hey... irritating maybe, but this is the PRICE for keeping American jobs
Posted By: Emily Ayn on 2008-12-12
In Reply to: Dell offering support based in N. America - for a price
why are we whining about this? We keep talking about our jobs being outsourced, well guess what... this is the same thing. We have to pay a higher price to speak to an American. That sucks and sounds ridiculous but the fact remains American workers demand more money, just as we as MT's do over people in India. I don't have a problem with it, maybe cause I see it from their side. I for one cant STAND talking to people from another country and honestly NEVER get the problem fixed with them. It sucks to pay more, but it is worth it, for them and for us.
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american jobs
Since this country was founded, there have always been displaced workers due to either a better way of doing thing, being replaced by technology, and/or finding a cheaper source of labor.
You can't expect the President to understand and identify with every American worker's jobs which have been outsourced. He has to worry about the collective, not the selective. He has a myriad of things on his plate.
Put the blame where it belongs and which you so eloquently wrote about in your letter: Corporate Greed, plain and simple. A handful get to be the haves and the rest of us get to be reluctant have-nots who don't know how to fight back.
As long as eveything revolves around money for these cretins, let's hit them in the pocketbook. If you take insurance with AIG, cancel it. Don't shop at WalMart, whose inventory is 90% Chinese. So what if it is cheaper. You are helping this by supporting it. Try to buy American as much as possible. There are web sites that will give you listings of companies which still make domestic products. Support companies that stay in the US and boycott those who offshore or have greedy b*stards running the show.
We really have so much power and we don't know it. Case in point: The Alabama bus system crumbled under the boycott from the black riders when Rosa Parks was arrested. We can do that, too. We don't even have to organize. We can singly just boycott what personally gets under our skin. As long as money talks, let it also talk for The Everyman.
We have become lazy and complacent, and that is when this kind of stuff is allowed to happen.
Why do you want American MTs to lose their jobs?
That's what will happen if we get a "union" and try to convince employers that they have to conform to "union rules" and "union wages". They'll just find even more people overseas who are happy to work for peanuts. Unionization will not benefit the American MT at all. The same with licensure. Some people just work for small clinics doing one type of work. If everyone has to pass the AAMT CMT test (which is what AAMT means by "licensure"), people who only know one type of work won't be able to pass. If you have to have the license to work, they will lose their jobs. What good would that do anybody except AAMT, which would get all those exorbitant fees for taking the CMT exam? None of these ideas will benefit American MTs. They're all obviously part of AAMT's campaign to outsource all MT work in this country. AAMT does not work for us; they work for the MTSOs who are making big bucks by outsourcing our jobs overseas.
Offshoring of American jobs
Medical transcription is only a small segment of what is being offshored today - accounting, billing, call centers, BPO's, manufacturing, legal research, medical imaging reading,etc. In the greater scheme of things, many other occupations are all struggling with the same issues as we are in our industry. The American economy is changing rapidly. Infrastructures are being sold out to foreign interests. Now that's a scary thought. This is all pushing the largest segment of our population, the middle class, out down to the poor segment of our society.
Whether we like it or not, our challenges are pushing us to a mixed economy, and maybe, just maybe, that's a good thing. You look at countries like France, Sweden with their socialist structure. The advantages are readily apparent - heathcare for all, a pension for all when one retires, and if you are lucky to have a job, you can'ta be fired. The disadvantage is the high tax rate - 50-60%. Then we have our US structure - capitalism. We are the greatest nation in the world, and yet, shamefully, we have no universal healthcare. Yet, we are free to start our own business with little government interference. But the last decade has sadly shamed us with corporate scandal after corporate scandal. At the bottom of all this is sheer greed. So what's the answer? Now, corporations run our country, and we are selling our infrastructure to foreign interests. It's like our guts are being pulled out. What will we look like in 20 years? If we don't get fresh blood in our government that truly will work for the good of the middle class, China will own us in 25 years. In order to address the challenges we all face in different occupations in our country, we are going to have to move toward a mixed economy - some capitalism, and some socialism, which is what we are beginning to see.
Loss of American Jobs Poem
You may not think this is very grand.
But it is written so even a President can understand!
Where are our jobs?
Where have they gone?
Are they over here or over there?
Are they behind a chair?
They are not over here.
They are not over there.
