Relevant and even prescient commentary on news, politics and the economy.

Passed on the Romaine Salad This Year

My wife was in charge of making the salad for Thanksgiving. For her easily done as she makes her own Italian dressing. I bought enough Romaine Hearts to feed 20 people. On Wednesday, we pitched them all as CDC said not to eat any Romaine as it was contaminated with E. Coli. We moved on to Spinach and Arugula.

It is not the first-time leafy vegetables have been removed from the grocery shelf and the dinner table. Indeed, if you glance at the attached chart, it has happened frequently over the years. Since 2006, there has been at least one outbreak of E. Coli yearly caused by leafy vegetables.

The Center for Investigative Reporting on its website Reveal was one of the first to break the story of why it has become hazardous to eat vegetables in the US. “5 people died from eating lettuce, but Trump’s FDA still won’t make farms test water for bacteria.”

Congress legislated actions to be taken in 2011 after several out breaks of E. Coli and the resulting illness. The testing of the water used to irrigate the fields growing the plants was to start in 2018. Six months before people were sickened by the contaminated Romaine, in response to pressure from the farm industry, and Trump’s mandate to eliminate regulations, the FDA delayed the water-testing rules for at least four years.

This particular outbreak originated in Yuma Arizona and is believed to be from irrigation water which is typically a prime source of food contamination and foodborne illnesses. When livestock feces flow into and contaminates a creek, the tainted water can seep into wells or is sprayed onto produce which is then harvested, processed, and sold at stores and restaurants. Salad leafy greens are particularly vulnerable and they are often eaten raw and can harbor bacteria when torn. In 2006, most California and Arizona growers of leafy greens signed agreements to voluntarily test irrigated water which minimizes the risk of contamination.

Farm groups contend the testing of water is too expensive. Some farmers contend the whole thing is an overblown attempt to exert government power on them. Postponing the water-testing rules would save growers $12 million per year. It would also cost consumers $108 million per year in medical expenses, according to an FDA analysis.

Go Figure . . .

Reveal: “5 people died from eating lettuce, but Trump’s FDA still won’t make farms test water for bacteria.” The Center for Investigative Reporting.

Tags: , Comments (7) | |

House Democrats are Backing off on Nancy Pelosi

Most recently, Rep. Brian Higgins (D-NY) gave his support for Pelosi for a major infrastructure bill early in the next Congress and a commitment to let Higgins lead the charge on a proposal to let Americans buy into Medicare at age 50. I am hoping they design the Medicare buy-in as it is not cheap in its present form and doses not include vision or dental.

Rep. Marcia Fudge (D-OH) abandoned her quest to be the House Speaker. Instead, Fudge will head up the House Administration Committee’s Subcommittee on Elections which Pelosi will recreate and Fudge will chair. Marcia Fudge:

“Leader Pelosi has granted me the opportunity to create the record necessary to satisfy the 2013 Supreme Court decision in Shelby County v. Holder, so that the protections of the Voting Rights Act will be reinstated and improved. She has also assured me that the most loyal voting bloc in the Democratic party, Black women, will have a seat at the decision-making table. I am now confident that we will move forward together and that the 116th Congress will be a Congress of which we can all be proud. I now join my colleagues in support of the leadership team of Pelosi, Hoyer and Clyburn.”

An important role considering what has happened in Florida since 2000 and in Georgia recently with striking voters from the rolls by then Secretary of State Kemp who was also running for Governor.

As PGL pointed out Alexandria Ocasio-Cortez has backed Nancy Pelosi.

Tags: , Comments (4) | |

District Federal Court Rips Administration on Census

I have had enough court time to last a life time. While mine was not fun and it was a battle, this I find hilarious. It is a well placed shot across the bow of someone who believes they are impervious to society, the courts, and morality.

The census case arrived in front of Manhattan District Federal Judge Furman requesting that he delay proceedings. Calling it the ‘latest and strangest effort’ in its crusade to delay proceedings in the case. He said what made the request ‘most puzzling, if not sanctionable’ is that the Trump administration had made a similar request before the trial started, and had been rejected by not only the district court judge, but by an appeals court and the Supreme Court.

Furman pointed out, “when the Supreme Court announced last week it was taking up the case, “it knew that this Court had completed trial, and it presumably expected that the Court would enter final judgment before the date that it set for oral argument.”

