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Interesting article
Taxing Harmful Habits
MARIUS VAN OORDT, CHRISTOPH B. ROSENBERG
https://www.imf.org/en/publications/fandd/issues/2026/03/taxing-harmful-habits-christoph-rosenberg

"Taxes on smoking, drinking, and sugar should better align with the harm they cause.

Nothing can be said to be certain, except death and taxes,” Benjamin Franklin famously wrote in 1789. But what if the latter could at least delay the former? That’s one reason for excise taxes on unhealthy products like alcohol, tobacco, and sugar.

Such taxes are an attractive way to both mobilize much-needed domestic tax revenue and encourage healthier behavior, especially in low-income countries as aid budgets are drying up. Nudging people to smoke and drink less also helps reduce public health expenditures."

The article provides some international comparison of tax rates and argues for regional cooperation - "To get the most out of harm-based health taxes, countries must work together to account for regional market dynamics. Large tax differences across borders can motivate consumers to seek out cheaper options next door, reducing both health impact and revenue."  It proposes a way forward  "Taxation is more than a fiscal instrument; it is a powerful lever for shaping healthier societies. Linking excise taxes to relative health risks can reduce preventable diseases while supporting sustainable revenues, particularly when applied comprehensively and consistently. Conversely, loopholes, misaligned incentives, and fragmented approaches lead to revenue losses and continued exposure to avoidable harm. Tax systems must therefore shift with evolving consumption patterns and product offerings.

That shift cannot happen in isolation. It requires internationally shared principles on how to curb cross-border arbitrage and illicit trade. Global institutions such as the IMF, and especially regional bodies like the EU and the African Union, are pivotal in advancing frameworks that align taxation with harm and promote innovation toward safer products. Such advances will strengthen both public health and fiscal resilience."

PFM Board thoughts?
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Interesting article in the Lancet on the use of GDP/GNI as the base for inter country comparisons, this time on health.


Rethinking country classifications towards a more equitable global health future
Esmita Charania esmita.charani@uct.ac.za ∙ Tlangelani Makamua ∙ Sheetal Silalb,c ∙ Ramanan Laxminarayand ∙ Marc Mendelsona

https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(26)00457-5/abstract?dgcid=raven_jbs_etoc_email

Introduction
The World Bank classification of low-income, middle-income, and high-income country groups, that uses gross national income per capita, shapes financing, research priorities, and political narratives. Existing evidence suggests that income alone is a poor proxy for health needs, system capacity, and vulnerability, particularly where rising national wealth coexists with persistent poverty and high disease burden. This gross national income-based classification that remains deeply embedded in global health governance obscures health system realities, masks inequities, and misdirects resources. In this system, low-income and middle-income countries (LMICs) are routinely treated as a homogeneous block, despite the fact that they represent nearly two-thirds of the world's countries and 84% of its population, the majority of whom are in middle-income countries (MICs). National averages conceal profound heterogeneity driven by intersecting inequalities related to gender, race, geography, age, migration status, and the environment These blind spots distort global priorities and systematically overlook vulnerable populations.

The COVID-19 pandemic exposed the inadequacy of income as a proxy for preparedness; many MICs, despite moderate gross national income, lacked basic infrastructure, workforce, and fiscal resilience to mount effective responses.6 Similar mismatches persist across communicable diseases, including tuberculosis, HIV, malaria, vaccine-preventable diseases, and antimicrobial resistance, where high burdens remain concentrated in countries no longer eligible for sustained international support.7,8 Recent global health reforms increasingly acknowledge these failures. The Lusaka Agenda and related initiatives call for equity-focused metrics that better reflect disease burden, system capacity, and vulnerability.9 Established frameworks such as WHO's social determinants of health and the Multidimensional Poverty Index demonstrate that complex deprivation can be measured beyond income alone. Operational examples already exist: the Global Fund incorporating disease burden and system capacity into allocation decisions; climate vulnerability indices integrating social and environmental risk; and water, sanitation, and hygiene (WASH) programmes, which increasingly use subnational data to target interventions and demonstrate impact.

