Direct Primary Care & Healthcare

Explore conversations about direct primary care, preventive medicine, healthcare access, medical costs, and the relationship between patients and their healthcare providers.

Learn how membership-based primary care works, how it differs from traditional healthcare, and how more accessible, personalized care can help patients better understand and manage their health.

PODCAST INTERVIEWS & CONVERSATIONS

Direct Primary Care and Healthcare Videos

Browse interviews about direct primary care, healthcare access, preventive medicine, medical costs, patient-provider relationships, and new approaches to delivering more personal and accessible care.

Why This Doctor Chose DPC: Restoring Trust, Time, and Meaning in Primary Care

What happens when good doctors are worn down by a system that leaves no room for relationships, compassion, or the art of medicine?

Dr. John Sanders talks with Florida family physician ...Dr. Rebecca Bernard about physician burnout, compassion fatigue, trust, emotional intelligence, and the path from a traditional healthcare system to direct primary care.

They explore how DPC gives physicians time to listen, helps patients feel safe, restores meaning to medical work, and creates space for doctors to become more complete human beings. Dr. Bernard also shares lessons from rural medicine, psychology, motivational interviewing, and nearly a decade of independent practice.

This conversation is for physicians considering a different model of care, patients searching for a more personal healthcare relationship, and anyone who believes medicine needs its humanity back.

Subscribe to the Voyage Clinics Podcast for more conversations about direct primary care, wellness, and rebuilding healthcare around real relationships.

CHAPTERS
00:00 Meet Dr. Rebecca Bernard
03:54 Sociology and the art of medicine
07:33 Direct primary care brings humanity back
08:43 How the system burns out good doctors
10:47 Rekindling purpose through DPC
12:55 Trust, safety, and sudden gains
15:11 How DPC can save family medicine
18:00 Rural roots and serving underserved patients
21:00 The cost of a service-driven career
24:00 Recognizing compassion fatigue
27:00 Giving independent practice one year
30:00 Escaping learned helplessness
33:01 Psychology tools for physicians
38:38 Breaking the cycle of healthcare trauma
45:07 Restoring trust and hope in medicineShow More

Why This Doctor Chose DPC: Restoring Trust, Time, and Meaning in Primary Care

What happens when good doctors are worn down by a system that leaves ...

Health Insurance Is Breaking Business | How Employers Can Take Back Control with DPC

Healthcare costs keep climbing, and many employers feel trapped ...

Healthcare costs keep climbing, and many employers feel trapped between protecting their people and protecting the business. Dr. John Sanders sits down with employee-benefits expert Dennis Walker to examine why ...the traditional insurance system is becoming unsustainable—and what business owners can do differently.

Dennis explains how insurance carriers, pharmacy pricing, broker incentives, and a lack of transparency can drive costs upward. He also shares why employers need an engaged broker who will challenge renewals, examine the numbers, negotiate aggressively, and build a long-term strategy instead of simply accepting another increase.

The conversation explores how Direct Primary Care can become part of a smarter employee-benefits plan by giving employees easier access to relationship-based care while helping employers create a more predictable healthcare strategy. Dr. John also explains how Voyage Clinics helps patients find affordable medications, imaging, procedures, and ongoing primary care without insurance controlling every decision.

In this episode:
• Why employer healthcare costs continue to rise
• How pharmacy rebates and hidden pricing affect health plans
• Why the right broker should actively advocate for the employer
• How CEOs can take ownership of their company’s healthcare strategy
• Ways Direct Primary Care can complement employer benefits
• Why transparent, relationship-based care can serve employees better
• Questions business owners should ask before their next renewal

This conversation is educational and is not insurance, financial, legal, or individualized medical advice. Employers should review benefit-plan decisions with qualified professional advisers.

Learn more or sign up for Direct Primary Care with Voyage Clinics:
https://voyageclinics.com

Direct Primary Care gives members easier access to their physician, longer visits, transparent membership pricing, and relationship-focused care without insurance billing driving the visit.

