ER to replace depreciated automobiles 

Wed, 05/20/2015 - 16:01 | 6114777 p00k1e
p00k1e's picture

Mmmmm, anti pain spray.

Wed, 05/20/2015 - 16:09 | 6114802 pashley1411
pashley1411's picture

I see Doctor Wu there.   Queing Steely Dan.

But seriously, its only profitable because its illegal.   Its not the drug, its the government.

Wed, 05/20/2015 - 16:10 | 6114803 pashley1411
pashley1411's picture

dup

Wed, 05/20/2015 - 16:11 | 6114814 redc1c4
redc1c4's picture

if your doctor drives those cars, chances are you're a junkie.

Wed, 05/20/2015 - 16:12 | 6114818 atomicwasted
atomicwasted's picture

This won't seem so great when you have to deal with chronic pain. The DEA loves to demonize anyone who treats patients who have serious, ongoing pain issues.

Wed, 05/20/2015 - 16:17 | 6114828 economessed
economessed's picture

Obviously the only guy richer than Dr. Ruan is his insurance agent.

Wed, 05/20/2015 - 16:24 | 6114847 Freewheelin Franklin
Freewheelin Franklin's picture

I need a Mt Sinai doctor. I need a liver transplant, and I hear they get them Palestinian livers in the backdoor.    That, and Mudovian kidneys. 

Wed, 05/20/2015 - 16:28 | 6114855 Chuck Knoblauch
Chuck Knoblauch's picture

The Zionists are attacking Asian doctors.

Don't think this goes unnoticed.

Any Jews on that list?

Selective harassment.

Wed, 05/20/2015 - 16:28 | 6114856 benb
benb's picture

I don't see Rockefeller listed as an accessery... What, no arrest warrant for the KingPin?... same as always.

Wed, 05/20/2015 - 16:33 | 6114869 fightapathy
fightapathy's picture

My doctor drives a Porsche Panamera. He's definitely a criminal muthafucka.

Wed, 05/20/2015 - 16:33 | 6114873 wissen dass scheiBe
wissen dass scheiBe's picture

Wasnt that rush Limbaugh's doctor?

Wed, 05/20/2015 - 16:47 | 6114909 Pure Evil
Pure Evil's picture

I think he had one for the pain meds and one for the viagra.

Wed, 05/20/2015 - 16:43 | 6114900 Allen_H
Allen_H's picture

He will be given lots of suppositories for free where he is headed, also he never learnt that the gov. does not like competition, and also needs all the cash it can get it's hands on.

Wed, 05/20/2015 - 17:06 | 6114904 x-moose
x-moose's picture

The good doctor was taken for a ride: BMW M car VIN will start with WBS..., not WBA. His was likely a rebadged 618i.

Wed, 05/20/2015 - 16:54 | 6114924 Pure Evil
Pure Evil's picture

Well, I hope Tyler central keeps an eye on this since I sincerely doubt any of these boys see prison time.

More like time served, (the amount of time they spent in jail before getting bailed out), and loss of their license in Alabama. Of course that doesn't preclude them from heading to another state to practice,....ahem, cough, medicine.

Don't forget, the AMA is a big club, but the majority of the population ain't in it.

Look, if they won't even charge a doctor criminally for killing someone on the surgical table, then do you think dealing prescription pain pills is enough to send them to prison?

But, these boys are goners if they failed to pay taxes on any of their ill gotten booty.

Wed, 05/20/2015 - 16:56 | 6114930 Skateboarder
Skateboarder's picture

Ironic that doctors are sick people, non?

Wed, 05/20/2015 - 17:55 | 6115123 exartizo
exartizo's picture

yes ironic.

except that there aren't any people currently living on this planet who are not sick in some way.

Wed, 05/20/2015 - 17:48 | 6115047 exartizo
exartizo's picture

who the fuck cares what kind of car Doctors drive.

90% of the docs under 60 years old are fucking asshole idiots that practice CYA medicine and couldn't "diagnose" their way out of a paper bag.

Even if the "diagnosis" was WRITTEN on the paper bag.

Wed, 05/20/2015 - 17:37 | 6115052 Elvis is Alive
Elvis is Alive's picture

If the doctors were doing that much volume, then a lot of these pain patients are going to go without medicaton, and there is going to be a lot of suicides. That is the part of the war on durgs that isn't talked about. The DEA blabs on and on about how Dr. Hurwitz had three patients die under his care, but ten died after he was put away in jail. 

And Tyler you have to quit with putting the doctors on the cover and then say the real problem was with the pharmacy okay? Thery were the HUGE problem and the doctors, while guilty, were bit players. 

Do you know how much 30 doses of the 1600 mcg Fentanlyl costs that this drug company puts out? $13,000!!!! And one dose lasts 4 hours!!!!

And Fentanyl is a generic drug. All that is patented is the method of delivery so in patch form, fentanyl is $400 per month, but in sucker or in this case, sublingual form, it is thousands of dollars per month. 

And who allows the crazy pricing crap to happen? The same U.S. government arresting these doctors for prescription fruad when the real fraud is pharmacy companies charging prices that no one in their right mind would ever pay. The drug patenting system is a fraud as is the war on drugs.

