Posts Tagged ‘Health care’

New Years Prediction (I): The Tea Party Conservative Strategy for 2011

Evans Liberal Politics
December 29, 2010

 

New Years Prediction (I): The Tea Party
Conservative Strategy for 2011

New Years Prediction (I): The Tea Party Conservative Strategy for 2011, Robert Reich.org, December 28, 2010, by Robert Reich, used with permission, quoted verbatim:

Next week starts the new Congress, and with it the Tea Party conservatives. What’s their strategy? What will they rally around?

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They’ll grouse endlessly about government spending but I don’t think they’ll use any particular spending bill to mobilize and energize their grass roots. The big bucks are in Social Security, Medicare, and defense, which are too popular. And their support for a permanent extension of the Bush tax cuts will make a mockery of any argument about taming the deficit.

Nor will they focus on the debt ceiling. Their opposition to raising it will generate a one-day story but won’t rally the troops or register with the public. Most Americans aren’t particularly interested in the debt ceiling, don’t know what it means, and don’t feel affected by it.

Instead, I expect their rallying cry will be about the mandatory purchase of health care built into the new healthcare law. The mandate is the least popular, and least understood, aspect of that law. Yet it’s the lynchpin. Without it, much of the rest of the law falls apart: It’s impossible to cover all high-risk Americans, including those with pre-existing conditions, unless those at far lower risk are required to buy insurance.

Knowing they don’t stand a chance of getting a direct repeal of the mandate (even if they could get a majority in the House for it, they won’t summon 60 votes in the Senate, and have no possibility of overriding a presidential veto), they’ll try to strip the federal budget appropriation of money needed to put the mandate into effect. This could lead to a standoff with the White House over government funding in general, and a possible government shutdown.

My betting is Tea Party conservatives wouldn’t mind a government shutdown over the healthcare mandate. Unlike Bill Clinton’s showdown with Newt Gingrich, which hurt the conservative cause, Tea Partiers believe this one could be helpful. In their view, it would enable them to stand on principle, dramatize their argument that the Obama administration overstepped with healthcare, and generate a particular event around which they can summon the energy and enthusiasm of their ground troops — all with an eye on mobilizing for the 2012 general election.

Advice to Obama White House: Get ready.

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Robert Reich was the nation’s 22nd Secretary of Labor under Bill Clinton and is Professor of Public Policy at the Goldman School of Public Policy at the University of California at Berkeley. He has served in three national administrations. In 2008, Time Magazine named him one of the Ten Most Successful Cabinet Members of the century. He has written eleven books, including “The Work of Nations,” which has been translated into 22 languages. His recent book is “Supercapitalism.” For Professor Reich’s book page for Supercaptialism at Amazon, go here. Reich’s newest book, Aftershock: The Next Economy and America’s Future has been released September 21, and is available for ordering at this link (Amazon.com). The above article is from Reich’s new blog, and can be viewed here.

Robert Reich’s commentaries are available for listening to at Publicradio.com. Watch the video Aftershock: The next economy and America’s future (about his new book). Thanks to Professor Reich for permission to publish his articles on an ongoing basis.

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Video – The Daily Show: 9/11 First Responders React to the Senate Filibuster

Evans Liberal Politics
December 17, 2010

 

The Daily Show: 9/11 First Responders
React to the Senate Filibuster

The Daily Show With Jon StewartMon – Thurs 11p / 10c
9/11 First Responders React to the Senate Filibuster
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Daily Show Full EpisodesPolitical Humor & Satire Blog</a>The Daily Show on Facebook

Video: “Illegal Drugs & How They Got That Way: Heroin” (Part 1/3)

Evans Liberal Politics
December 16, 2010

 

The History Channel
“Illegal Drugs & How They Got That Way:
Heroin” (Part 1/3)

Watch Heroin: Part 2/3

Watch Heroin: Part 3/3

Oops! Media raps O’Donnell for ‘weird’ claim that’s mostly true

Evans Liberal Politics
October 9, 2010

 

Oops! Media raps O’Donnell
for ‘weird’ claim that’s mostly true


Oops! Media raps O’Donnell for ‘weird’ claim that’s mostly true, The Raw Story, October 8, 2010, by David Edwards and Muriel Kane, used with permission, quoted verbatim: Evans Liberal Politics is pleased to partner with The Raw Story to bring you breaking, cutting edge liberal news:

Christine O’Donnell, the Tea Party candidate running for Senate in Delaware, has been widely mocked by the media for her wacky statements about mice with human brains and her claims to have “dabbled” in witchcraft. But her latest wild story actually appears to have a germ of truth.