Bashing the administration for taking its request to an appeals court before he had a chance to rule on it. The appeals court again denied that request as premature.

“If Defendants’ motion in this Court comes close to the sanctionable line, that filing would sure seem to cross it,” Furman wrote in his order.”

Other quotable quotes?

– “Unless burdening Plaintiffs and the federal courts with make-work is a feature of Defendants’ litigation strategy, as opposed to a bug, it is hard to see the point. To borrow from Camus, “[o]ne must imagine Sisyphus happy.”

– “Tellingly, this time, Defendants do not even attempt to argue that they are entitled to the extraordinary relief of a stay of all proceedings under the traditional factors…In fact, the words ‘harm” and ‘injury’ do not appear anywhere in their motion. That is for good reason, as the notion that they — or anyone else — would suffer ‘irreparable harm’ without a stay is laughable.”

– “Defendants’ motion makes so little sense, even on its own terms, that it is hard to understand as anything but an attempt to avoid a timely decision on the merits altogether.

– “Enough is enough.”

State of New York vs US Department of Commerce

Tags: , Comments (1) | |

Solow on Friedman’s 1968 Presidential Address and the Medium Run

Mark Thoma had this up on Facebook. and pulled this from Tim Taylor’s Conversable Economist. It is an interesting read.

“Fifty years ago in 1968, Milton Friedman’s Presidential Address to the American Economic Association set the stage for battles in macroeconomics that have continued ever since. The legacy of the talk has been important enough that in the Winter 2018 issue of the Journal of Economic Perspectives, where I work as Managing Editor (Tim Taylor), we published a three-paper symposium on ‘Friedman’s Natural Rate Hypothesis After 50 Years.'”

What was the key insight or argument in Friedman’s 1968 address? Friedman offers a reminder that interest rates and unemployment rates are set by economic forces. Friedman uses this idea to build a distinction between the long-run and the short-run. In the short run, it is possible for a central bank like the Federal Reserve to influence interest rates and the unemployment rate. In the long run, there is a “natural” rate of interest and a “natural” rate of unemployment which is trying to emerge, gradually, over time from all the various forces in the economy.

The rest you can read for yourself at Tim’s site.

Tags: , , Comments (1) | |

More House Speaker Details on Who Will Lead

A Rehash

Paul Krugman noted on twitter, this is a group that is “still in the old cringe position, buying into GOP demonization (which happens to any strong Democrat) despite a huge midterm victory.” Cringing at the GOP’s demonization is a tactic that too many Democrats embraced in the past and is what sent so many of them on a journey rightward in search of validation. In other words, it is a losing strategy undermining liberal values. The really superb Democratic candidates in the 2018 midterms completely rejected the approach and it is clear that Nancy Pelosi joins them.

Nancy LeToureau at Washington Monthly detailed a Pelosi experience giving her remarks on Twitter. “On Wednesday some young climate activists joined by newly elected Alexandria Ocasio Cortez held a demonstration at Nancy Pelosi’s office. While we can debate whether it is a smart move to hold such an event at the office of a leader who is on your side as opposed to the myriad of Republican leaders who are climate deniers, Pelosi welcomed them with open arms.

Nancy Pelosi, Nov 13, 2018 on Twitter:

Deeply inspired by the young activists & advocates leading the way on confronting climate change. The climate crisis threatens the futures of communities nationwide, and I strongly support reinstating the select committee to address the crisis.

We welcome the presence of these activists, and we strongly urge the Capitol Police to allow them to continue to organize and participate in our democracy.

Nancy LeToureau: These types of actions are what makes Pelosi a great leader and is a wonderful example of how Democrats embrace grassroots activism and organizing.

The Letter’s 17

On the same day, some House Democrats were organizing against the election of Pelosi as the next Speaker of the House. There are those who mistakenly conflate the two developments; however, the group challenging Pelosi’s leadership has different motives.

About a dozen incumbent Democrats and a half-dozen incoming Democrats are preparing a letter pledging to not support Pelosi on the House floor for speaker. The members also intend to note another contingent of Democrats who privately say they won’t support the longtime California Democrat but won’t sign the letter, according to Rep. Tim Ryan (D-Ohio), one of the ringleaders of the effort to block Pelosi.