Income-based classifications continue to create systemic blind spots (panel). Challenges such as antimicrobial resistance, WASH inequities, and maternal mortality cannot be understood through income alone; they require multidimensional indicators of vulnerability and resilience. These pitfalls have tangible consequences, reinforcing donor–recipient hierarchies and mischaracterising countries as either responsible stewards or problematic hotspots.

Full article:
Charani E, Makamu T, Silal S et al.
Rethinking country classifications towards a more equitable global health future
The Lancet, 2026; 407, 1406-1408
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Interesting article that is more than just tangential to the overall topic!

By MICHAEL SPENCE who is is a senior fellow at the Hoover Institution and Philip H. Knight Professor and dean, emeritus, at Stanford Graduate School of Business. In 2001, he was awarded the Nobel Memorial Prize in Economic Sciences.

Introductory paragraphs:

"When The Wealth of Nations was published on March 9, 1776, there was no such thing as an economics profession. Two hundred fifty years on, there is no shortage of economists, and Adam Smith is widely regarded as the godfather of their profession.

If asked, Smith would have probably described himself as a Scot who made a living as a moral philosopher. And as for his famous book, it came to be seen as a true expression of the Enlightenment. This period of cultural and intellectual flourishing helped create an alternative vision for humanity based on reason, science, individual liberty, and human dignity.

Despite detours and missteps, it is a moral frame of reference that resonates to this day. It is why we continue to listen to what Smith had to say.

He illuminated the structural foundations of modern economies. Although he is best known for his idea of the “invisible hand,” Smith gave us an insight that is even more important: Moving from a static, subsistence economy to increasing income and prosperity requires what he called the “division of labor.”

Without this specialization, one cannot achieve dramatic increases in productivity coming from scale economies, learning curves, and improved conditions for innovation. Like all scientific discoveries, it seems obvious after the fact. "

https://www.imf.org/en/publications/fandd/issues/series/analytical-series/how-to-promote-the-wealth-of-nations-spence
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Foreword


"Building effective, inclusive, and accountable institutions has long been central to the development agenda—but today, it is more urgent than ever. Citizens worldwide expect governments to deliver services efficiently, equitably, and with the highest standards of integrity and accountability. When these expectations are met, societies thrive, private sectors grow, and jobs are created. In an era of declining trust in public institutions, enhancing public sector workforce performance is not just a priority; it is a decisive step toward driving meaningful change and unlocking shared prosperity.

In today’s rapidly evolving global context, the skills, motivation, and integrity of the world’s 400 million public sector workers—both those on the front lines serving communities and the administrators managing resources and operations—is key for effective and efficient governments. Drawing on an extensive evidence base of academic research and original data, including unique surveys and cross-national indicators compiled by the World Bank’s Bureaucracy Lab, this report proposes a framework for understanding and improving workforce performance. The analysis focuses on three key drivers: the wage bill (how governments hire and compensate staff), management practices (how workers are motivated and developed), and digital technologies (how innovation transforms the workplace).

The report has several important findings. Governments in low- and middle-income countries are understaffed compared to high-income countries, and the staff that they do have are poorly skilled, in part because of a lack of merit and transparency in recruitment. While government jobs tend to offer better pay and benefits—the public sector wages are, on average 9 percent higher compared to the formal private sector—weaknesses in pay structures result in weak incentives for workers to perform. Reforming pay structures, monitoring wage competitiveness, and ensuring merit-based hiring are urgent measures for a more efficient and equitable workforce.

The report also investigates the pivotal role of management practices in motivating public servants, promoting integrity, and encouraging collaboration. It advocates for a balanced approach that combines accountability with empowerment, recognizing the intrinsic motivation of public sector workers to serve the public good. Strengthening performance evaluations; supporting women’s career advancement (women constitute 50 percent of clerical roles in the public sector but only 34 percent of managerial positions); promoting community engagement; and protecting whistleblowers to empower workers to act with integrity are among the recommended strategies to raise productivity and restore trust.

Digital technology emerges as both a catalyst and a challenge. Governments have made substantial investments in management information systems but often underuse these tools for strategic workforce planning and evidence-based decision-making. Digital skills, both basic ones in the use of workplace software and advanced ones to take advantage of the rapidly changing digital technologies, are lacking in governments. Providing foundational digital training, creating specialized career paths for technology specialists, and fostering a culture of innovation are essential to harness the full potential of these systems.

