Posts Tagged ‘Healthcare’

Austria – and what living in Austria has to offer

Friday, February 5th, 2016

With an area of 83.858 sq. km Austria consists of 9 independent federal states (Burgenland, Carinthia, Lower Austria, Upper Austria, Salzburg, Styria, Tyrol, Vorarlberg and Vienna) with their own provincial governments. The federal legislation is exercised by the national council (Nationalrat) together with the Upper House of Parliament (Bundesrat) – the two chambers of Parliament.

Austria is located in a temperate climatic zone with a Central European climate influenced by the Atlantic climate. The four seasons (Spring, Summer, Fall and Winter) each have typical temperature and climatic characters.
In summer up to 35°C with an average of 29°C
In winter up to -20°C with an average of 0°C
Austria is the 11th richest country in the world in terms of GDP (Gross domestic product) per capita according to the IMF rankings of 2011, has a well-developed social market economy, and a high standard of living.
Vienna was ranked the fifth richest NUTS-2 region within Europe with GDP reaching € 38,632 per capita, just behind Inner London, Luxembourg, Brussels-Capital Region and Hamburg.
Red Bull is an energy drink sold by Austrian company Red Bull GmbH, created in 1987. In terms of market share, Red Bull is the most popular energy drink in the world, with 4.5 billion cans sold each year.
About one third of the Austria’s energy consumption is covered by the national energy industry. Up to 70% of the energy comes from renewable sources such as water. Austria’s industrial sector is, however, one of the world’s largest.
The services industry is Austria’s fastest growing industrial sector. About one sixth of Austria’s three million wage and salary workforce is employed in the trade and industry sector, which contributes some 13% to the GDP.
Tourism is the country’s biggest foreign exchange earner and the fastest growing sector: 220,000 people in 40,000 tourist establishments generate 10% of Austria’s economic output.
Austria has a high standard of compulsory state funded healthcare. Private healthcare is also available in the country. All employed citizens and their employers contribute to the system.
There are three areas of social insurance in Austria, health, accident, and pension insurance. Anyone who is covered by the state insurance system will be covered by at least one of these branches. The job you are employed in determines the amount you pay in contributions and the level of social insurance available to you.
Basic health and dental treatment, specialist consultations, stays in public hospitals and medication are covered for all employees. Family dependents are automatically covered through the insurance of the employed family member.
Coffeehouse culture in Austria
 Cafés are an everyday part of city living and in Vienna in particular they are at the heart of city life. Around 1900, a visit to a Viennese café was a spectacular experience, newspapers were displayed on custom-made stands, waiters wore tailcoats and ceilings were decorated with elaborate chandeliers.
Today’s coffeehouse business is booming as more and more people seek a place to rest, work, eat or socialize in busy cities.
Wiener Staatsoper
The Wiener Staatsoper is one of the busiest opera houses in the world producing 50 to 60 operas per year in approximately 200 performances. It is quite common to find a different opera being produced each day of a week. As such, the Staatsoper employs over 1000 people.
Gustav Klimt was an Austrian Symbolist painter and one of the most prominent members of the Vienna Secession movement. Some of the most known paintings are The Kiss, Judith and the Head of Holofernes and Adele Bloch-Bauer I.
Friedensreich Regentag Dunkelbunt Hundertwasser was an Austrian artist. Born Friedrich Stowasser in Vienna, he became one of the best-known contemporary Austrian artists, although controversial, by the end of the 20th century. Some of his work include The Hundertwasserhaus apartment block in Vienna and Bad Blumau – a municipality and spa town in the district of Fürstenfeld in Styria, Austria.
Egon Schiele was an Austrian painter. A protégé of Gustav Klimt, Schiele was a major figurative painter of the early 20th century. The twisted body shapes and the expressive line that characterize Schiele’s paintings and drawings mark the artist as an early exponent of Expressionism. His work includes Zwei Kleine Mädchen, Portrait of Wally and House with Shingles.