Sources (HuffPost) familiar with the letter say there are currently 17 names on it, but the group is trying to get more than 20 members before releasing it. Currently on the letter, though not certain to stay on it, are:

– Tim Ryan (D-Ohio)
– Seth Moulton (D-Mass.)
– Kathleen Rice (D-N.Y.)
– Ed Perlmutter (D-Colo.)
– Kurt Schrader (D-Ore.)
– Filemon Vela Jr. (D-Texas)
– Marcia Fudge (D-Ohio)
– Brian Higgins (D-N.Y.)
– Stephen Lynch (D-Mass.)
– Linda Sanchez (D-Calif.)
– Jim Cooper (D-Tenn.)
– Jeff Van Drew (D-N.J.)
– Joe Cunningham (D-S.C.)
– Max Rose (D-N.Y.)
– Anthony Brindisi (D-N.Y.)
– Ben McAdams (D-Utah)

There is another contingent of Democrats ― including Conor Lamb (D-Pa.), Dan Lipinksi (D-Ill.), Ron Kind (D-Wis.), Abigail Spanberger (D-Va.), Jason Crow (D-Colo.), Haley Stevens (D-Mich.), Elissa Slotkin (D-Mich.), Mikie Sherrill (D-N.J.) and Andy Kim (D-N.J.) ― who are seen as likely to vote against Pelosi, but who appear to be hesitant to sign the letter.

In comparison, just “How progressive Is Nancy Pelosi” when compared to the 17?

Kevin Drum (Mother Jones) writes; “not only has Pelosi consistently been in the top third of the most liberal Democrats in the House, Pelosi is a lot more liberal than Republican Paul Ryan is conservative.” The insurgency against Pelosi amongst House Democrats consists of people who are to Pelosi’s right on the ideological scale. The 17 Democratic signatories on the anti-Pelosi letter when compared to FiveThirtyEight’s DW NOMINATE ranking / Trump scorecard shows that only two of those people have voted against Donald Trump’s policy preferences more than Pelosi has.

The person from that group who’s being floated as a potential replacement for Pelosi, Rep. Marcia Fudge of Ohio, is accused of being openly hostile to LGBTQ rights. Osita Nwanevu of the New Yorker: “The anti-Pelosi stuff in Congress is mostly backed by centrist & conservative Dems who want to cave to the right’s sexist & latently anti-LGBT messaging (‘San Francisco values’) against her.”

Do We Want to Be a Part of the 17?

One sure way of dampening the forward progressive movement of the Democrats in the House is to have open warfare amongst ourselves on leadership when the leader is already more progressive than the upper third of Democrats in the House and much of the 17. Such fighting will give rise to questioning of the ability of new and incumbent representatives to gain bi-partisan agreement in the House for passage of Democratic bills. If they can not agree amongst themselves without open warfare, then we have already lost even before the new session has started.

This is not the time to kick the most experienced Progressive House leader out the door. It is time to start grooming new and younger leadership who have returned to the House over the last decade. First term representatives should spend time learning the politics of the House, the Democrats and Republicans, and avoid the conflict being led by those to the right of Pelosi. Only two of the 17 have voted against Donald Trump’s policy preferences more than Nancy Pelosi.

Tags: , Comments (34) | |

Pelosi Challenging Outdated Norms

From Washington Monthly Nancy LeTourneau

On Wednesday some young climate activists joined by newly elected Alexandria Ocasio Cortez held a demonstration at Nancy Pelosi’s office. While we can debate whether it is a smart move to hold such an event at the office of a leader who is on your side as opposed to the myriad of Republican leaders who are climate deniers, Pelosi welcomed them with open arms.

Pelosi Nov 13, 2018

Deeply inspired by the young activists & advocates leading the way on confronting climate change. The climate crisis threatens the futures of communities nationwide, and I strongly support reinstating the select committee to address the crisis.

We welcome the presence of these activists, and we strongly urge the Capitol Police to allow them to continue to organize and participate in our democracy.

These types of actions are what makes Pelosi a great leader and is a wonderful example of how Democrats embrace grassroots activism and organizing.

As it happened on the same day some House Democrats were organizing against the election of Pelosi as the next Speaker of the House, there are those who mistakenly conflate the two developments. But the group challenging Pelosi’s leadership is completely different.