This report offers practical guidance for policymakers, administrators, and development partners, including both “quick wins” and longer-term reforms, such as eliminating ghost workers and improving recruitment processes; advancing pay equity; and adopting mission-driven management strategies. By prioritizing these areas and adapting to changing needs, governments can transform their workforce into engines of progress, trust, and resilience."


https://www.worldbank.org/en/publication/public-workforce-performance-and-prosperity?deliveryName=DM275385
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The response reported by the BBC News

"One of Donald Trump's most senior economic advisers has said a group of economists should be "disciplined" for a Federal Reserve study which argued that US firms and consumers have borne the brunt of the president's tariffs.

National Economic Council director Kevin Hassett said the report, published by the New York Federal Reserve, was "an embarrassment" and "the worst paper I've ever seen in the history of the Federal Reserve system".

It found that last year, 90% of the cost of increased tariffs was paid for by US companies and shoppers.

Hassett's comments to CNBC are the latest attack by the Trump administration on the Federal Reserve which have, until now, been focused on interest rates.

The paper by the New York Fed , external was released as the US Supreme Court weighs a legal challenge to Trump's sweeping global tariffs.

US firms and consumers continue to bear the bulk of the economic burden of the high tariffs imposed in 2025."

Hassett, who is director of the National Economic Council, said that prices had fallen, inflation was lower and "real wages were up $1,400 on average last year, which means that consumers were made better off by the tariffs".

He told CNBC: "The people associated with this paper should presumably be disciplined, because what they've done is they've put out a conclusion which has created a lot of news that's highly partisan based on analysis that wouldn't be accepted in a first-semester econ class.""

If what he claims is trues re his data, what would they be like without the tariffs?

Perhaps he thinks tariffs are an export tax levied by  the exporting country and the receipts are transferred to the US which accounts for the increase in federal revenue from trade there?

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Perhaps the subject matter should have defined and expanded politicians better given the Largest Deregulation that was enacted yesterday!  Politicians and Property Developers/Real Estate Agents?  One would expect politicians to have some appreciation of public policy and it wider impact including externalities which would not interest PD and REAs.  That would be a GREAT DEAL.

Interesting report also from New York Federal Reserve Report on Tariffs

The Federal Reserve Bank of New York's report on tariffs highlights that nearly 90% of the economic burden from tariffs in 2025 was borne by U.S. companies and consumers. This finding contradicts the Trump administration's claims that foreign companies and exporters would bear the full cost of tariffs. The report indicates that U.S. importers absorbed 94% of tariff costs in the first eight months of the year, with the burden shifting slightly to exporters by November. The study suggests that higher tariffs have accelerated supply chain shifts away from China toward countries like Mexico and Vietnam. The report's findings challenge the rationale for Trump's protectionist trade policies, which have faced growing bipartisan opposition in Congress.

Other research support this:
The Kiel Institute for the World Economy, an independent research firm in Germany, said in a report, external last month that it had found "near-complete pass-through of tariffs to US import prices."

Kiel researchers analysed 25 million transactions and found that in exporting countries like Brazil and India, the price of goods from those countries did not decline.
"Trade volumes collapsed instead," the Kiel report said, meaning exporters preferred to cut the amount of goods being shipped into the US rather than lower prices.

The National Bureau of Economic Research also found that the pass-through of tariffs was "almost 100%", meaning the US is paying, external for the increase in prices, not exporting countries.

Similarly, the Tax Foundation, a Washington DC-based think tank focused on US tax policy, found that increased tariffs on goods in 2025 increased costs, external for every American household.
Defining tariffs as a new tax on consumers, the Tax Foundation said the 2025 increases cost the average household $1,000 (£734.30). In 2026, tariffs will cost th same household $1,300.