Austria has been the birthplace of many famous composers such as Joseph Haydn, Franz Liszt, Franz Schubert, Anton Bruckner, Johann Strauss, Sr. and Johann Strauss, Jr. and Wolfgang Amadeus Mozart.
Some scholars speak about Austrian literature in a strict sense from the year 1806 on when Francis II disbanded the Holy Roman Empire and established the Austrian Empire. A more liberal definition incorporates all the literary works written on the territory of todays and historical Austria, especially when it comes to authors who wrote in German. Thus, the seven volume history of Austrian literature by the editors Herbert Zeman and Fritz Peter Knapp is titled History of the Literature in Austria.
René Karl Wilhelm Johann Josef Maria Rilke better known as Rainer Maria Rilke was a Bohemian-Austrian poet. He is considered one of the most significant poets in the German language.
His two most famous prose works are the Letters to a Young Poet and the semi-autobiographical Notebooks of Malte Laurids Brigge.
Stefan Zweig was an Austrian novelist, playwright, journalist and biographer. At the height of his literary career, in the 1920s and 1930s, he was one of the most famous writers in the world.
Zweig is best known for his novellas The Royal Game, Amok, Letter from an Unknown Woman – filmed in 1948 by Max Ophuls
Franz Kafka was an influential German-language author of novels and short stories. One of his most famous novellas is The Metamorphosis.
Robert Hamerling was an Austrian poet. He was born into a poor family at Kirchberg am Walde in Lower Austria. Hamerling displayed an early genius for poetry.
His most important works are his epic poems: Ahasuerus in Rome and The King of Zion.
Vienna boasts one of the world’s most famous culinary traditions. A diverse yet delectably harmonious range of dishes reflects the city’s mix of nationalities and food cultures through the centuries, and inspires visitors from all over the world.
Due to the mountainous terrain, alpine skiing is a prominent sport in Austria. Similar sports such as snowboarding and ski jumping are also widely popular, and Austrian athletes such as Annemarie Moser-Pröll, Hermann Maier, and Toni Sailer are widely regarded as some of the greatest alpine skiers of all time.
The Austrian Football League (AFL) is the elite league of American football in Austria. The league was founded in 1984 and plays by the rules of the NCAA.
Andreas Nikolaus “Niki” Lauda is an Austrian former Formula One racing driver and three-time F1 World Champion.
Cost of living
  • A meal at an inexpensive restaurant: 8.16 €
  • A three-course meal for two at a mid-ranged restaurant: 37.18 €
  • 1 Liter of milk: 0.95 €
  • 1 kilogram of chicken breasts: 8.42 €
  • 1 kilogram of oranges: 1.77 €
  • 1 kilogram of potatoes: 1.10 €
  • A monthly pass for the local transport system: 43.93 €
  • 1 km with a taxi with normal tariff: 1.48 €
  • 1 liter of gasoline: 1.40 €
  • Monthly utilities for an 85m² Apartment: 155.27 €
  • 1 minute of pre-paid mobile tariff: 0.11 €
  • Internet access (6Mbps, Flat Rate, Cable/ADSL): 18.38 €
  • The monthly fee for an adult at a fitness center: 48.85 €
  • 1 hour tennis court rent in the weekend: 16.30 €
  • 1 seat in the cinema for an international release: 8.40 €
  • Rent for a 1 bedroom apartment starts from 350 €
  • Rent for a 3 bedroom apartment starts from 700 €
The rent varies from one federal state and city to another. Still, there can be more attractive offers for Doctors. 
Austria’s individual income tax rates are progressive 0%-50% (4 tax bands).
Beside the 12 salaries there are also salaries 13 and 14 which are taxed with only 6% – this is typical in Austria. The 6% lead to a very small difference between the gross salary and the net salary.


Income Euro Tax (%)
1 – 11,000 0
11,001 – 25,000 36,6
25,001 – 60,000 43.21
60,001 and over 50

Experience is privileged in the field of surgery

Tuesday, February 5th, 2013


The patients, who have suffered a surgical intervention by an experienced surgeon, have a rate of mortality on long term with 22% inferior to those who have been treated by surgeons with a lower volume of surgical interventions in their list of achievements.