As Paul Krugman noted on twitter, this is a group that is “still in the old cringe position, buying into GOP demonization (which happens to any strong Democrat) despite a huge midterm victory.” Cringing at the GOP’s demonization is a tactic that too many Democrats embraced in the past and is what sent so many of them on a journey rightward in search of validation. In other words, it is a losing strategy undermining liberal values. The really superb Democratic candidates in the 2018 midterms completely rejected the approach and it is clear that Nancy Pelosi joins them.

The theme demonstrated by Nancy Pelosi and well articulated by Nancy LeToureau at WM? In her leadership role, Pelosi is challenging some of the old vestiges of power and strengthening the small “d” democratic processes in overall party. It should come as no surprise that these changes are being resisted as power shifts from top-down to bottom-up. But it’s important for all of us to be clear about exactly what’s happening and weigh in accordingly.

Tags: , , Comments (21) | |

The AMA is Calling for a Relaxing of CMC Opioid Prescription Restrictions

A little history:

In 1980, the Porter and Jick letter to the editor of the New England Journal of Medicine by the Boston Collaborative Drug Surveillance Program stated:

“the risk of addiction was low when opioids such as oxycodone were prescribed for chronic pain.”

It was a brief statement by the doctors conducting the study, taken out of context, and cited many times afterwards as justification for the use of oxycodone.

In a June 1, 2017 letter to the NEJM editor, the authors reported on the broad and undocumented assumptions made as a result of the 1980 Letter on the Risk of Opioid Addiction.. Using bibliometric analysis of the impact of this letter to the editor, the citations of the 1980 letter were reviewed to determine the citation’s portrayal of the letter’s conclusions.

Identified in the bar chart are the number (608) of citations of the 1980 letter over a period of time from 1981 to 2017.

“72.2% (439) of the citations, quoted the letter or used it as evidence addiction was rare in patients when treated with opioids such as oxycodone. 80.8% or 491 of the citations failed to note the patients described in the letter were hospitalized at the time they received the prescription.”

There was a sizable increase of citations after the introduction of OxyContin (extended release oxycodone) in 1995. As the analysis noted “affirmational citations of the letter have become less common in recent years in contrast to the 439 (72.2%) positive and supporting citations of the 1980 correspondence in earlier years. The frequency of citation of this 1980 letter stands out as being unusual when compared to other published and cited letters. Eleven other published, stand-alone, and more recent letters on different topics published by the NEJM were cited at a median statistic of 11 times each.

Citations of the 1980 standalone letter on “addiction being rare” from the use of opioids such as oxycodone failed to mention, the patients administered to were in a hospital setting as noted in the Porter and Jick letter. Overlooked, a mistake, intentional misquote by the people citing this letter?

In 2007 in the pharmaceutical industry, “the manufacturer of OxyContin and three senior executives of Purdue Pharma plead guilty to federal criminal charges that they misled regulators, doctors, and patients about the risk of addiction associated with OxyContin.”

This year, law makers questioned Miami-Luken and H.D. Smith wanting to know why millions of hydrocodone and oxycodone pills were sent (2006 to 2016) to five pharmacies in four tiny West Virginia towns having a total population of about 22,000. Ten million pills were shipped to two small pharmacies in Williamson, West Virginia. The number of deaths increased along with the company and wholesaler profits.

60% of all drug-poisoning deaths in 2013 involved prescription opioids and/or heroin. Among individuals aged 25 to 64 years, deaths from a drug overdose—the majority of which were opioid-related—exceeded motor vehicle collisions as the leading cause of accidental death in 2013. Four in five new heroin users started out misusing prescription painkillers.

The information is out there as to why the abuse of opioids and related drugs is increasing. It is being ignored or argued against as limiting a patients rights to have unhindered access to opioids by doctors and patients alike. Sound familiar, similar to the gun lobby?

Today

AMA Delegates Back Physician Freedom in Opioid Prescribing At best, 20% of all doctors are members and the percentage has been declining. From the meeting; “The CDC’s guidelines on the use of opioids for pain management are well-intentioned, but some insurers and pharmacists have used them to restrict providing and need to be discouraged from doing so, members of the American Medical Association (AMA) House of Delegates said Tuesday.”

And the CDC response as told by one doctor. “a member of a pain management task force being convened by the Department of Health and Human Services. “Draft comments will be coming out in a couple of weeks and will very specifically address the misinterpretation of the CDC guidelines,” he noted. “This is really timely because the comments from the AMA will be extremely important in weighing in [on the issue].”