CHAPTERS
00:00 The employer healthcare crisis
03:59 Dennis Walker’s path into employee benefits
06:37 Why insurance premiums keep rising
08:13 Why passive brokering has to end
10:35 Pharmacy rebates and hidden plan costs
13:43 ACA profit caps and perverse incentives
22:40 How to choose an accountable broker
28:45 Putting Direct Primary Care at the center
30:05 How self-funded health plans work
34:05 Using stop-loss coverage to manage risk
36:27 Level-funded plans for smaller employers
40:01 Cash pricing versus hospital pricing
44:32 Reference-based pricing explained
51:40 Building effective DPC networks
57:02 Why the CEO must own healthcare strategyShow More

Dr. John and Neer Patel | Breaking the Chains of Healthcare with DPC-Centered Plans

In this episode of the Voyage Clinics Podcast, Dr. John Sanders sits ...

In this episode of the Voyage Clinics Podcast, Dr. John Sanders sits down with Neer Patel, a former engineer turned benefits innovator, whose wife, like Dr. Sanders, a Direct Primary ...Care physician. Together, they explore how their families have become advocates for a more transparent and values-driven healthcare system. Neer shares his journey from corporate America into healthcare entrepreneurship, explaining how his background in sales and marketing helped grow his wife’s DPC practice by educating both patients and business owners about the real costs of care and the power of the DPC model.

As their conversation deepens, Neer explains how repeated talks with business owners exposed a common problem: unsustainable insurance premiums that prevented employers from offering DPC memberships to their teams. Determined to solve it, he dove into the health insurance world and discovered how hidden network contracts and inflated claims drive up costs. That realization led him to co-found a company that removes traditional network contracts, brings transparency to pricing, and integrates DPC at the core of employer health plans, all designed to eliminate waste and return advocacy to the heart of healthcare.

Dr. Sanders and Neer discuss how Neer’s approach parallels the DPC movement itself, cutting out middlemen, focusing on real relationships, and giving patients and employers control over their healthcare dollars. By combining DPC’s personalized care with an actively managed, transparent coverage model, they demonstrate how businesses can provide better healthcare at lower costs while restoring trust, clarity, and compassion to the system.

Disclaimer: The content provided in this podcast is for informational purposes only and is not intended as medical advice nor as a substitute for professional medical consultation, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.Show More

Skip the Insurance Runaround | A Better Primary Care Model for Families and Employers

Healthcare in America can feel expensive, complicated, and controlled ...

Healthcare in America can feel expensive, complicated, and controlled by forces that families and business owners cannot influence. In this solo episode, Dr. John Sanders explains how Direct Primary Care ...offers a simpler, more personal way to access everyday healthcare.

Dr. John describes the affordable membership model used at Voyage Clinics and his “four A’s” of Direct Primary Care: affordability, availability, affability, and accessibility. Instead of insurance billing directing each visit, members have a physician helping them navigate care, compare options, and find reputable services at transparent prices.

He shares examples of lower-cost laboratory testing, X-rays, imaging, and medications, along with a real story of helping a family evaluate and treat a child’s broken wrist quickly. He also explains why many Voyage Clinics members keep insurance for catastrophic expenses while using Direct Primary Care for accessible, relationship-based primary care.

In this episode:
• Why healthcare is difficult for families and businesses to navigate
• How a Direct Primary Care membership works
• The four A’s of DPC
• Transparent prices for common healthcare services
• Faster access to a physician who knows you
• Why insured families may still spend less with DPC
• The role of insurance for catastrophic medical expenses
• How Direct Primary Care is growing nationally

This episode is educational and does not provide individualized medical, insurance, or financial advice.

Learn more or sign up for Direct Primary Care with Voyage Clinics:
https://voyageclinics.com

Direct Primary Care gives members easier access to their physician, longer visits, transparent membership pricing, and relationship-focused care without insurance billing driving the visit.

CHAPTERS
00:00 Why American healthcare feels difficult to navigate
00:50 The Direct Primary Care movement
01:02 How the affordable membership model works
01:13 The four A’s of Direct Primary Care
01:31 A physician advocating for your family
01:43 Lower-cost labs, imaging, and medications
02:22 A grassroots movement changing healthcare
02:58 A broken wrist and same-day physician access
03:32 Why insured families still choose DPC
03:55 Using insurance for catastrophic expenses
04:19 How quickly Direct Primary Care is growing
04:41 A transparent option for families and businessesShow More

Why Trust Is the Foundation of Better Healthcare | Darrell Moon on Direct Primary Care

What would healthcare look like if it were designed around trust, ...