Did not get any mention along with the Largest Deregulation presentation.  Wonder why?
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 Article by Syriacus Buguzi in The Lancet
Volume 406, Issue 10519p2525-2526November 29, 2025

"Following a large drop in international aid, and the harms that followed, Tanzania is taking steps to decrease its reliance on external funding for health. Syriacus Buguzi reports from Dar es Salaam.
Having relied for decades on foreign aid to tackle health issues such as HIV/AIDS, tuberculosis, and malaria, Tanzania is taking a major step to fund its own health care following US President Donald Trump's policies that led to widespread aid cuts. The east African nation now aims to generate additional revenue from taxpayers, totalling US$225 million—about half of its 2024–25 health-care budget—to make up for declining donor funding for HIV and other health initiatives.
Tanzania's move epitomises a broader global trend where developing nations are seeking greater self-reliance as international priorities shift. Inspired by the “trade, not aid” model, countries including Rwanda and Ethiopia have already made strides in domestic health financing, reducing dependency on external aid and minimising vulnerability to geopolitical changes.
Donors have historically funded more than 40% of Tanzania's health expenditures, according to REPOA, a policy research organisation in Tanzania. The USA was the largest funder, contributing $2·8 billion annually between 2012 and 2022, but other major donors include the UK, Canada, and Scandanavian countries as well as The Global Fund to Fight AIDS, Tuberculosis and Malaria, The World Bank, and WHO. In 2024, for example, Tanzania received $166 million in HIV/AIDS assistance from the USA. It is the seventh largest recipient of aid in Africa.

However, after Trump took office earlier this year, all foreign aid spending was frozen as part of his America First agenda, with the US Agency for International Development (USAID) dismantled and the US President's Emergency Plan for AIDS Relief (PEPFAR) transformed. Official development assistance to Tanzania plummeted from $761 million in 2013 to a projected $118 million in 2025, a severe reduction that forces the country to pursue a path of self-reliance.
For Tanzania, these changes have served as a wake-up call, prompting an overdue commitment to financial autonomy in the health sector. “The decline in development assistance is already palpable, and its impact is felt so acutely that it necessitates a huge investment in our healthcare systems now more than ever”, says Ntuli Kapologwe, a Tanzanian health systems researcher and Director General of the East, Central, and Southern Africa Health Community.
In June, in response to significant cuts in aid from the US Agency for International Development (USAID), Tanzania's then Minister of Finance, Mwigulu Nchemba, announced a raft of measures including new taxes and levies to raise additional revenue for health care. This includes increased excise duties on alcoholic beverages and electronic communication services, and new levies on fuel, minerals, imported vehicles, sports betting, land-based casinos, and train and air transportation tickets.

The Ministry of Finance said that 30% of the revenue from the taxes and levies go to the Universal Health Fund, established to help finance Tanzania's push towards universal health coverage. The other 70% of the revenue would be allocated to the AIDS Trust Fund—an initiative established by Parliament in 2001 to increase domestic funding for the country's HIV/AIDS response. According to UNAIDS, an estimated 1·7 million people in Tanzania were living with HIV in 2022. The fund “had remained largely dormant, despite showing promising results between 2016 and 2020 when there were efforts to implement initiatives”, says Elisha Osati, a researcher in infectious diseases and Chairman of the Tanzania Sickle Cell Disease Alliance who has been advocating for the revival of the AIDS fund in the wake of the aid crisis. The funds are expected to help sustain the supply of antiretroviral drugs, strengthen the wider national HIV health system, and support progress towards the UNAIDS 95-95-95 HIV goals."

Full text
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The Macro-fiscal analysis made simple / Ireland: A Fiscal and Economic Outlook to 2065
« Last post by John Short on November 05, 2025, 14:08:14 GMT »
"Future Forty includes several in-depth analyses of key economic and fiscal drivers. These include a detailed examination of Ireland’s demographic profile; the potential long-term economic impacts of deglobalisation; the risks and benefits of digitalisation; and the long-term costs of decarbonisation and climate mitigation. In addition to these global trends, Future Forty also assesses the long-term impacts on our economy of current housing supply challenges, the long-term costs of supporting the Irish healthcare system in the context of our ageing population, and the potential trade and migration impacts of further EU expansion. The analysis is undertaken on a ‘no-policy change’ basis.