Doctors do no want interference with decision- making when it comes to patients. At the same time, little has been done to rein in addiction due to prescription opioids which lead to other addictions because prescriptions are expensive or are limited in access. Here is Janet from stopnow blog and who writes about addicted babies due to mothers taking opioids:

More overdose deaths last year than the entire Viet Nam War. The FDA approves sufentanyl 10 times stronger than fentanyl. Yesterday the AMA President was quoted using the same verbiage as Big PhRMA- undertreatment of pain. And now a campaign to undo the CDC guidelines which until they were released doctor education was coming from the drug companies. We need full disclosure – is this funded by Big PhRMA.

Here is a counter argument from a pharmacist where he misapplies the stats to suit his argument:

“it depends what numbers of overdose deaths you are referring to because it is certainly not more deaths due to opioid pain medications. There were 72,000 overdose deaths which includes ALL overdoses from ALL classes of medications. Overdoses from opioids were 49,000 and within that group only 19,354 were from opioid pain relievers. Deaths from fentanyl (illicit) totaled over 29,000, heroin almost 16,000, and cocaine 14,500. (One death could be counted in more than one category, numbers from NIH.) Vietnam war deaths totaled 58,220 versus 19,354 deaths from opioid pain medications. By the way, there were 10,684 deaths due to benzodiazepines, should the CDC mandate doses and days of therapy for those also?

I have no connections with or any payments/gifts from any drug manufacturer. My only concern is that in the national noise of the ‘opioid epidemic’ the focus is on those who abuse opioids and I want to make sure that we still hear the cry of the patient who needs pain relief and who does NOT abuse the medications.”

Yes the pharmacist is correct when he says of the 72,000 deaths only 19,354 can be attributed to opioid pain relievers in 2018. Janet cited the 20 years of Vietnam deaths. The pharmacist conveniently sidesteps the time periods involved here. In three years and if the numbers stay the same (they have been increasing YOY), the numbers of opioid deaths will be slightly less than 20 years of Vietnam if it were to remain at 19,000/year. Four in five new heroin users started out misusing prescription painkillers. Of recently cited 150,000 accidental deaths, 72,000 (a record high) can be attributed to drug overdose deaths, a record high.

And this is ok?

60% of opioid deaths occur in those who were given a prescription by a physician. The other 40% of deaths are caused by people who obtained opioids by “doctor shopping,” and receive multiple scripts at once. The perceived safety and easy accessibility of these drugs have presented the highest risk for most users, even if they eventually seek out illicit opioids or “street drugs.” In 2014, only 22.1% of non-medical users obtained opioids through a doctor, meaning that the diversion rate of these drugs is very concerning. Many people are getting these medications illegally or without doctor supervision.”

Tags: , Comments (12) | |

Kristallnacht: Lights left on to mark 80th anniversary

Between 9 and 10 November 1938, more than 1,400 synagogues and prayer rooms, thousands of Jewish-owned homes, hospitals, shops and cemeteries were damaged or destroyed across Nazi Germany and Austria.

At least 91 Jewish people were killed and an estimated 30,000 Jewish men were arrested and sent to concentration camps at Dachau, Buchenwald and Sachsenhausen.

It does not look like much has changed in the last 30 years and indeed has worsened for Jews and minorities as the white majority exercises its rule and capability to inflict upon them poverty. Poverty is more than just being poor. It is the loss of freedom to pursue religion, education, safety, etc. Ghandi had it right when he said Poverty is the worst form of violence. It comes is so many different forms.

Tags: , Comments (1) | |

Why Gerrymandering Matters

Gerrymandering is not going away any time soon. It will just be used in different manner, a manner in which to achieve congressional districts with a fairer representation of the district’s constituency.

Why won’t gerrymandering go away? The districts are too big at an average of 700,000 people per district. This is the result of Congress freezing the number of Congressional Representatives at 435 in 1929 and reapportioning the districts of each state based upon population every 10 years. The inequality of this methodology can be seen in a comparison between Wyoming with its one Congressional Representative and it population of 586,000 as compared to California and its average size of 700,000 for each Congressional District. If the average was set at 586,000 people per district as Wyoming has, then California would gain 15 more Congressional Representatives.