According to which criteria should one chose his/her doctor or surgeon in case of a relatively severe disease? The experience is an important factor of the doctor´s quality. A new proof has been given by Swedish researchers who have substantiated that a patient suffering of oesophagus cancer benefits from a longer survival on long term if he/she has been operated on by an experienced surgeon, who has the experience of such difficult interventions, in comparison with a novice or a doctor not specialized in this pathology. As one could have suspected, they have substantiated it in a masterly manner. The researchers at the Institut Karolinska, who have published their result on the 7th of January in The Journal of Clinical Oncology , estimate that the surgery of the oesophagus cancer should be concentrated in the hands of licensed surgeons.

The surgical removal is the basic treatment of the esophagus cancer. This is a difficult intervention, but it allows to a certain number of patients to be healed and to others to have a survival of more than 5 years. The Swedish study tilted on 1335 operated patients between 1987 and 2005 in Sweden, who have benefited from a regular supervision until 2011. The authors analyzed the global surgical volume of the hospitals where each patient has been operated on, the number of this kind of interventions realized each year by the surgeon being in charge of the patient and his/her experience accumulated in the respective field since the end of the academic course. They have then analyzed the survival period of the patients according to the surgeon´s experience.

The results are quite spectacular, as the patients operated on by physicians having a high cumulated surgical volume  present a less than 22% long term mortality risk in comparison with the surgeons having a low surgical volume in their list of achievements in this kind of pathology. However, the hospital´s surgical volume has no effect on the long term survival. It is clear for the researchers having led this evaluation, that this type of surgery must be centralized to some surgeons having a great experience in these important and difficult interventions.

The question of the surgeon´s training exceeds the framework of the oesophagus cancer. A study in France has shown, for example, that concerning the removal of the prostate for cancer reason, the risk of death during the surgical intervention is multiplied by 3,5 when the surgeon makes less than 50 removals per year, in comparison with the surgeon who makes more than 100.

Source of the article here

Romanians want access to the latest in medication

Wednesday, November 14th, 2012

88.5% of the Romanian population believes that serious illnesses should be treated with state of the art medication, according to the study conducted by the IMAS institute. More so, over half of the questioned stated that they would rather pay the full price for the generic medicines covered by the state and in exchange for the compensation of newer and more expensive medicine.

Concerning the preferences for the medication selected for treatment, over 46% of Romanian citizens prefer to buy innovative medicine, and 16% chooses generic medicine.

Also, 82% of the respondents admit the importance of new medication for the overall health of the population.

When it comes to access to the latest generation in medication, 34% believe that the actualization of the list of compensated medicine should be updated every year. 23% of the Romanian population thinks that this should be done every 6 months.


What do you think?


Source of the article here

Choosing a German State

Thursday, October 4th, 2012

Recently, we held a short survey designed to better understand our candidates’ wishes and desires when it comes to moving abroad and starting a career as a foreign doctor in a foreign land.
The survey was relatively simple with just two separate questions.

  1. In which country would you rather see yourself working as a doctor?
  2. In which German state would you like to live and work as a doctor?

Although some candidates prefer different countries or areas, some not even in Europe most of them seem to be interested in Germany.

Although Germany is the most sought after destination, it has its own “hot spots”, such as the land Bayern.

This outcome can just raises the following question: “Why?”.

All German states have state of the art hospitals, all German states have great infrastructure, and some German states have even an easier dialect than Boarisch (the German dialect spoken in Bayern).

Of course some of you may have friends or family in some states and that would justify your decision when picking a specific region.
For some people of course the distance from their homeland plays a key role, so here is something you might not know.

As in antiquity all roads led to Rome, for the East-West medical highway all roads lead to Vienna, thus we invite you to take a closer look to the maps below and pinpoint the distance form your country and hometown to any German state and city.


The first map represents the map of Europe and all circles have Vienna as an epicenter. 