They are not behind a chair.
Are they on a train or a boat or a plane?
Are they in England, France or Spain?
They are not on a train or boat or plane.
They are not in England, France or Spain!
HOORAY! HOORAY!
They are in Bombay!
Where people work for little pay!
In China and in Mexico too!
Where it costs ten cents to make a shoe!
Corporations say they have the need
To cut budgets and save money, indeed!
Though most of us would call it greed!
Corporations pay our Congress well
So Congress will do whatever they tell.
GATT and NAFTA so no tariffs there will be!
So corporations can import and export anything for free!
They have sold us out (the American worker) its true.
Our government and corporations too!
So if you are feeling blue,
Because there is no job for you
And you are unemployed for another day,
There is something you can do.
Find a flag and wave HOORAY!
Since "patriotism" is the call of the day!
Loss of American Jobs Poem
 Thank you so very much for this very poignant assessment of what's going on in our beloved transcription arena. Just by our persistence in "keepin' on, keepin'on" we shall succeed. Onward and upward!
The CMT supports offshoring of American jobs.
.
The price of gasoline is reflected in the price of goods. Having said that, one item
higher, MOMENTARILY, than Walmart, does not really make a case against Walmart. You want to make Walmart a bad guy because they don't have a shopper out there matching the grocery stores' price so be it. But MOST people I know shop at Walmart for lower groceries prices AS A WHOLE, and that is what makes Walmart successful. So buy your cheaper Bounty towels at your grocery store if that makes you happy. Your grocery store HAS TO MAKE MONEY and they will get you on something else. It is the retail law. Walmart will not be successful with higher prices than the grocery store. They aim to succeed. They have been sucessful in undercutting other stores. Your Bounty towels will not bring down the Walmart empire but it may cause you to shop at your grocery store where they will charge you more on other items to stay in business. Quit the knee-jerk responses. If you don't like Walmart and don't want to shop there that's all well and good. If you don't shop there because of Bounty towels, well that's just crazy.
irritating
Yes, been throught it several times. I just ignore them - they will stop calling you, but it takes awhile. Since you did answer them once, that just encourages them to call back.
They are probably trying to sell you something - the reaon no one answered when you picked up that time is because they have those calls on a delay - the computer dials it and will hang up if it gets voice mail or an answering machine, but if they get a human voice, the computer goes on hold and it can take a few seconds or longer for a human to get on.
I don't answer any calls that come from "private line." If they don't want to identify themselves, I don't need to talk to them.
Those are irritating and
how about when the poor doc is trying to dictate and there is loud noise in the background almost overriding his/her voice? Like laughing, chatting, etc. I go bonkers with that and don't know how the dictator can concentrate. Is there no other phone to use?? Or maybe...hello...a little common courtesy from bystanders?
I know what you mean, but it's now really irritating... SM
to have to type out a complete word or phrase. So, no, I have no classes of words found in a medical report that I don't make abbreviations for.
Instead, I long ago decided to develop more patterns and switch to using longer abbreviations so that literally millions of more abbreviations would be possible.
Like you, I've always varied from my abbreviation rules when it feels right, but I do it less now with over 50K abbreviations in storage. In fact, I've converted many of my old standards to longer rule-dictated forms as that's just started working better for me, i.e., engage finger memory, disengage thought.
Regarding groups of words, I use symbol keys before and after abbreviations to set up abbreviation "groups." Like a / indicates a capped form, including city and hospital names. Physician names are a / followed by a letter indicating the account (so I can delete them all if I don't work on it any more), followed by first four of surname, then only if needed first 1 of first name. Sounds long, but the right name and title pop up every time per rule.
For others trying to decide how to develop more expansions: for me umbilical hernia is a simple umbhe, umbilical herniation umbhj. Longer than my old umh, but still far shorter than typing dozens of them out, and I get to have every type of hernia there is abbreviated, plus all the other terms that would be vying for the same shorter forms.
As many as possible of the words between the medical terms are abbreviated, like she, could, not, remember, whether, she, took, her, medicine, as, scheduled, or, not: k cdn (or kcdn) reb whr k tok u mec as skd (or askd) o nt.
The patient continues to is tpcust and continued to is tpcudt, but the patient continued feeling is tpcdfg and the patient continued feeling short of breath is tpcdfsob. The patient continued short of breath is tpcdsob. She continued to be short of breath is kcdtbsob. And on and on and on.
