AMERICA SPEAKS Poll Data Summary :: Volume 13 - Research!America
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AMERICA SPEAKS Poll Data Summary :: Volume 13
a message from research!america’s leadership Research!America is pleased to present America Speaks, Volume 13, a snapshot of newly released and relevant polling we have commissioned to provide a window into Americans’ views on issues related to biomedical and health research. On behalf of the 125 million Americans represented by our alliance, we express our gratitude to the United Health Foundation for its generous support of America Speaks. The findings reveal strong public support for research to improve health and health care, and yet there is a startling disconnect between the public’s views and the reality that government support for medical research has not kept pace with inflation — much less scientific discovery and the need to prevent, rather than wait to treat, so much of what ails us as a nation. In this context, it is difficult to understand why we haven’t made research for health a higher national priority. To the contrary, efforts to reign in government spending put research at unprecedented risk. Hon. John Edward Porter ★ ★ ★ ★ ★ CHAIR Americans recognize the value of research — in finding answers for incurable diseases, RESEARCH!AMERICA maintaining our global competitiveness and boosting the economy — to the extent that more than half say they would pay more in taxes if they knew the dollars were going to medical research. That finding and much more is highlighted in this booklet. Among polling results: ★ Nearly 60% of Americans say elected officials are not paying enough attention to combating deadly diseases. ★ 85% of Americans are concerned about stagnant funding for medical research. ★ Nearly 60% of Americans believe medical progress will slip in the U.S. if another country takes the lead in science and innovation. ★ Nearly 60% doubt the U.S. will be considered the number one world leader in science and technology by the year 2020. ★ Nearly 70% say it’s important that the federal research and development tax credit is made permanent. Mary Woolley ★ ★ ★ ★ ★ PRESIDENT We encourage our nation’s leaders to heed public sentiment and put medical innovation on the RESEARCH!AMERICA fast track, ramping up funding for research and shaping other public policy with an eye toward strengthening, rather than stalling, our nation’s research enterprise.
A m e r i c a S p e a k s :: 1 washington . . . . . . . . . . . . . . . . . 4 & research american leadership. . . . . . . . 6 & competitiveness research . . . . . . . . . . . . . . . . . . . . 8 funding research is. . . . . . . . . . . . . . . . . . 10 close to home 12 contents americans . . . . . . . . . . . . . . . . . . . weigh in on need for research methodology . . . . . . . . . . . . . . . 16 research!america . . . . . . . . . . 17 board of directors Look for these indicators throughout this publication: new question new question Not previously asked by Research!America. trend change trend change Indicates significant change from previous years. Due to rounding, the total may not add to 100% on some charts.
hot topics WORLD TAXES & LEADERSHIP SPENDING An increasing number of Most Americans say that the Americans doubt that the U.S. U.S. is not spending enough on will remain number one in medical research, either as a science and technology by the percentage of total health funding year 2020. Yet a majority of (only 5% is spent on research) Americans want our nation to or of all government funding maintain world leadership in (less than 2% goes to research). medical and health research; this Consistently over the past two is a consistent poll finding over decades, more than half of many years. Americans say they’re willing to pay $1 more in taxes if they were certain the money would be spent ★ ★ ★ ★ ★ for additional medical research. ★ ★ ★ ★ ★
A m e r i c a S p e a k s :: 3 SUPPORT FOR HEALTH ISSUES RESEARCH OF GREATEST CONCERN Support for federally funded Twenty years ago, AIDS was basic research has been robustly ranked the number one national positive for decades. Further, health concern, followed by most Americans agree that it’s cancer, the cost of health care and important to fund clinical research heart disease. Since then, research and research that focuses on has helped save countless lives improving our health care system, and continues to drive progress. as well as research that reduces In 2012, the cost of health care health disparities and expands is ranked number one, followed regulatory science. Americans by obesity, cancer, mental health, overwhelmingly see research as heart disease and diabetes. part of the solution to what ails us. ★ ★ ★ ★ ★ ★ ★ ★ ★ ★
4 :: A m e r i c a S p e a k s “We … are all trying to look toward creating “The investment we make [in the that environment that will bring about this National Institutes of Health] — in incredible return that science has done for the short term and the long term us in improving our lives, saving our lives — will not only have economic and having an extraordinary impact on the benefits, it will also have the economy and the job situation in this country.” human benefits.” House Majority Leader Eric Cantor (R-VA) House Minority Whip Steny Hoyer (D-MD) ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ washington & research Many Ways to Fuel the Economy Officials Aren’t AGREE 19 Paying Enough % new question How important a role does each of the following play in Attention to creating jobs and fueling the economy? Deadly Diseases new question 59 % DISAGREE supporting small businesses 64 % 27 % 4 1 3 % % % Do you agree or disagree that investing in education 60 % 29 % 5 3 3 % % % elected officials in Washington reducing the federal deficit are paying enough attention 22 % not sure 59 % 29 4 4 % % % 5 % to combating the many deadly investing in energy diseases that afflict Americans? 56 % 32 % 6 1 4 % % % providing tax cuts 49 % 34 % 10 3 4 % % % *{ investing in medical innovation 44 % 39 % 10 3 4 % % % investing in infrastructure 43 % 38 % 9 3 % % 7 % very somewhat not too not important not important importantimportant at all sure Source: A Research!America poll of U.S. adults conducted in Source: A Research!America poll of likely voters conducted in partnership with Zogby Analytics in December 2012. partnership with Zogby Analytics in August 2012.