And when anesthesiologists do drugs, they don't go for morhpine, demerol, or dilaudid, they go for fentanyl because it is the best opioid high there is. 9 out of 10 anesthesiologists prefer getting high with fentanyl.

You can get a month's worth of hydrocodone, oxycodone, or hydromorphone for less than $100 per month. Then you get into the long term "tamper prooof" (HA HA) patented versions of those same drugs like Oxycontin, Opana, and Zohydro and the price goes up to $1000+. 

So you are right. Doctors driving an Aston Martin or Ferrari should be suspected of fraud, but the CEOs of pharma companies, who take old drugs and put them in new packages and get patents on them. will be driving those cars too. The difference is their fraud is LEGAL!!!

Wed, 05/20/2015 - 17:54 | 6115117 Iam Yue2
Iam Yue2's picture

Oh no = Who should I call?

Wed, 05/20/2015 - 21:19 | 6115682 shovelhead
shovelhead's picture

A Filipino psychic healer.

Wed, 05/20/2015 - 17:57 | 6115131 mastersnark
mastersnark's picture

What scumbags, engaging in voluntary exchange, disobeying an arbitrary law...hope they are drawn and quartered.

Wed, 05/20/2015 - 18:26 | 6115259 American Sucker
American Sucker's picture

Look pal, if you want to print things out of thin air, you joined the wrong cartel.

Wed, 05/20/2015 - 18:36 | 6115289 Monty Burns
Monty Burns's picture

"legal" drug dealer

So tell me, is he a bar owner or a pharmacist?

Wed, 05/20/2015 - 18:43 | 6115306 Porous Horace
Porous Horace's picture

I'm opposed to both drug laws and any law that allows asset confiscation before conviction. Put me on the jury and my vote is "not guilty."

Wed, 05/20/2015 - 20:01 | 6115487 scatha
scatha's picture

Do not get me started about doctors.

In few words, in US and unfortunately in some other countries, physicians’ true professional objective and purpose of education, even if they deny it, is to seriously to moderately injure their heavily insured patients to the degree that would still allow them to cover exuberant fees and enormous drug costs, through private insurance or government or desperate family selling all they got.

Dying poor are left in pain to die, thrown out on the street pavements like dogs according to doctors Hypocritical not Hippocratic oath as it was well documented in LA Skid Row few years ago.

Additionally these parasitic doctors lie to their rich patients about diagnosis, making it potentially worse, just to make experiments on humans to patent the procedure or push another useless drug. Those heavily insured patients are purposefully misdiagnosed with certain diseases such as cancer and offer surgical removal of whole organs, breasts, uterus, ovaries etc., just to make money.

Even worn out Hollywood starlets undergo televised self mutilation for commercial propaganda purposes to insidiously entice millions of potential victims of medical crimes to be maimed or disfigured without any shred of evidence of any disease. The transplantation industry is even worse, dealing with body parts obtained through mutilation or murder of poor and abandoned children of the streets or prisoners all over the world.

Unnecessary, painful testing which amounts to torture, highly addictive drug regiments are common examples of abuse of young and elderly unaware of the purpose of the procedures and often done against published research results condemning such tests, therapies or drugs as extremely harmful.

It’s that simple. Most doctors want you to be sick so he/she could suck up blood from you and your family. And after you dead they want your body and sold for profit.

Cheap preventive medicine, with 95% success rate of early intervention is practically abandoned since there is no money in it. Entire commercial food industry and tobacco conspire with medical establishment, hospitals and insurance companies to destroy health of a nation. To make you sick. Such act would amount to treason during cold war years.

Few doctors who focus of homeostatic physiological balance of human organism and developed successful therapies which restore the balance no matter what disease they are dealing with are persecuted, threaten with jail and revoking medical license.

However, this deceitful practice that doctors are engaged in, playing on people fear of pain, suffering and death by giving them false hope is not new.

Philosophers Kant and Voltaire in XVIII century being of very fragile health as children vow to stay away from doctors of their time and cured themselves using their own remedies in many occasions of serious diseases and live over 80, a quarter century longer then average people lifespan back then. What did they know?

We have to demand preventive medicine all the way. The best cure is prevention.  First of all we should demand that we consume real food and not the poisonous shit that is being sold in supermarkets, we should insist to break up vertically integrated food cartels that aim to continuously make us sick. But there is more that needs to be changed, namely brutal system of legal slavery and exploitation run by oligarchs since it is number one source of oppression and physically devastating stress that is killing us.

Wed, 05/20/2015 - 20:49 | 6115612 QEsucks
QEsucks's picture

Ruan is a wingnut from China. Retrained in AnnArbor, Michigan. That's how all the boat trash gets through, no offense to Boat Trash meant.

Couch has a very reasonable pedigree, did his Anesthesia in Tampa- good program. Looks like some secondary certifications in addiction medicine.

Published some reasonable stuff in the med literature and he's 20 years out.

If his charting's in order, he should walk. Looks like a DEA witch hunt and the author of this screed is a moron.

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