The longer the phrase the fewer "extra" letters are usually needed--most complete sentences are their first letters only. It not only works, it works very well and takes a surprisingly short time to learn to knock the strings of letters out without thinking.
irritating
Fast talkers, low talkers - even worse when they do both. Docs who clear their nose or throat, mumblers, eating while recording, cell phone/pager right next to recorder that practically blows my ears out, and docs who jump all over the place and change their sentences around so I have to decide if it is a new sentence or if I need to delete what I already typed and end up typing twice as many words but only getting paid for half of them.
I recently had one doctor who was wonderful with her dictation and at the end she told me to have a great weekend! Too bad I've never had any reports from her again. Lately they just stick me with the kinds of docs in the first paragraph.
It's irritating, but the new thing seems to be . . . sm
that 3 missed appointments without 24 hour notice qualifies for termination of services. It's ridiculous, but it's the norm.
My daughter struggled to get twin babies to the pediatrician on time, was 10 minutes late twice, and called 3 hours before an appointment when they both woke up sick one time. She was "booted" from the practice for "failure to establish a doctor patient relationship."
Funny thing was, she never even met the doctor. The doctor was always either out on an emergency or running late. The babies were never seen by anyone besides the PA. My daughter was intimidated into basically, "They see the PA or they won't be seen type of deal."
My son was "booted" by his PCP because his account had an outstanding balance of $36.00. I explained to them that my husband had recently lost his job. They gave me 3 weeks and then booted him. (After insurance paid huge amounts of money for our son and the rest of us, who were not booted because we didn't have a balance).
It's all about money lately for the most part. I don't believe that the doctor feels he could make more money off a different patient, it's just that if there is not enough time to book another patient, the docs won't have enough to buy a new tire for their Mercedes.
This is so daggone irritating!! I have been
receiving phone calls from unknown name and number for about two weeks now. They were calling three times a day (tid-lol). I finally answered hoping to let them know that it was NOT appreciated the amount of calls I was receiving. No one responded to my hello. I then told them not to call again. They did. Now the calls are up to 4-5 times a day. I have contacted my phone company about finding out who this moron is, but have not heard yet. Has anyone gone through this and, if so, what did you do that got results? TIA.
Has anyone else dealt with this? Maybe I'm wrong but it is irritating.
I'm tired of suddenly getting email messages from people I email all the time announcing that they have a new process for ME to go through so that I can be "approved" to send email messages to them.
I got this notification after sending an email to a short list of friends and relatives. It wanted me to verify who I was and why I was sending mail to them and verify the numbers I was seeing on the screen and verify my name and my email address.
Maybe it seems trivial but I think it is ridiculous. What's next? Will we have to get "approval" to send something in the mail?
I understand blocking spam but really now, these people know who I am. I maintain MY list of people, why can't they?
Thx for listening!
most irritating word in the world-
bling-bling-- If I hear some young punk say the word bling again I am going to bling him right out of this world
It is really irritating to have the replies deleted
x
I imagine it was equally irritating for the patient. nmx
x
Also irritating illegal alien ESLs that steal US
x
he is not American on what was an American site
What we post, jobs posted, and those who are posting jobs have no way of knowing it is off shore because he is hiding it - what a great way to get more of our jobs - not sure why this does not bother you. But as an American it bothers me
supposed to be, after people lose their jobs, they are forced to take part-time, lower-paying jobs..
with little to no benefits. service jobs. where are you going to work in a few years, when Medical Transcription is replaced by technology? McDonald's, Walmart? you really going to like that?
Several jobs on Monster & CareerBuilder for inhouse office jobs down there through an
s
A tip for keeping up..lol
I have MSN and it has "news" stories on there and I can customize it to how I like it. I believe other ISPs have it as well. I typically do not watch news because I have depressive disorder and there is never GOOD news (or at least very rarely) so better to just do it this way. LOL.
Log keeping
Sorry for the delay in responding, when I get typing I "get in the zone." LOL! Here is my code for keeping a log of my job IDs. It may be different depending on which platform you are typing on. I type on Enterprise (Webmedx).