A m e r i c a S p e a k s :: 5 Congress, More than Half of Administration 32 % very important Americans Willing to 54 % yes Should Take Pay Tax for Research trend change Action on somewhat Would you be willing to pay yes answers increased 40 important Expanding % $1 per week more in taxes if 28 % no Research you were certain that all of the money would be spent on 21 new question % not too important additional medical research? How important is it that 19% not sure the president and the new not important 5 % at all Congress take action on 2 % not sure expanding medical research Source: A Research!America poll of U.S. adults conducted in partnership with Zogby Analytics in December 2012. in the first 100 days of the 113th Congress? Source: A Research!America poll of U.S. adults conducted in partnership with Zogby Analytics in December 2012. Important for 48 % very important Elected Officials to Listen to Health Professionals 37 somewhat important Research Ranks with Defense, % How important is it that Taxes as Washington Priority elected officials at all new question 8 % not too important levels listen to advice from Indicate the value you perceive that elected officials scientists and public health 1 not at all important in Washington assign to each of the following: professionals? 7% not sure national defense 48 % 30 % 14 5 3 % % % Source: A Research!America poll of U.S. adults conducted in tax reform partnership with Zogby Analytics in December 2012. 32 % 27 % 22 % 16 3 % % *{ medical and health research 27 % 31 % 25 % 14 3 % % “In this time of severe budget constraints, Americans need to public education know that today’s basic research is the engine that powers 26 % 27 % 29 % 15 3 % % tomorrow’s therapeutic discoveries. They need to know that *{ science and math education 20 % 26 % 33 % 18 4 % % basic research is the type of science that the private sector, very somewhat somewhat very not important important unimportant unimportant sure which requires rapid returns on investment, cannot afford to fund. They need to know that, because it is impossible to predict whence the next treatment may emerge, the nation must support a broad portfolio of basic research.” Francis Collins, MD, PhD Director, National Institutes of Health Source: A Research!America poll of likely voters conducted in partnership with Zogby Analytics in August 2012. ★ ★ ★ ★ ★
6 :: A m e r i c a S p e a k s “In today’s changing economic landscape, science and technology are the new frontiers of American prosperity. The nation’s well-being and global competitiveness depend, more than ever before, on the steady stream of new ideas and the highly skilled science, technology, engineering and mathematical talent that the National Science Foundation supports, and particularly the young researchers that NSF so skillfully nurtures.” Subra Suresh, MS, ScD Director, National Science Foundation american ★ ★ ★ ★ ★ leadership & competitiveness Over Half Doubt Almost Half 41 united states 39 YES U.S. Leadership Believes U.S. Doesn’t % % in Science and Have Best Health Technology in 2020 25 % china Care in the World 48 % NO new question Do you believe the United In your view, which of the 5 % india States has the best health care following will be considered 5 % european union system in the world? 13 % not sure the number one world leader 1 brazil in science and technology in 23 % not sure the year 2020? A Research!America poll of likely voters conducted in partnership with Zogby Analytics, with support from United for Source: A Research!America poll of U.S. adults conducted in Medical Research, in September 2012. partnership with Zogby Analytics in December 2012.