What would healthcare look like if it were designed around trust, relationships, and the goals people have for their lives?

Dr. John Sanders talks with nationally recognized Direct Primary Care advocate ...Darrell Moon about why the traditional healthcare system often works against the needs of patients, physicians, and employers—and how relationship-based primary care offers a better path.

Darrell shares his journey from hospital administration to rethinking healthcare through the quality principles of W. Edwards Deming. He explains what business leaders can learn from Southcentral Foundation’s Nuka System of Care, where listening to customers and building long-term relationships helped create extraordinary satisfaction and health outcomes.

Dr. John and Darrell discuss why trust can be as important as clinical science, how genuine listening changes a medical visit, and why employers are increasingly paying for Direct Primary Care. They also explore employee loyalty, self-funded health plans, transparent pricing, independent referrals, and using real quality data to help patients find better specialty care.

In this episode:
• Darrell Moon’s path through hospital administration and healthcare leadership
• What W. Edwards Deming’s quality principles reveal about American healthcare
• Why patients, physicians, and employers are poorly served by current incentives
• Lessons from the Nuka System of Care
• Why relationship and trust improve the healthcare experience
• How vulnerability, gratitude, and listening build stronger clinical relationships
• Why employers are investing in Direct Primary Care
• Healthcare benefits, employee loyalty, and the “dream manager” idea
• Fully insured versus self-funded health plans
• Independent referrals, transparent prices, and better specialty care decisions

This conversation is educational and does not provide individualized medical, insurance, legal, or financial advice.

Learn more or sign up for Direct Primary Care with Voyage Clinics:
https://voyageclinics.com

Direct Primary Care gives members easier access to their physician, longer visits, transparent membership pricing, and relationship-focused care without insurance billing driving the visit.

CHAPTERS
00:00 Meet Direct Primary Care advocate Darrell Moon
01:21 Darrell’s journey into hospital administration
04:56 W. Edwards Deming and designing for the customer
06:30 Who is the real customer in American healthcare?
09:00 When healthcare incentives conflict with core values
11:01 Lessons from the Nuka System of Care
15:01 Healthcare as a partnership in life’s journey
19:13 Why relationship and trust can transform care
21:00 Vulnerability, gratitude, and genuinely listening
26:00 Why major employers are paying for DPC
30:00 Healthcare benefits, retention, and employee loyalty
35:31 Self-funded plans and misaligned insurance incentives
38:00 Competing on healthcare cost and quality
42:00 Independent referrals and transparent prices
44:00 Using outcome data to choose specialty care
47:57 A call for patients and employers to expect moreShow More

Custom Medicine Changes Everything | How Compounding Pharmacies Personalize Doses and Delivery

Standard medications work well for many people—but patients are not ...

Standard medications work well for many people—but patients are not standard. In this episode, family physician Dr. John Sanders talks with pharmacist Chris Cox of Smith Rexall Drug about how ...compounding pharmacies customize medications when commercially available products do not provide the right dose, strength, delivery method, ingredients, or price.

Chris explains how compounding can help fill gaps in care by creating capsules, creams, sprays, suppositories, liquids, and other formulations around an individual patient's needs. He shares how his pharmacy developed solutions through collaboration with clinicians, careful testing, and lessons learned from challenging real-world cases.

The conversation also examines the pressures affecting retail pharmacy: high prescription volume, pharmacy benefit managers, insurance reimbursement, shrinking margins, medication access, and the tradeoffs between affordability and quality. Dr. John and Chris clarify how compounded medications are regulated, why customized formulations are not individually FDA approved, and how off-label prescribing already functions throughout medicine.

They explore common applications including pain, dermatology, gastrointestinal and rectal conditions, erectile dysfunction, veterinary medicine, bioidentical hormone replacement, thyroid treatment, and GLP-1 medications. Chris also explains why ingredient sourcing, potency testing, staff validation, consistent manufacturing, and appropriate dosing matter for safety and reliable results.