{@KEY Alt+Z}{@PAUSE 2}{@KEY Alt+J}{@KEY Ctrl+C}{@KEY Alt+Z}{@PAUSE 2}{@KEY LWin}{@PAUSE 2}{@KEY N}{@PAUSE 2}{@KEY Alt+F}{@PAUSE 2}{@KEY O}{@PAUSE 2}{@KEY Tab}{@KEY Tab}{@KEY Tab}{@KEY Tab}{@KEY Tab}{@KEY Tab}{@KEY Tab}{@KEY Tab}{@KEY Enter}{@KEY Alt+N}joblog.txt{@KEY Alt+O}{@KEY Ctrl+End}{@KEY Enter}{@PAUSE 2}{@KEY Ctrl+V}{@KEY Ctrl+S}{@KEY Alt+F}{@KEY X}
SH will do very complex tasks, you just have to tell it exactly what to do! There are some downloads available on their wesite also. I did not think any of them helped me, but you never know! Hope this helped.
I did 3 jobs for a while about 3 years ago, you burn out quick, I was doing 3 MT jobs though...after
10 months I cut down to 2 as I don't like to have all my eggs in one basket. But I am considering going down to 1 in September for my sanity, its a good steady job so financally it should not be an issue. I have 2 right but have not worked the 1 in about 3 weeks due to some problems at their end, supposed to learn a VA account but not sure if I want to pursue it right now or not, they are waiting to hear from me at this point. I still have a lot going on with chemo, etc. so am mulling things over. But if you have a full-time day job, then I would just go with 1 part-time MT job at night, unless 1 is during the week, and the other weekends only, then of course you will be working 7 days a week, very tiring I know. I have been working 7 days a week for 3 years now but I do slack off now and then of course to recharge and get sleep etc. But burnout happens fast and I doubt you want to lose your day job so be careful. Good luck. 
keeping mail
There is an option in the Imail to have all mail forwarded, all you have to do is put in your personal email address and all Imail is automatically forwarded to you, easy as pie!!!
No pity from me, you are keeping yourself down.
So this company is hiring when there is no work, so they are misrepresenting themselves. You know that, so get out. How is whining on this board dealing with the situation? Any new hires will find it out soon enough and hopefully have the sense to leave. All the "discussing" in the world isnt going to pay your bills. And besides, no one said you couldn't discuss, just go do it on a blog where someone is going to care. We are getting sick of whiners who refuse to help themselves by taking action.
Keeping any child
I disagree. I would much rather home school a child than send them into what passes for education today. I support the mothers who home school!
Keeping faith
When I am facing adversity (everyday), I often think about all of the times in the past that I felt like giving up for one reason or another. No matter how bad the situation was...SOMETHING worked out. When I say worked out, I don't necessarily mean it worked out the way I wanted it to.
Example: I was in a situation where I was behind on my car payments and tried every avenue available to try to come up with the money. I prayed some serious prayers hoping for a miracle. Well, my car was repossessed. I now had terrible credit and didn't know what I was going to do. At this time, I was working outside of the home and had a 6 year old who had to be taken to and picked up from school. My car was repossed on a Wednesday and on Friday I found a guy in the newspaper classifieds who was selling an 8 year old toyota for $3000. I did not have this kind of money. I called him and asked if he would consider taking payments on the car and I explained my situation to him. He told me he did not know me and could not take payments. I went to bed that night in tears. At about 11pm that night my phone rang and it was the guy asking for my address. He had had a change of heart and wanted to bring me the car. Not only did he reduce the price of the car, but after I had made 3 payments on the car he called me and told me he wanted to come by and do a bill of sale so I could have the car (no more payments).
Another.. I also had lots of trouble with my young son in school. He has been suspended 3 times for excessive talking, getting out of his seat and being disrespectful. He is now in the third grade. I took him to the doctor one day and saw four disabled kids in the waiting room. Two of them were much older than my son, wearing diapers and in special wheelchairs. It may sound foolish, but, I was thankful that my son is healthy and able to run around to get into trouble. Some of us think we are going through a lot, but we really aren't when you compare your situation to someone else's. Life isn't easy for most people. Be thankful that things are as well as they are.
I have several other examples, but I'll spare you. My point is...we are still living and breathing and whether we realize it or not, things always "work out". I still have that car which is still very reliable and has gotten me where I needed to go. It's not nearly as nice as the car I lost but I was and am still very thankful to you know who for that situation. Hang in there guys.