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“If both the House and the Senate pass legislation to repeal the health care bill,” O’Donnell told an audience of Delaware Republicans on Wednesday, “and then Barack Obama thumbs his nose to the will of the people and vetoes that bill right before his re-election — I’ve already  seen some Hillary Clinton ads. There are a lot of Democrats who don’t want this. If he has the audacity to ignore a very clear message from the people, he’s making his re-election very uncertain.”During an interview Thursday with CNN, O’Donnell repeated her insistence that the prospect of a Republican-controlled Congress repealing the Obama administration’s health care reform next year was “absolutely realistic.” because “if Barack Obama vetoes that the year before his re-election, he’s setting himself up to be very vulnerable — and I’ve seen many Hillary for President ads running.”

“What on God’s tiny blue earth is she talking about?,” MSNBC’s Rachel Maddow asked after playing a clip of O’Donnell’s remarks. “This is now so weird I don’t trust my own ears.”

Political website the Hill also picked up on the CNN interview, tartly noting, “It’s not clear what ads O’Donnell was referring to and she didn’t elaborate.” And FirstRead at MSNBC.com quoted the Hill’s comment in a roundup of election news on Friday morning.

The truth is, however, that there actually has been a “Hillary for President” ad around this fall — though Clinton herself has no connection to it. According to a September 2 story at CNN, New Orleans television had recently been running a pro-Hillary ad which a Chicago dentist named William DeJean had produced with his own money.

“She has more experience working in and with the White House than most living presidents,” the ad stated. “She is one of the most admired women in our nation’s history. Let’s make sure the president we should have elected in 2008 will be on the ballot in 2012. Hillary 2012.”

DeJean, who had previously paid to run pro-Clinton ads in 2008, told CNN, “I’m a dentist and I don’t think this country is headed in the right direction.”

O’Donnell has previously expressed confusion about Clinton, naming her in an interview last week with the New York Times when asked who in the Senate she most admires. “She is a woman in a man’s world, holding her own,” Ms. O’Donnell stated. “As one woman who is also taking some flak and stepping into the political arena, I deeply admire that.”

In this case, however, O’Donnell appears to be correct about the existence of a pro-Hillary ad — although it’s not apparent that she personally could have seen “many” such ads running on television.

It’s possible that O’Donnell was elaborating on the story, as she apparently did in that same New York Times interview when she described her father as a television actor who had taken on a number of small roles before working his way up to play Bozo the Clown. Daniel O’Donnell has since clarified his daughter’s remarks, acknowledging that he was at best a substitute Bozo on a small television station in Jenkintown, PA.

“I was doing things in community theater and a friend of mine worked there who knew that I could relate to children very well,” O’Donnell told the Philadelphia Daily News, explaining how he had filled in briefly when the regular Bozo had a role in a Broadway play.

It seems that O’Donnell’s account of Clinton’s presidential ambitions, like her story about her father’s stint as Bozo, has been somewhat embroidered — but not made up out of whole cloth.

This audio below is from a video from MSNBC’s The Rachel Maddow Show, broadcast Oct. 7, 2010.

Thumbnail image of the set of the Rachel Maddow show serves to launch audio of the discussion Maddow had about Christine O'Donnell possibly being mostly right in a statement about Hillary Clinton, Barack Obama and Hillary's Presidential ambitions "O’Donnell Right?" The Rachel Maddow Show on MSNBC: from a video from October 7, 2010, excoriating Christine O’Donnell about a statement on Barack Obama’s reelection and Hillary Clinton that turns out to be – gasp – mostly true. — 3:49

See Top 10 Craziest Tea Party Quotes of All time, Alternet, October 8, 2010, by Davona Walker.