A m e r i c a S p e a k s :: 7 Medical Progress strongly Americans 23 % Suffers if U.S. agree Feel Government 70 % YES Loses Innovation Should Encourage Leadership 37 % somewhat agree STEM Careers new question new question 17 % NO “Medical progress will slip in Do you believe the federal somewhat government should increase the U.S. if another country 22 % disagree 13 % not sure takes the lead in science, support for programs and policies strongly that would increase the number technology and medical 7 % disagree innovation.” of young Americans who pursue careers in science, technology, 11 % not sure engineering and mathematics? Source: A Research!America poll of U.S. adults conducted in partnership with Zogby Analytics in December 2012. Source: A Research!America poll of likely voters conducted in partnership with Zogby Analytics in August 2012. “Research, especially basic research in the STEM fields, is critical to improving health and preventing disease long term.” Rep. Dan Benishek, MD (R-MI) Important to Make R&D very ★ ★ ★ ★ ★ 29 % important Tax Credit Permanent Since 1981, the federal government has offered a tax credit to businesses 39 % somewhat U.S. World important pursuing research and development Leadership Matters 65 % statement a activities. This credit is not new question permanent, however, and has to not too 10 % important Which of the following statements be reconsidered regularly. This prevents businesses from being not at all is closer to your view? Statement 5% important 23 % statement b able to plan ahead when it comes A: It is important that the U.S. to R&D spending. How important is a leader in medical and health 17 % not sure is it that the federal research and research. Or Statement B: It does 12% not sure development tax credit is made not matter where in the world permanent? medical and health research takes place — in today’s world, U.S. consumers will benefit regardless. Source: A Research!America poll of U.S. adults conducted in Source: A Research!America poll of likely voters conducted in partnership with Zogby Analytics in December 2012. partnership with Zogby Analytics in March 2012.
8 :: A m e r i c a S p e a k s “If you think research is expensive, try disease.” Mary Lasker (1901-1994) ★ ★ ★ ★ ★ research funding Majority Has 7 % very positive Wide Majority a great Negative Reaction to somewhat Concerned About Effects 43 % concern Decreased Medical 18 % positive of Stagnant Funding Research Funding new question somewhat of new question 37 % somewhat negative Science and technology are 42 % a concern After adjusting for inflation, the responsible for about half of our amount of money spent by the economic growth since World War II. not much of 20 % very negative Flat and decreasing federal investment 7 % a concern federal government on medical in research creates an uncertain future 2 % no concern and health research has declined over the past five years. Hearing 18 % not sure for scientists. As a result, scientists 5 % not sure this, what is your reaction to the may leave their profession or move >1 refused abroad and use their scientific training decline in spending? in countries with strong and stable investments in research. In your judgment, what level of concern is this to the United States? Source: A Research!America poll of likely voters conducted in Source: A Research!America poll of likely voters conducted in partnership with Zogby Analytics in March 2012. partnership with Zogby Analytics in March 2012.
A m e r i c a S p e a k s :: 9 Research is 16 % federal government Nearly Half Say 9 % too much Funded by state Government Funding Many Sectors 6 of Medical Research % government 27 % about right new question 11 % industry Isn’t Enough Which of the following 3% academia/universities new question is responsible for funding philanthropy 2% Roughly one-and-a-half percent biomedical and health 48 % not enough of government spending is research? 42 % all of the above allocated for biomedical and health research. Would you say that amount is … 17 % not sure 20 % not sure Source: A Research!America poll of U.S. adults conducted in Source: A Research!America poll of U.S. adults conducted in partnership with Zogby Analytics in December 2012. partnership with Zogby Analytics in December 2012. Wide Range of Estimates on 33 % one percent }correct answer “The NIH offers our best hope for treating or Government curing debilitating diseases like heart disease, Funding of Medical cancer and diabetes and so many other 17 % five percent Research illnesses that American families battle every new question day. It is also our best hope for containing the Just your best estimate, 15 % ten percent increasing health care costs associated with the what percentage of twenty-five aging of the Baby Boomer generation.” government spending is 5% percent allocated for biomedical Sen. Richard Burr (R-NC) and health research? 30 % not sure ★ ★ ★ ★ ★ Source: A Research!America poll of U.S. adults conducted in partnership with Zogby Analytics in December 2012.