And you keeping watching, don't you?
Why anyone would watch that show is beyond me, but to each his own. All 3 of those judges are nutty in their own way. If Simon had a Brookly accent instead of a British accent, no one would find him charming. Paula has always been a little looney - remember when she was married to Emilio Estevez?
All this friction between Simon and Paula is just a publicity stunt.
keeping track
Maybe that is a personal thing if you keep track of who the doc dictates and who he doesn't dictate for. All I know is that they can take it for granted and you can spend lots of time if you're not careful. Could it be a doc in Ravenna?
Keeping files
In the process of cleaning my office, I found at least 600 floppy discs with work that I have done over the years - some as long ago as 10 years ago. Would like to "dump" all of these and more, but am not sure how long one needs to keep files especially for accounts they no longer do. Is there a good "rule of thumb"?
Thank you.
Log keeping glitches
Sorry, I forgot to mention that notepad has to be used, not word pad. Also, note pad has to be the only program on your start menu that starts with the letter N.
More info on log keeping
I guess I got up too early this morning, my brain is not firing on all cyliders today. (Been up since 3 a.m.)
Okay here goes:
Requirements:
- The Notepad program needs to be listed in the Start Menu (it must be the only thing listed in the Start menu that begins with the letter “N”, please rename anything else beginning with “N”).
- A file needs to be created from within Notepad named joblog.txt and saved to the desktop – one time only
- Save the file at the end of your shift – by a different name –clear out the joblog.txt file to be used for your next shift
If you experience trouble with this entry working, you may need to increase the pauses within the entry.
I'm keeping a watch
on the MT Reference style guide. I think it will be better when it's done than the printed BOS.
Keeping the following post going...
Okay...here goes...
So, currently I work in-house at my local hospital. (Probably shouldn't mention this cuz it's rude, but just trying to give accurate information)..I make 16.47 an hour, plus benefits. I love my job and it is supporting me and my husband (who is in college at the time...graduating in JUNE!!!)...So, it's worth it. However, I have to deal with a LOT of crap from the other MTs in-house. Lots of bitterness, competitiveness, bi*chiness, etc. I am dealing with it because I know I am not going to do this forever. Which brings me to my next point:
Don't stay in this job for a long time!!! You won't go anywhere with it, if anything you will probably get laid off due to outsourcing. I, myself, am starting school for medical coding. I will be done with school ($2000) in June and then get started in my new career. If have been a medical Transcriptionist for 6 years and have done everything from psychiatric to internal medicine to sleep studies as an IC (and it's not worth being and IC in my opinion because of all the taxes you have to pay...big bucks) and my best job yet has been working in-house at my current job. However, like I said, MTing is not going to get you anywhere fast. If you want a job that takes you to the next level, go into coding. There are a lot more career opportunities out there and you can eventually work from home being a coder as well.
If I had to do it over I would have gone straight into coding (except for the fact that I got a lot of medical experience working as an MT). Good luck to all of you who decide to stick with MTing, but I don't think it will reward you in the future. I believe it is a dying profession and we all need to move on while the opportunity is here.
I pray for all of us to be able to support ourselves and our family! I know it's tough out there and we all are struggling to make end's meat. Just keep on keepin on and we'll all make it through some how.
Keeping work in US
Because I always believed Americans respected law and they paid on time. I never visited this site MTStars even, but when I did because of all the circumstances that this lady led me into, I found out it happens regularly to other US MTs too and that Americans are no different.
Keeping reports...
There was a thread this week about someone saying they kept reports as a sample of their ability. Everyone claimed this was against the HIPPA rules.
Well here we have an ad, and I hope I don't get in trouble, for posting this, but see below:
Let me know if you have experience in the field of neurosurgery and if you can, please provide work samples. If I get the information and qualifications quickly, we may have a chance to win this contract, and work for you.
Thanks!
Now, to me that sounds like you would need to send sample reports. Am I wrong here? I guess this proves that it is okay to save reports as long as the demographic information is deleted and it becomes basically a "sample report."
Just my 2 cents...
Right-it has nothing to do with keeping up with technology... sm
if it means compatibility with a company platform.
It was a matter of keeping the accounts
Didnt they say they had to because the work was out of TAT?