Federal Judge Rules Health Law Is Constitutional


Judge Rules Health Law Is Constitutional, The New York Times, October 7, 2010, by Kevin Sack:

A federal judge in Michigan on Thursday dismissed one of more than 15 legal challenges to the new health care law, becoming the first to rule that the law is constitutional.

Two other cases with higher profiles, one in Florida and one in Virginia, are headed toward hearings on the issues that were decided in Michigan. The central question, which may ultimately fall to the Supreme Court, is whether the Commerce Clause of the Constitution gives Congress the authority to require citizens to obtain a commercial product, namely health insurance.

Starting in 2014, the law will require most Americans to obtain health insurance, while prohibiting insurers from denying coverage to those with pre-existing conditions.

Judge George C. Steeh of Federal District Court in Detroit ruled that choosing not to obtain insurance qualified as an example of “activities that substantially affect interstate commerce.” That is the standard set by the Supreme Court for Congress’s compliance with the Commerce Clause.

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PPP National poll: Obama improves, health care reform gains, voters blame Bush

Evans Liberal Politics
August 11, 2010

 

PPP National poll: Obama improves,
health care reform gains, voters blame Bush

 

PPP National poll: Obama improves, health care reform gains, voters blame Bush, Daily Kos, August 11, 2010, by DemFromCT, used with permission, quoted verbatim:

If you are looking for some good news for Democrats, this national poll (not commissioned by Daily Kos, MoE +/- 4) has a whiff of not-so-bad to go with the “if only…”

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After an unusually bad July in PPP’s national poll, President Barack Obama has seen a lot of improvement on several fronts. His national approval rating has rebounded, moving from 48-47 in June, to 45-52 last month, back to 47-48 now. For five of the last eight months, Obama has been one point above or below breaking even; in others, he was two points below and four points above.

PPP has asked voters’ approval of Obama’s health care plan for 12 months now, and with 46% approving and 48% disapproving, that is the highest level of approval and the second best approval margin since the first month, September 2009, when it was 45-46. This marks a huge shift since July (40-53). In another improvement for Obama, 50% still say they prefer having Obama as president, compared to 43% who would rather have George W. Bush back. In April, Obama won only 48-46. While independents this year generally favor Republican candidates and disapprove of Obama, they prefer Obama against Bush, 53-36, versus April’s 49-37.

When asked who they think is more responsible for the state of the economy, 49% picked Bush, to 40% choosing Obama. Independents say Bush, 52-38. Fewer Republicans, 75%, pick Obama than Democrats pick Bush, 81%.

While this is still a rough time for Democrats, the reports of Obama’s political death are greatly exaggerated.

Note also, the health care improvement is not isolated to this poll. See Kaiser poll: Health care reform support reaches new high.

Now, here’s a drum I’ve been beating:

“July could’ve been a blip on the radar. Obama’s more overt use of Bush in his stump speech of late could resonate with voters, particularly with independents who don’t want to return to past economic policies,” said Dean Debnam, President of Public Policy Polling.

There’s still time for D-leaning indies to come home, but they won’t unless we go out and give them a reason to. Reminding them of what Republicans under Bush did to us is good policy as well as good politics.

Still, keep in mind Obama’s on a 2012 cycle while House and Senate Democrats are looking at 2010.

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DemFromCT is a longtime member of the Daily Kos community with interests ranging from polling to Iraq to bird flu, and has graciously agreed to allow us here at Evans Liberal Politics to publish his articles on an ongoing basis. He is a founding editor of Flu Wiki (www.fluwikie.com) and its sister site, the Flu Wiki Forum (www.newfluwiki2.com). Since its inception in June 2005, Flu Wiki has grown into an international clearinghouse of pandemic influenza information and links.

You can view his diaries at Daily Kos, here. DemFromCT is a featured writer at Daily Kos, and you can read more about him here. You are invited to email DemFromCT.