In this episode:
• What a compounding pharmacy does
• Custom doses, strengths, ingredients, and delivery methods
• When commercial medications leave gaps in treatment
• Retail pharmacy, insurance, and PBM pressures
• Affordability, access, and medication quality
• How compounding pharmacies are regulated
• FDA-approved ingredients versus customized formulations
• Pain, dermatology, GI, hormone, thyroid, and veterinary uses
• Bioidentical hormone replacement and careful dosing
• Ingredient quality, potency variation, and laboratory testing
• How clinicians and compounding pharmacists collaborate

This conversation is educational and is not individualized medical or pharmaceutical advice. Compounded medications have specific benefits, risks, quality considerations, and regulatory requirements. Discuss any treatment decision with a qualified prescriber and licensed pharmacist who understand your medical history.

Learn more or sign up for Direct Primary Care with Voyage Clinics:
https://voyageclinics.com

Direct Primary Care gives members easier access to their physician, longer visits, transparent membership pricing, and relationship-focused care without insurance billing driving the visit.

CHAPTERS
00:00 What compounding pharmacy can do differently
01:04 Chris Cox's path into independent pharmacy
02:36 Finding treatment gaps and building custom solutions
05:45 Early trial, error, and learning from patients
06:01 Independent pharmacy versus the corporate model
08:23 Making care affordable, available, and effective
10:42 Insurance bureaucracy and the retail pharmacy grind
12:17 PBMs, reimbursement, and why pharmacies lose money
15:01 How compounding operates outside the PBM system
18:18 Why personalized medicine is difficult to scale
20:10 Regulation, FDA approval, and off-label use
24:02 Policy, access, and changing pharmacy rules
27:01 Safety concerns and injectable compounding
29:46 Customizing dose, strength, and delivery
32:20 Pain, GI, dermatology, ED, and veterinary applications
36:08 Bioidentical hormone replacement therapy
39:01 Reasonable dosing and the danger of overtreatment
42:00 Changing guidance and hormone therapy access
45:00 Managing side effects with customized formulations
46:47 Balancing affordability with ingredient quality
48:35 Potency variation, consistency, and product testing
49:43 GLP-1 medications and related patient education
50:10 Collaboration between pharmacists and clinicians
51:16 Where practitioners can learn more about compoundingShow More

Is Social Media Giving You Bad Medical Advice? | Dr. John with Shaunna & Chrizelle Ransom

Dr. Sanders brings on Shaunna and good friend, Chrizelle Ransom, to ...

Dr. Sanders brings on Shaunna and good friend, Chrizelle Ransom, to discuss the challenges of navigating medical information in the age of social media and algorithms. The discussion covers how ...attention-driven platforms reward controversy and “rage bait,” leading to viral misinformation that hooks people emotionally rather than logically. Dr. John and guests share personal experiences, such as how simple searches about household problems led to algorithmic spirals, and caution that seemingly harmless engagement can quickly expose users to harmful or misleading medical content.

The conversation also unpacks the psychological forces that make misinformation persuasive, including rhetoric, emotional appeals, and the phenomenon of “anti-expert bias,” where trained professionals are dismissed while influencers with little expertise gain trust simply by being relatable. Shaunna and Chrizelle note how historic failures within medicine and the healthcare system’s time constraints have eroded public trust, making people more vulnerable to misinformation and bias. But John counters that building trust through humility, time, and genuine listening emerges as a critical counterbalance.

Finally, the podcast emphasizes both patient and provider humility. Patients must recognize their own biases and stay open to trustworthy guidance, while providers should communicate transparently and admit uncertainty where it exists. The episode closes by highlighting practical tools, such as examine.com for supplement evidence and Open Evidence AI for accessing peer-reviewed medical data, which can help both providers and patients sift through the noise of online health information to make better, evidence-based decisions.

Disclaimer: The content provided in this podcast is for informational purposes only and is not intended as medical advice nor as a substitute for professional medical consultation, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.