The analysis presents a Central Scenario, as well as multiple alternative possible future outcomes. In total, over 2,000 scenarios have been modelled, which collectively point to continued growth in living standards, but with slowing growth over the long-term, and a steady decline of our fiscal position. This is due mainly to demographic shifts, slowing productivity, climate costs and a slowdown in corporation tax receipts."

The report is available at https://www.gov.ie/en/department-of-finance/publications/future-forty-an-economic-and-fiscal-outlook-to-2065/
Contents
Foreword vii
Key Messages ix
Executive Summary xi
1. Introduction 1
1.1 The Challenge of Forecasting 2
1.2 Existing Medium-to-Long Term National Strategies 3
1.3 Application for policy making and Anticipatory Governance 6
2. Future Forty Model Overview 9
2.1 Overview 9
2.2 Economic Projections 10
2.3 Fiscal Projections 14
3. Climate Change and the Green Transition 17
3.1 Overview 17
3.2  Economic Impacts of Climate Change 18
3.3  Modelling Approach 20
3.4  Modelling Potential Scenarios 23
3.5  Fiscal Impacts from Climate Change and the Green Transition 25
3.6  Projecting Potential Fiscal Impact of Climate Change 26
3.7  Projecting Potential Fiscal Impact of Green Transition 28
3.8 Policy Considerations and Limitations 34
4. Demographic Trends 37
4.1 Overview 37
4.2  Migration Trends and Flows 38
4.3  Modelling Approach 44
4.4  Migration and Birthrate Projections 49
4.5 Overall Population Projections (2024-2065) 55
4.6 Policy Considerations 58
5. Housing 61
5.1 Overview 61
5.2  Fiscal Impacts of Housing 63
5.3  Potential Fiscal Impacts 66
5.4  Modelling Approach for Social Housing Outcomes 70
5.5  Modelling Approach for Housing Support Outcomes 72
5.6  Overall Impacts on Public Finances 75
5.7 Policy Considerations and Limitations 76
6. Healthcare 79
6.1  Overview 79
6.2  Health Outcomes and Demographic Changes 82
Department of Finance | Future Forty  Page | v
6.3  Understanding Health Expenditure 84
6.4  Driving Productivity in the Health System 90
6.5 Capital Investment Trends in the Irish Health System 93
6.6  Drivers of Health Expenditure 97
6.7  Projection and Scenario Analysis 100
6.8  Projecting Potential Impacts 102
6.9  Policy Considerations and Limitations 110
7. Digitalisation 113
7.1  Overview 113
7.2  The Digitalisation Process 114
7.3 Historical Economic Impacts and Potential Risks 120
7.4 Public Sector and Exchequer Impacts 125
7.5  Modelling Approach 127
7.6 Scenario Analysis 129
7.7 Policy Considerations and Limitations 135
8. Deglobalisation 137
8.1  Overview 137
8.2  Impact of Deglobalisation on the Irish Economy 138
8.3  Modelling Approach 144
8.4  Potential Deglobalisation Scenarios 149
8.5  Policy Considerations and Limitations 155
9. EU Enlargement 157
9.1 Overview 157
9.2  Historical Evidence 166
9.3  Fiscal and Economic Impacts 170
9.4  Modelling Approach 170
9.5  Outcome Analysis 172
9.6  Policy Considerations 177
10. Future Economic and Fiscal Scenarios 179
10.1  Central Scenario 179
10.2  Scenario Analysis 190
10.3  Cumulative Impacts and Distribution Analysis 195
10.4  Conclusion 197
11. Policy Considerations and Next Steps 199
11.1 Strategic Economic and Fiscal Considerations 199
11.2 Balancing Short to Long-Term Domestic Policy Challenges 208
11.3  Managing Global Interdependencies 211
11.4  Next Steps 212
Annex: Future Forty Technical Note
9
Interesting article in IMF F&D Magazine

Behind the Veil of Tariff Fixation
MICHAEL PETTIS
September 2025

The world needs a broader conception of trade policy that considers how economies allocate income

"In the heated debates over trade policy in Washington and beyond, tariffs are often portrayed as the primary—or even the sole—instrument by which governments intervene in global commerce. They are easy to quantify, easier to politicize, and readily wielded in bilateral negotiations.