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Howard Dean: Individual mandate will disappear

Evans Liberal Politics
August 7, 2010

 

Howard Dean: Individual mandate will disappear

 

Howard Dean: Individual mandate will disappear, The Raw Story, August 6, 2010, by Daniel Tencer, used with permission, quoted verbatim:

The individual mandate requiring people to buy health insurance will disappear before health care reform is fully implemented in 2014, Howard Dean said Friday.

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The former Democratic Party chairman and vocal champion of health care reform told MSNBC that “by the time this thing goes into effect in 2014, I think the mandate will be gone either through the courts or because it’s unpopular.”

But Dean said he didn’t see this as a problem, pointing to his own state’s health care reforms in the 1990s, which did not include an individual mandate.

“The mandate’s not essential to the plan anyway,” Dean said. “It never was essential to the plan. They did it in Massachusetts and had a mandate, but we have universal health care for kids in my state [Vermont] without a mandate.”

Host Savannah Guthrie pointed out that the White House has been arguing the mandate is necessary because, without it, people would only purchase health insurance when they get sick, but Dean rejected the notion.

“There will be two or three percent of the people who cheat,” he said. “That is not enough to bring the system to a halt and people don’t like to be told what to do.”

Dean’s comments come in the wake of a Virginia judge’s decision earlier this week to allow a constitutional challenge to the individual mandate to go ahead. Legislators in at least 38 states have proposed measures to curb the federal health reform law, with many of the proposals focusing on the individual mandate.

But Dean’s argument that the mandate is unnecessary was challenged by Ian Millhiser, a policy analyst at the Center for American Progress. Responding to Dean’s comments, Millhiser said Dean was wrong that the lack of an individual mandate wouldn’t affect insurance premiums.

Quoting MIT economist and CAP contributor Jonathan Gruber, Millhiser argued that not having an individual mandate would mean people who aren’t sick would see buying health care as a “bad deal” and would wait until they got sick. That, in turn would result in fewer people carrying coverage and higher premiums for those who do. Millhiser wrote:

Seven states attempted to ban preexisting conditions discrimination without also requiring everyone to carry a minimum level of coverage, and all of them saw their premiums skyrocket. According to a scholarly study of Vermont’s health plan, Vermont’s premiums shot up after it enacted a ban on preexisting conditions discrimination but no mandate in 1993. Between 1994 and 1996, most of the country only experienced single-digit increases in its insurance costs. In Vermont, however, average premiums increased by 16 percent during this same two year period.

In Massachusetts, the one state to enact a minimum coverage provision along with its ban on discrimination, the numbers are very different. There, individual premiums fell a massive 40 percent in the years after Massachusetts’ minimum coverage law went into effect, while the rest of the nation experienced a 14 percent increase.

Millhiser also argues that the courts may not strike down the individual mandate. If the courts see the issue as being a case of eliminating discrimination against the sick (by forcing insurers to cover them), they could give the government broad leeway to apply the policy in an effective way — including an individual mandate, Millhiser writes.

Howard Dean Criticizes the Individual Mandate:


photo thumbnail of Howard Dean criticizing the individual mandate in US health insurance and noting that in Massachusetts the universal coverage does fine without any mandate "Howard Dean criticizes the individual mandate," noting that Massachusetts does fine in offering universal coverage without any individual mandate. – from MSNBC’s The Daily Rundown — 2:16

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Health Care – “Rationing by Inconvenience”

Evans Liberal Politics
August 7, 2010

 

Health Care – “Rationing by Inconvenience”

 

Originally Published As:
Immigrants’ Experience with Publicly Funded
Private Health Insurance

 

Immigrants’ Experience with Publicly Funded Private Health Insurance, New England Journal of Medicine, August 5, 2010, by Ruth Hertzman-Miller M.D., M.P.H., Malgorzata Dawiskiba M.D., Cassie Frank M.D., and Cambridge Health Alliance, Cambridge, MA, quoted verbatim in the public interest:

On October 31, 2009, Massachusetts involuntarily transferred about 30,000 legal immigrants (mostly “green card” holders) from Commonwealth Care, the state-subsidized insurance program, to a new private insurance plan. CeltiCare, a subsidiary of the out-of-state, for-profit insurer Centene, agreed to take over their care for only $1,300 per person, one third of the state’s previous cost and well below the average cost of adequate care nationally. CeltiCare excluded several hospitals (and their affiliated community health centers) that have traditionally provided safety-net care for immigrants, including Boston Medical Center and Cambridge Health Alliance (CHA), where we work.