1 0 :: A m e r i c a S p e a k s “The timeline of expectation of getting an idea from “Nonpartisan, peer-reviewed an idea stage into a marketplace on the life sciences social and behavioral research side is exponentially higher than it is on the IT/telecom is crucial in providing factual side. Who’s going to put the dough in on the front end? guidance to both the private and At some level, it has to be those public investments.” public sector.” Sen. Mark Warner (D-VA) Gary Becker, PhD, and James Heckman, PhD ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ research is close to home Quality of Only 1 in 5 8 1-10 states 22 % % yes, a great deal Life Has Been Knows 16 11-25 states Improved Research % by Medical Conducted 11 % 26-40 states 44 % yes, somewhat Research Nationwide new question new question 10 % more than 40 states Thinking of the last To the best of your 19 % all states }correct answer decade, would you say 24 % no knowledge, would you that your quality of life say that medical has been improved by research in the U.S. 36 % not sure medical research? 11 % not sure is conducted in: Source: A Research!America poll of likely voters conducted in Source: A Research!America poll of U.S. adults conducted in partnership with Zogby Analytics in August 2012. partnership with Zogby Analytics in December 2012.
A m e r i c a S p e a k s :: 1 1 “I think it’s incumbent upon all of us, because we’ve all used this word, ecosystem, to make sure that students, young people, all of us who are in the industry understand that it is not only interdependent, but it is necessary, beneficial and can be rewarding no matter where you are in that process … All of it feeds together. And it shouldn’t be competitive, but rather it should be mutually supportive.” John Castellani, President and CEO, PhRMA ★ ★ ★ ★ ★ Research is Americans Willing 40 very important Important to Share Health % 66 % yes to State Information to Economies 42 % somewhat important Advance Research new question How important do 18 % no you think research and Assuming that appropriate development is to your 9 % not too important privacy protections were used, state’s economy? would you be willing to share 16 % not sure 1 not at all important your personal health information 9 % not sure to advance medical research? Source: A Research!America poll of U.S. adults conducted in Source: A Research!America poll of U.S. adults conducted in partnership with Zogby Analytics in December 2012. partnership with Zogby Analytics in December 2012. the food and drug administration should Opinions Split Plurality Says move more quickly in 38 % order to get new on Whether FDA Should treatments to patients, even if it means 46 % yes there may be risks. Health Care is Move More the fda should act Based on Latest Quickly, Even more slowly in order to reduce risk, even if 19 Research If It Means % it means patients may wait longer for treatments. Do you believe that the 37 % no More Risk health care services you Which of the following receive are based on the 26 % neither statements comes closer best and most recent 17% not sure to your view? research available? 17 % not sure Source: A Research!America poll of U.S. adults conducted in Source: A Research!America poll of U.S. adults conducted in partnership with Zogby Analytics in December 2012. partnership with Zogby Analytics in December 2012.