0:00 Learning, Knowledge, and Misinformation
0:32 Meet Criselle Ransom and Shauna Sanders
2:39 Why We Love Learning
4:37 Learning Beyond Careers and Capitalism
7:31 Why All Learning Is Hands-On
10:20 How Human Knowledge Expands
15:42 How Gaps and Mistakes Drive Discovery
16:46 Humility and the Courage to Change Your Mind
21:31 From Card Catalogs to the Information Age
22:15 The Hidden Economy of Information
27:48 Influencers, Monetization, and Online Credibility
31:11 Rage Bait and Algorithmic Manipulation
34:00 How Social Media Creates Information Rabbit Holes
38:32 Ethos, Pathos, and Logos: How Content Persuades You
43:09 Anti-Expert Bias in Medicine
47:37 Why People Distrust the Medical Establishment
49:23 Rebuilding Trust Through Time and Humility
55:56 Anchoring Bias and Medical Decisions
58:08 C-Sections and the Real-World Harm of Anchoring Bias
1:04:28 Consumers Need Humility Too
1:06:57 Evidence-Based Tools: Examine.com and OpenEvidence AI
1:12:07 How to Vet Information on Social Media
1:14:45 Retraining Your Social Media Algorithm
1:16:28 Final ThoughtsShow More

Medicine Missed Her Brain Injury | Paige Moore's Journey From Seven Concussions to DPC

After seven concussions, years of symptoms, and repeated reassurance ...

After seven concussions, years of symptoms, and repeated reassurance that everything looked normal, Paige Moore knew medicine could do better.

Paige joins Dr. John Sanders to share the path that took ...her from competitive gymnastics and athletic training to osteopathic medical school and a growing interest in Direct Primary Care. She explains how her own experience with concussion, chronic pain, balance problems, and fragmented care shaped the kind of physician she wants to become.

Their conversation explores the blind spots that can appear when healthcare focuses on tests instead of the whole person. Paige describes finally receiving care that connected her neurological symptoms, biomechanics, rehabilitation, and daily function—and why being truly heard changed everything.

Dr. John and Paige also discuss relationship-based medicine, the limitations of rushed and fragmented systems, the value of touch and a thoughtful physical examination, and why Direct Primary Care can give physicians the time and freedom to understand the person behind the symptoms.

In this episode:
• Paige's journey from gymnastics and athletic training to medical school
• How seven concussions affected her health and future
• Why normal tests do not always mean a patient is fine
• Post-concussion symptoms, chronic pain, and balance problems
• The importance of knowing the patient—not only the diagnosis
• Why rehabilitation and return-to-activity planning matter
• Osteopathic medicine and hands-on care
• How touch and physical examination can improve connection
• The limits of rushed, fragmented healthcare
• Why Paige is drawn to Direct Primary Care
• Building a more personal, whole-person model of medicine

This conversation is for general education and does not provide individualized medical advice. Concussion symptoms and neurological concerns should be evaluated by a qualified healthcare professional.

Learn more or sign up for Direct Primary Care with Voyage Clinics:
https://voyageclinics.com

Direct Primary Care gives members easier access to their physician, longer visits, transparent membership pricing, and relationship-focused care without insurance billing driving the visit.

CHAPTERS
00:00 Meet Paige Moore: a future physician drawn to DPC
01:28 From childhood concussion to athletic training
03:09 The teacher who challenged Paige's career path
05:24 Finding the courage to pursue medicine
08:06 Why great physicians need lives beyond medicine
09:14 Combining the art and science of care
11:58 Shadowing Dr. John and discovering DPC
15:00 What medical school is really like
18:02 Blind spots in medicine and Paige's injury history
20:34 When normal tests do not explain real symptoms
23:30 Knowing your patient changes clinical decisions
26:31 How healthcare systems constrain good doctors
29:25 Seven concussions in seven years
32:26 Chronic symptoms, pain, and fragmented care
35:43 The unexpected path to meaningful recovery
39:00 Concussion rehabilitation and medicine's blind spots
42:04 Why brain injuries need structured rehabilitation
44:40 Why Paige chose osteopathic medicine
47:45 The healing value of touch and physical examination
50:35 Biomechanics, whole-person care, and closing thoughtsShow More

Dr. Sanders & Zac Lovingier | Navigating Affordable Care for Families and Small Businesses

Dr. John and Shaunna dive into coverage with Zac Lovingier, an ...