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We used internal hospital data to determine the characteristics of patients who were transferred to CeltiCare and who had formerly received their primary care at CHA. A total of 1325 patients who had visited a primary care provider at CHA during the past year were moved to CeltiCare. Of these patients, 73% speak a primary language other than English, including Portuguese (24%), Spanish (20%), and Haitian Creole (9%); 19% have hypertension, and 10% have diabetes mellitus. A psychiatric disorder has been diagnosed in at least 9%.

We then evaluated the adequacy of the provider network for these patients. During the second and third months after the switch to CeltiCare, we searched CeltiCare’s Web site for primary care providers within 5 miles of CHA’s ZIP Code. The search returned 326 providers, of whom 217 were nonduplicate adult generalists. Of these providers, 25% could not be reached at the telephone number provided. Of those available by telephone, only 37% were actually accepting new CeltiCare patients, and the average wait for an appointment was 33 days. In all, only 60 providers were accepting new CeltiCare patients, and only 38 could provide service for even one of the three major linguistic minorities.

Given these findings, we believe that patients who were switched from Commonwealth Care to CeltiCare had inadequate access to primary care 3 months into this new program. We fear that such “rationing by inconvenience” shuts patients out of care to the detriment of their health but to the benefit of CeltiCare’s bottom line. Policymakers, in Massachusetts and nationally, should reassess the role of profit-driven insurers in the provision of safety-net care.

Email author Ruth Hertzman-Miller.

Comment by Evans Liberal Politics owner Paul Evans: So the state saves two-thirds on its costs, and IF the patients can now get care, they wait an average of 33 days for an appointment. Ain’t private enterprise great! Doesn’t it make a WHOLE lot of sense to go ahead and privatize everything now? Of COURSE CeltiCare is still making a profit. How? Their patients just don’t get seen. Zero expenses, right? It can be a cruel world if you are on Medicaid, but the people really suffering are the grandmothers who must now come up with the extra $50 or $75 a month to purchase some kind of private insurance even if it has a huge deductable. Or else pay 2 percent of their income in fines. Single Payer Now!

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On Medicare anniversary, lawmakers tout inevitability of single payer

Evans Liberal Politics
August 1, 2010

 

On Medicare anniversary, lawmakers
tout inevitability of single payer

 

On Medicare anniversary, lawmakers tout inevitability of single payer, The Raw Story, July 31, 2010, by Sahil Kapur, used with permission, quoted verbatim:

A trio of progressives in Congress invoked the 45th birthday of Medicare Friday to call for a national single payer health insurance system, predicting it’s “inevitable” if Americans want lower costs.

protest sign saying 'We want single payer universal care'

“It has never been more important to have a strong movement behind Medicare for All,” wrote Sen. Bernie Sanders (I-VT) and Reps. Dennis Kucinich (D-OH) and John Conyers (D-MI) in a letter addressed to “friends of health care for all.”

The trio, all of whom have sponsored single payer bills, argued that cost controls are insufficient in the health reform law enacted March and claimed the growing need to save money would galvanize support for such a system.

“As we honor Medicare’s 45th birthday today, I am proud to say that the movement for Medicare for All remains strong and vibrant,” Kucinich said.

While various lawmakers have endorsed single payer proposals, it remains far out of the reach of Congress due to the prevalence of anti-government public sentiments and the political influence of the private insurance industry, which would be torn down.

The Affordable Care And Patient Protection Act, enacted by President Barack Obama in March, is projected by the Congressional Budget Office to cover nearly all Americans and reduce the deficit. It has no new public insurance programs.

Although Sanders, Kucinich and Conyers all voted for the new law, they said in the letter that it “does not adequately contain costs” for Americans.