1 2 :: A m e r i c a S p e a k s “I believe investments in research and innovation have broad economic benefits for our society. If we can invest in medical research that creates jobs today and solves health care challenges tomorrow, everyone wins.” Rep. Joseph Kennedy (D-MA) ★ ★ ★ ★ ★ americans weigh in on need for research Very Wide Majority very Important to 48 % very important of Americans 38 % important Fund Research Say Investment in on U.S. Health Regulatory Science somewhat 39 somewhat 46 % important Care System is Important % important How important is it that our not too How important would you say it 5 % important 7 % not too important nation support research that not at all is that the U.S. invest in advancing 2 not at all focuses on improving how important regulatory science to make the 3 % important % our health care system is 7 % not sure drug and device development 6 % don’t know functioning? process more efficient for businesses and safer for patients? Source: A Research!America poll of U.S. adults conducted in Source: Your Congress – Your Health Survey, March 2011 partnership with Zogby Analytics in December 2012. Charlton Research Company for Research!America
A m e r i c a S p e a k s :: 1 3 “There needs to be more research done. We need a cure. I might be next.” Research is Part Wanda Richardson Alzheimer’s caregiver of the Solution 54 % part of the solution ★ ★ ★ ★ ★ to Rising Health Care Costs part of the “We need more prevention investments, not less. When it comes to rising 23 % problem Currently close to half of Americans have at least health care costs, would you say research to improve one chronic disease. Together, these conditions health is part of the problem 22 % not sure count for 75% of all health care spending and are or part of the solution? estimated to cost employers $73 billion a year. We all pay the price for poor health.” Mary Pittman, DrPH President and CEO, Public Health Institute ★ ★ ★ ★ ★ Source: National Public Opinion Poll, October 2011, Zogby Analytics for Research!America Nearly Half Say CER Cost of Health Care is Most cer will Will Be Beneficial for 49 % improve health Critical Health Issue in America Health Care System care What would you say is the single most important health issue new question facing the nation? cer will Comparative effectiveness research limit cost of health care compares ways to prevent, 19 % health care 61 % options obesity diagnose, treat and monitor 18 % cer will health conditions. This research have cancer 6 % no impact 6 % analyzes two or more treatments on health mental health care for the same health condition to 3 % determine which works best for a heart disease 26 not sure 2 % % certain patient population. Which diabetes of the following statements comes 2 % other closer to your view? 4 % not sure 5 % Source: A Research!America poll of U.S. adults conducted in Source: A Research!America poll of likely voters conducted partnership with Zogby Analytics in December 2012. in partnership with Zogby Analytics in August 2012.
1 4 :: A m e r i c a S p e a k s Most Agree that Nearly Even the goverment has no 32 Basic Research strongly agree Split on role in funding or % 40 % conducting behavioral research since there is Necessary Government is an individual choice. Do you agree or disagree 42 % somewhat agree Role in society bears much of with the following statement? Behavioral the cost of unhealthy behavioral choices so “Even if it brings no 41 immediate benefits, basic Research % it is valuable for the government to be 11 % somewhat disagree new question involved in research to address it. scientific research that advances the frontiers of 6 % strongly disagree Which of the knowledge is necessary and following comes 19 % not sure should be supported by the 10 % not sure closer to your federal government.” opinion? Source: A Research!America poll of U.S. adults conducted Source: A Research!America poll of U.S. adults conducted in in partnership with Zogby Analytics in December 2012. partnership with Zogby Analytics in December 2012. trend change percentage saying Americans “somewhat favor” increases Important to Favor Expanding 27 % strongly favor Conduct Research 36 % very important Funding for to Eliminate ESC Research Health Disparities somewhat 34 % somewhat favor 38 % important Do you favor or Studies show that certain oppose expanding health problems such as federal funding for diabetes, heart disease and somewhat 11 % somewhat oppose 10 % unimportant research using infant mortality happen more embryonic stem cells? often among minorities or 5% very unimportant 13 % strongly oppose citizens with lower incomes. How important do you feel it 10 % not sure is to conduct medical or health 15 % not sure research to understand and eliminate these differences? Source: A Research!America poll of likely voters conducted in Source: A Research!America poll of likely voters conducted partnership with Zogby Analytics in August 2012. in partnership with Zogby Analytics in August 2012.
A m e r i c a S p e a k s :: 1 5 Important for very the U.S. to 40 % important Support Global Health Research somewhat 38 % important “The issue of whether the United States should How important would you say it is that the U.S. work be spending money on AIDS policy and global to improve health globally 10 % not too important health in light of this debt is something that through research and comes up quite often. The first answer is it’s not not at all innovation? 4 % important the reason why we have a debt. We don’t have 9 % not sure a debt because of foreign aid … In fact if you zeroed out foreign aid it would do nothing for the debt, but it would be devastating not just for the world, but for America’s role in it.” Sen. Marco Rubio (R-FL) Source: A Research!America poll of U.S. adults conducted in ★ ★ ★ ★ ★ partnership with Zogby Analytics in December 2012. Sen. Marco Rubio (R-FL) “Researchers know very little about TBI Americans: 7 % too much [traumatic brain injury], and more research is More Investment desperately needed to enhance our understanding Needed for of the disease and ultimately develop effective 33 about right Military Veterans % treatments and prevention strategies.” Would you say government investment in health Retired Army Gen. Peter Chiarelli research for the benefit CEO, One Mind for Research 48 % not enough of military veterans and ★ ★ ★ ★ ★ service members is … 12 % not sure Source: A Research!America poll of U.S. adults conducted in partnership with Zogby Analytics in December 2012.