But this focus on tariffs is misleading. It obscures the more fundamental mechanisms by which countries shape their trade relationships with the world. Because a country’s internal imbalances between consumption and production must always be consistent with its external imbalances, anything that affects the former must affect the latter, and vice versa. Tariffs are just one of many tools a government can use to change a country’s internal imbalance.

Like most such tools, tariffs work by shifting income from consumers to producers. But because of their visibility, they are often among the most politically contentious of these tools. By contrast, many of the most powerful trade interventions in today’s world occur not as tariffs but as policy choices that don’t appear to be related to trade at all. Fiscal decisions, regulatory structures, labor policies, and institutional norms can all affect how income is distributed, and how economies are balanced between consumption and production, with far-reaching implications for global trade.

To understand why tariffs receive such disproportionate attention, it helps to consider their visibility. A tariff is a line item in a trade negotiation affecting the price of an imported good. It’s easy to identify, easy to weaponize, easy to reverse, and very obviously linked to trade. But the very simplicity that makes a tariff politically salient also makes it a poor proxy for trade policy as a whole."


https://www.imf.org/en/Publications/fandd/issues/2025/09/point-of-view-behind-the-veil-of-tariff-fixation-michael-pettis
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As a follow up to A Case for Cities in Local Government Reorganisation and English Devolution attached is a paper I wrote with John Howard while at the Centre for Urban and Regional Development Studies (CURDS) at Newcastle University in 1985.  Google AI assistant has kindly summarised the report which is below.  For readers interested in tracking public expenditure the paper develops a methodology based on the PE classification categories at the time.
The document discusses the role and impact of public expenditure on regional and subregional economic development in the UK.
Introduction
•   Public expenditure in the UK was 43.5% of GDP in 1981-82 and 42.5% in 1984-85.
•   It is classified by spending authority, functional program, and economic category.
•   The analysis of public expenditure began in the 1970s, focusing on regional comparisons and indicators of need.
•   Inter-regional differences in expenditure levels were linked to regional needs, such as unemployment and demographics.
Role of Public Expenditure in Subregional Development
•   Public expenditure is believed to positively impact economic development by increasing service supply and aggregate demand.
•   Limited empirical evidence exists to support the assertion that public investment leads to economic growth.
•   Infrastructure investment is a key focus, with the UK government aiming to stimulate economic activity in disadvantaged areas.
•   The European Regional Development Fund emphasizes infrastructure, tourism, urban renewal, and environmental improvements.
Methodology for Allocating Public Expenditure to Subregions
•   Public expenditure can be analyzed as expenditures made "IN" a region versus expenditures made "FOR" a region.
•   "IN" expenditures refer to cash flows within a region, while "FOR" expenditures focus on benefits accruing to the region.
•   The classification system helps in understanding the impact of public expenditure on regional development.
•   Subregional expenditures are categorized into those benefiting only the subregion and those benefiting the entire region.
Allocation of Public Expenditure Programmes
•   Public expenditure is allocated to four broad policy headings: economic development regeneration, infrastructure, social services, and income support.
•   Each subprogramme is classified based on its contribution to subregional development.
•   Examples include agricultural support, industrial grants, transport infrastructure, and health services.
•   The allocation aims to reflect the impact of public spending on local economies and communities.
Data Sources or Lack of Sources
•   Challenges in collecting data hindered the analysis of public expenditure at regional and subregional levels.
•   Responses from various government departments showed inconsistencies in data availability and willingness to provide information.
•   The lack of comprehensive data limits the ability to assess the effectiveness of public expenditure policies.
•   Recommendations include improving data collection methods and interdepartmental cooperation for better regional planning.
Conclusion
•   Effective regional planning requires comprehensive information on public expenditure impacts across departments.
•   Current systems are inadequate, and there is a need for improved data collection and analysis.
•   The study highlights the importance of recognizing the interconnectedness of public spending decisions and their regional effects.
•   Without political will and a focus on regional matters, progress in urban analysis and planning will remain slow.

I have scanned the hard copy of the report but it is too big in size to attach but I can send a pdf to anyone interested.
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