“In my view, the single-payer approach is the only way we will ever have a cost-effective, comprehensive health care system in this country,” said Sanders.

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A Commonwealth Fund report last month found that Americans spend roughly twice as much on medical costs than residents of other industrialized nations yet the US system lags in areas of quality, efficiency and equity.

Sanders and Kucinich have led on pushing for national or state-based single payer programs in the Senate and House respectively, but have failed to garner the necessary support.

According to reports, Medicare, a single payer system for the elderly in America, has lower overhead costs and higher satisfaction rates than private insurance on average.

The White House and Democratic National Committee on Friday proclaimed their commitment to sustaining and strengthening Medicare.

“We believe Medicare for All is inevitable in the United States,” the lawmakers wrote. “It is up to all of us to determine when the inevitable becomes reality.”

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Note by Evans Liberal Politics owner Paul Evans: I am disabled myself, and though I want to get a job and reenter the work force, I cannot because if I did drop my disability, they would sell my father’s home out from under me to pay my father’s nursing home bills. It is a REAL SHAME in this country, that after everything is said and done in our lives, as elderly people, when we need assistance from a nursing facility, that private enterprise is going to rip you off for everything you have to pay for that. Nursing care in our declining years should be absolutely free, provided by the government.

A kind friend wrote me a note I want to share with you. She said: I understand exactly where you are coming from about the need to be on and stay on disability. There are easily hundreds, if not thousands, of folks in the United States who fit the scenario you describe. This does not make you or anyone else a government leach, as some would say. Nor does it make them inferior people. We have so many idiots out there who take the proposition of being a country which takes care of it’s own as some kind of threat to the dignity and quality of our country. Yet, looking at countries like Denmark, etc, who take care of their own — they have no homeless. Not any. America calls itself a “Christian” nation. Yet the way people who receive any help from our government are run down in churches in the communities around me — you’d never guess there was anything “Christian” around us.

The way they worship the Bush administrations, without prejudice — is so non-Christian! The way they worship the Reagans, Reagan philosophy, etc. is with a worship that is almost evil. No two administrations in the history of the United States can compare in the way these two took aim directly at those who cannot help themselves. None. It is like living and working in “Stepford Land.” They believe things beyond reason and don’t even try to “balance the account” purse’ with any common sense.

At the end of Christ’s ministry in the New Testament, He said, “I give you a new commandment . . . love your brother.” “Love your brother” is never mentioned, while people who receive any help from the government are lazy, sponges of some kind. The same bible they preach from said God told Adam that upon leaving the Garden of Eden he “mankind” would earn their living by the sweat of their brow. When you see how depressed, defeated, and shamed a person who cannot work is — it almost appears that mankind is born with a strong inborn desire to be productive and provide for themselves. No human being I ever met who was unable to provide for themselves has ever sat and said they don’t want to work. Not one. When people cannot work, whether for reasons you describe, either medically, or because of situations like you have with your father, and having to lose everything he ever owned and worked all their life for — or choose to take the steps you have to take to keep property and/or savings they spent their whole life to secure — doing things as you and your family are doing is the best choice you have, if not the only choice.

Paul Evans: How true. How unchristian of us as a nation that we do not really take care of our own. At the end of his life here on earth, Jesus asked Peter three times if he loved him. Three times Jesus, said, after hearing Peter protest his love, “Feed my sheep.” It’s in the first three Gospels. Isn’t that what “loving your neighbor as yourself” is supposed to be all about?

I am in fact looking to supplement my government minimum disability by working from home. Please visit the Hire Paul Evans! page if you might be interested in hiring me. I type 75 wpm, can program in 3 languages well, and am familiar in using other programming languages, I am familiar with the Office programs and I have edited 12 books. If your computer is acting up I can do a very creditable job at Computer Repair anywhere in Northeast Ohio, at prices less than what is usually charged. I need somebody to step up to the plate so that I can make my way in this world. I also have a nice (if aging) car and would be interested in any reasonable job in the Akron – Canton – Mansfield – Medina area. Please feel encouraged to email me if you are interested. ~ Paul Evans

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