1 6 :: A m e r i c a S p e a k s Research!America began commissioning polls in 1992 in an effort to understand public attitudes toward medical, health and scientific research. The results of Research!America’s polls have proven invaluable to our alliance of member organizations and, in turn, to the fulfillment of our mission to make research to improve health a higher national priority. In response to growing usage and demand, Research!America has expanded its portfolio, which includes state, national and issue-specific polling. Poll data is available by request or at www.researchamerica.org. ★ ★ ★ ★ ★ Survey Methodology Online polls are conducted with a sample size of 800-1,052 adults (age 18+) and a maximum theoretical sampling error of +/- 3.2%. Data are demographically representative of adult U.S. residents. Polling in this publication was conducted by Zogby Analytics and Charlton Research Company.
A m e r i c a S p e a k s :: 1 7 research!america board of directors OFFICERS *Victor J. Dzau, MD Hon. Kweisi Mfume Chancellor for Health Affairs, Duke U.S. Representative, 1987-1996 CHAIR University; President and CEO, Duke *Hon. John Edward Porter University Health System Elizabeth G. Nabel, MD Partner, Hogan Lovells; President, Brigham and Women’s U.S. Representative, 1980-2001 Joseph M. Feczko, MD Hospital; Professor, Harvard Medical School; Former Director, National Heart, VICE CHAIR *Jay A. Gershen, DDS, PhD Lung and Blood Institute *Martha N. Hill, PhD, RN President, Northeast Ohio Medical University Dean of the School of Nursing, and *Herbert Pardes, MD Professor of Nursing, Medicine & Public † Carol W. Greider, PhD Executive Vice Chairman, Board of Trustees, Health, Johns Hopkins University Professor, The Johns Hopkins University NewYork-Presbyterian Hospital School of Medicine PRESIDENT Sudip S. Parikh, PhD *Mary Woolley *Harry Johns Vice President, Health Policy; Director, CEO, Research!America President and Chief Executive Officer, Center for Analytics & Public Health; Alzheimer’s Association Battelle Health & Life Sciences, Battelle SECRETARY Memorial Institute *Georges C. Benjamin, MD *Jackie Lovelace Johnson Executive Director, American Public Chair of the Board, Lovelace Respiratory John R. Seffrin, PhD Health Association Research Institute Chief Executive Officer, American Cancer Society *Evan Jones TREASURER Managing Member, jVen Capital *Larry J. Shapiro, MD *Mary J.C. Hendrix, PhD Executive Vice Chancellor for Medical Affairs, President and Scientific Director, Elizabeth Baker Keffer Washington University in St. Louis Ann & Robert H. Lurie Children’s President, Atlantic LIVE and Quartz LIVE; Hospital of Chicago Research Center Senior Vice President/Group Publisher — Live Ellen Sigal, PhD Events, Atlantic Media Company Chairperson and Founder, Friends of Cancer Research BOARD MEMBERS Hon. Patrick Kennedy Tenley E. Albright, MD U.S. Representative, 1995-2011 Laing Rogers Sisto Director and Founder, MIT Collaborative Community Leader Initiatives; Visiting Scientist, Massachusetts Debra R. Lappin, JD Institute of Technology; Lecturer in the Counsel, FaegreBD Consulting *Jack T. Watters, MD Program of Surgery, Harvard Medical School Vice President for External Medical *Alan I. Leshner, PhD Affairs, Pfizer Inc Nancy Brown CEO, American Association for the Chief Executive Officer, American Advancement of Science Keith Yamamoto, PhD Heart Association Vice Chancellor for Research, *Lucinda Maine, PhD, RPh University of California, San Francisco *Hon. Michael N. Castle Executive Vice President & CEO, American Partner, DLA Piper; Association of Colleges of Pharmacy Elias A. Zerhouni, MD U.S. Representative, 1993-2011 President, Global Research & Mark McClellan, MD, PhD Development, Sanofi Susan Dentzer Director, Engelberg Center for Health Care Editor-in-Chief, Health Affairs Reform; Senior Fellow, Economic Studies; Leonard D. Schaeffer Chair in Health Policy *Executive Committee Member Studies; Brookings Institution † Nobel laureate
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