I am keeping a list of all the rotten
dictators I have typed over the last 10 years or more. Not the ones who try but have problems, but mostly the non-ESLs who are just sloppy and inconsiderate pigs. When I retire, I am calling each of them and telling them exactly what I think of them and how it really reflects on what kind of inconsiderate person they are. I can't wait for 2 months to pass!!!!!!!!!!!!!
td = 10/13/2005. in IT I just keeping adding them as td.
dd
More important to me is keeping my financial
info within the US. HIPAA allows many uses of unidentiable medical records to be distributed in many ways even within the US, not to mention overseas. There is no law that keeps my financial information confidential and within the boundaries of the US. Very little truly identifible information to connect medicall record A with a particular person other than by name is sent anywhere, even to MTSOs within the US.
Who wants my medical information? The College of Surgeons to help them identify ethnicities and trends in cancers, the AARP to help target demographic groups for products they sponsor and to "represent" when they pay their professional lobbying group in DC, the auto industry to decide my premiums, and on and on.
I got a Walmart credit card, was 7 days late in sending in my $10 minimum payment and got a call from India for collections. ???? Mailed in the account balance and closed the account. Then called all my credit companies to find out where their call centers were located. I now have only financial business with companies who keep my records in the US. That is my choice. There ARE 2 cases of people who sold US financial records being proscecuted by the Indian government and a total of 5 people are in jail for this.
To the OP, share with us your thoughts.
Michael: You've been missing a lot of work. Peter: I wouldn't really say I've been missing it.
are you not interested in keeping up to date
If not, then the Stedman's Work At Home is not for you. If on the other hand, you are interested in staying abreast of new technology and updates to words, then it is worth the money. For example, you may not be aware than LLW updated it's Stedman Spellcheck and the words in it are spelled more accurately than the words in the word books published before mid 2004. You may find errors in Stedman books that you will not find in the Work At Home package. You also get to ask about words you cannot document. I have used this feature and gotten an answer within an hour.
Very useful resource for the low price.
Keeping good thoughts for u nm
.
It sounds like your frustration is keeping you with
Companies do not seek out single people to put on the worst accounts, nor 2-income families for their best accounts.
We all have good and bad dictators.
Sounds like you need a good break. Hope you can arrange that soon.
Getting CMT may be least of it, keeping up with credits and renewel
zzzz
Keeping with the movie theme........
share with me the good movies you have seen in the past year (I like to get PayPerView and have picked some STRANGE stuff lately!!!)
Thanks!!!! 
I think keeping animals caged
or "boxed in" and this includes, birds, snakes, turtles, and yes, keeping cats inside a house for their entire life cheats them of being able to live in their natural environment and doing what comes naturally to their species. Their exercise is greatly reduced and so is their instinctive behavior to feed, hunt or whatever it is they do. How would you like to live inside a box for your entire life? Just my opinion, you are entitled to yours.
I have been on since 3 a.m. without a problem, so perhaps maybe the ISP is having problems keeping t
more help, but I truly have not had a problem. Hey, try this.....take down your modem and router for 30 seconds and restart and see if that fixes the connection. Who knows what happens with the "gremlins" but sometimes it just works better when we start fresh.
Hey, cool trick for log keeping. Can you tell us how you do it? :) nm
s
Keeping up cert costs too
I was a CMT for 20 years before I finally let it go. Only one company I worked for in all that time paid extra for the CMT; then they were bought by Medquist who didn't care. If you ever change companies - voluntarily or otherwise - the CMT may no longer bring you extra cash. Remember, too, that you'll have to pay to keep up the cert. I went to the conventions every year. They ran me at least $1000 then with registration, airfare, hotel, food, ground transportion, etc. Worked in-house then, and my employers didn't reimburse. I was *lucky* I could get my vacation then. It would probably be more now; everything else is. If you don't have PTO where you work, then it will cost you what you would have made for those days as well. Perhaps you're lucky and have a strong local chapter that will provide you CEs for much less cost and aggravation. If you use the articles in the Journal, it will still cost. Plus, it's not just any credit-worthy activity, it's one from column A, two from column B, etc. It makes it much harder to get what you need (which may or may not have anything to do with what you REALLY need to improve your skills). I didn't regret it while I was doing it, but I wouldn't do it again unless forced. I hoped for 20 years that it would mean more than *personal satisfaction*, but it never did.
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