The Washington Post has an article up on the impact of both unfair gerrymandering and a fairer version of gerrymandering as dictated by the court The later achieves a much fairer split of the districts meant to represent the makeup of the population within the state and their political interests as discovered through national elections.” One state fixed its gerrymandered districts, the other did not.“

The picture depicts the change in numbers of Republicans and Democrats elected to office as determined by the Congressional districts make up. Pennsylvania had its districts redrawn by the court and “a 53 percent majority in the popular vote yielded a hair under half of the contested seats for Democrats — a big difference from 2016, when 48 percent of the vote gave Democrats 27 percent of the seats.”

In North Carolina, the districts were not redrawn. “The old maps were still in place and a electoral result in 2018 was identical to that of 2016. Despite a Democratic wave in which more than half the state’s voters opted for a Democratic House candidate, Democrats won one-quarter of the contested seats.”

Michigan passed Proposal 2 which established a civilian board to redraw the boundaries of the Congressional districts. I suspect it will still have issues as it will be selected by the legislature.

Tags: , , , Comments (2) | |

Medicaid Expansion 2018

Four states had the Medicaid Expansion on the ballot this last election and another is still fumbling around with expanding it..

The Good

Idaho: Idahoans approved Idaho Proposition 2, an initiative requiring the state to submit an amendment to the Centers for Medicare and Medicaid Services (CMS) in order to implement the Medicaid expansion no later than 90 days after the approval of the act. The Idaho Department of Health and Welfare is required and authorized to take all actions necessary to implement the provisions of this section as soon as practicable and outgoing Governor Butch Otter endorsed the ballot initiative less than a week before the election and Republican Governor-elect Brad Little has said he will implement the initiative.

Nebraska: Nebraskans voted in favor of Initiative 427 requiring the state to submit an amendment/documents seeking waiver approval from CMS on or before April 1, 2019 to expand Medicaid. As directed by the initiative, the state Department of Human Services to “take all actions necessary to maximize federal financial participation in funding medical assistance pursuant to this section”. Although newly reelected Governor Pete Ricketts has been a vocal opponent of expansion, he has stated he would let the voters decide if it made it onto the ballot.

Utah: Voters approved Utah Proposition 3 calling for the state to expand Medicaid coverage beginning April 1, 2019. The initiative also prohibits future changes to Medicaid and CHIP that would reduce coverage, benefits, and payment rates below policies in place on January 1, 2017. The proposition calls for a 0.15% increase to 4.85% from 4.7% the state sales tax (except for groceries) to finance the expansion or Medicaid and CHIP more broadly.

The Bad

Montana: Montanans voted down Montana I-185 after spending on campaigns for and against the initiative made it the most expensive ballot measure race in Montana history. The measure proposed raising taxes on all tobacco products and e-cigarettes and vaping products to dedicate a percentage of increased tax revenues for Montana’s current Medicaid program and veteran’s services; smoking prevention and cessation programs; and long-term care services for seniors and people with disabilities. The initiative also would have eliminated the sunset date for the Medicaid expansion of June 30, 2019. Republican controlled Montana State Legislature could still take action to continue the expansion program beyond June 2019. Tobacco companies had spent more than $17 million on advertising and other efforts to oppose the ballot measure, most of which came from cigarette maker Altria (Philip Morris).

The Ugly

Maine: Maine. Medicaid expansion was adopted in Maine through a ballot initiative in November 2017. Governor Paul LePage resisted the implementation of it and then complied with it after the Maine SC ordered him to submit an expansion state plan amendment (SPA) to CMS. He did submit the plan along with a asking CMS to reject the SPA. The newly elected Democratic governor, Janet Mills, has supported Medicaid expansion and is likely to move quickly to implement. Democrats also control the Maine legislature.

The ACA has shown up more in this last election even though it is pretty much a done deal and near impossible to repeal. Still Republicans repeat the same old “lies” even though they have been shot down repeatedly. One often repeated lie is the Democrats and the ACA stole $800 billion from Medicare to fund it. This lie was used by Mike Bishop in Michigan and our President also. Quite the opposite occurred with the Medicare TF being extended for a few more years and excess payments to Advantage plans reduced to match what Medicare pays out.

More to be read here: What Does the Outcome of the Midterm Elections Mean for Medicaid Expansion?

Tags: , Comments (1) | |