Dr. John and Shaunna dive into coverage with Zac Lovingier, an experienced healthcare insurance broker, about the complexities of health insurance, particularly for small business owners, individuals, and families. Zac ...shares his journey in healthcare, beginning as a social worker and later transitioning into the insurance industry in 2005. His mission has always been to help people navigate the confusing world of Medicare and health insurance, offering clients tailored advice that benefits their needs rather than selling high-commission products. Zac emphasizes the importance of building a brokerage where trust and client advocacy are prioritized over profit margins.

The conversation shifts to the impact of the Affordable Care Act (ACA) and how it changed the insurance landscape, particularly for individuals with pre-existing conditions. Zac explains the challenges employers face in offering health coverage, noting that many small businesses cannot afford the high costs of group plans. This often results in employees having to opt out due to high premiums, leaving them unable to access more affordable plans through the ACA. Zac advocates for a creative approach, suggesting that employers dissolve group plans and instead offer direct primary care services (such as through Voyage Clinic) while helping employees navigate ACA subsidies to find better, affordable individual coverage.

In the final segment, Zac and Dr. John discuss the alternative health insurance options available for individuals and families, such as health shares and indemnity plans. These options, while not traditional insurance, offer flexibility and affordability for those with specific health needs or higher incomes. They also highlight the need for careful consideration when choosing between health shares, ACA plans, or indemnity plans, as each has different levels of coverage and cost structures. Ultimately, the episode provides insight into the complexities of modern healthcare and the importance of tailored insurance solutions.

Disclaimer: The content provided in this podcast is for informational purposes only and is not intended as medical advice nor as a substitute for professional medical consultation, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.Show More

Dr. John Sanders & Zack Hansen | Why Direct Primary Care Works

This episode features medical resident Zach Hansen as he interviews ...

Direct Primary Care: Why Patients and Doctors Want Healthcare to Feel Personal Again

This introductory episode features Dr. John Sanders along with his ...

This introductory episode features Dr. John Sanders along with his wife, Shaunna, and psychologist Mark Mauzy, discussing the adventure of starting a direct primary care clinic. Direct Primary Care as ...a model of healthcare delivery is gaining traction across the United States, in spite of, or perhaps because of, its grassroots, hyper-local nature. John talks about the experiences that drove him to chart a different course in healthcare and the ways that the direct care model has enabled him to deliver better medical care to the clients he serves.

The conversation encompasses the importance of connection and trust in the doctor/patient relationship, the pain points of the current insurance-driven healthcare system, and the ways that direct primary care disrupts and innovates in the space to alleviate those pain points. Mark Mauzy shares his own experiences in direct primary care and the ways it has changed his perspective on healthcare. Shaunna discusses the challenges they faced with a new entrepreneurial venture and teaches about the importance of stories in healthcare and in our lives more broadly.

Disclaimer: The content provided in this podcast is for informational purposes only and is not intended as medical advice nor as a substitute for professional medical consultation, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.

0:00 Introduction: Dr. John, Shaunna Sanders, and Mark Mauzy
2:01 What Feels Broken About Modern Healthcare
3:54 The Difference Personal Care Makes
6:54 Insurance Confusion and a Painful Billing Experience
10:50 Why Dr. John Wanted a Different Way to Practice Medicine
13:41 Delayed Care, Limited Access, and Rising Costs
16:32 Deciding to Buck the Healthcare System
18:21 The Risk of Starting Without Insurance Contracts
23:21 What Is Direct Primary Care?
25:12 How Direct Care Changed Dr. John and His Family
29:51 House Calls and Intentional Doctor-Patient Connection
32:29 Why Your Story Matters in Healthcare
37:55 The Gift of Being Known
42:13 How to Listen Without Trying to Fix Everything
45:36 How Voyage Clinics Addresses Healthcare Pain Points
47:27 Affordable Care Without Copays or Deductibles
49:17 Lower-Cost MRIs, Labs, and Medical Services
51:42 Rapid Answers During a Frightening MRI Experience
53:44 Closing Thoughts and the Future of the PodcastShow More

Want care that feels this straightforward?

The podcast is a good place to start. If you’re looking for a primary care team that knows your story, makes time for your questions, and doesn’t rush you out the door, see how membership at Voyage Clinics works.

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How DPC Works

Direct Primary Care & Healthcare

Direct Primary Care and Healthcare Videos

Why This Doctor Chose DPC: Restoring Trust, Time, and Meaning in Primary Care

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