The second map is a close-up of the first map with focus on Germany so that you can see all German cities and states in the 300km, 450km, 600km, 750km and 900km distance radius of Vienna:

  • 300km radius: 
    Part of Bayern, including cities such as Passau, Deggendorf, Bad Füssing.
  • 300-450km radius:
    Part of Bayern, including cities such as München, Augsburg, Ingolstadt, Regensburg, Nürnberg, Erlangen.
    Part of Thüringen, including cities such as Grea.
    Most of Sachsen, including cities such as Zwickau, Plauen, Chemnitz, Dresden, Leipzig, Radeberg, Görlitz.
    Part of the state Brandenburg, including cities such as Cottbus, Lüben.
  • 450-600km radius:
    Most of Baden-Württemberg, including cities such as Albstadt, Ulm, Stuttgart, Karlsruhe, Pforzheim, Heidelberg.
    Part of Bayern, including cities such as Würzburg and Schweinfurt.
    Part of Hessen, including cities such as Darmstadt, Frankfurt am Main, Kassel, Schlitz, Fulda.
    Part of Thüringen including cities such as Erfurt, Suhl, Weimar, Mühlhausen.
    Part of Niedersachsen, including cities such as Göttingen, Brunswick.
    Sachsen Anhalt, with cities such as Halle, Dessau, Magdeburg, Stendal.
    Part of Brandenburg, with cities such as Potsdam, Rathenow, Neuruppin, Schwedt.
    Part of Mecklenburg-Vorpommern, with cities such as Neustrelitz.
  • 600-750km radius:
    Part of Baden-Württemberg, with cities such as Freiburg.
    Saarland, with cities such as Saarbrucken.
    Rheinland-Pfalz, with cities such as Kaiserlautern, Worms, Trier, Koblenz.
    Part of Hessen, including cities such as Wiesbaden, Wetzlar.
    Part of Nordrhein-Westfalen, including Bonn, Köln, Siegen, Remschied, Dortmund, Münster, Bielfeld.
    Part of Nidersachsen, icluding cities such as Hanover, Celle, Verden, Soltau, Uelzen, Lüneburg.
    Part of Schleswig-Holstein, with cities such as Ahrensburg, Lübeck.
    Part of Mecklenburg-Vorpommern, with cities such as Schwerin, Rostock, Greifswald, Stralsund, Barth, Bergen.
  • 750-900km radius:
    Part of Nordrhein-Westfalen, with cities such as Düsseldorf, Duisburg, Essen.
    Part of Niedersachsen, with cities such as Osnabruck, Oldenburg, Lingen, Cuxhaven.
    Part of Schleswig-Holstein, with cities such as Kiel, Schleswig, Flensburg.


We would be more than delighted if you would tell us your preferences regarding working as a doctor in Germany!

EGV Recruiting

Young Roma’s become doctors: “If you are a professional, you won’t be subjected to ethnical discrimination.”

Monday, September 24th, 2012


Young Roma’s become doctors: “If you are a professional, you won’t be subjected to ethnical discrimination.”

18 year’s old and accepted at the Faculty of Medicine and Pharmacy from Iasi. She is a young girl like every other, but her home environment and background would have never permitted her to achieve her goal. “Discrimination made me want to prove all the rest that ethnic backgrounds doesn’t mean anything. If you are a professional, you won’t be subjected to ethnical discrimination”, explains the young Roma student.

Alexandra-Daniela Constantinescu benefited from free tutoring in chemistry, offered by the program “A generation of Roma specialist in the medical field”, a Romanian national program that’s aiming to give young people with vulnerable ethnic backgrounds to follow their dream.

Discrimination should not be taken as a handicap

Alexandra from Braila is 18. She appreciates the program because she is well aware that without these courses she would have never been admitted to the Faculty of Medicine and Pharmacy in Iasi. “I don’t think I would have managed by myself because most candidates prepare themselves in private and because of my background, my family wouldn’t have been able to offer me private lessons”, explains the young student.

The program offered me tutoring 5 times per month, from December 2011 till in July 2012. For each session I had to prepare homework and I was evaluated. If I got good grades like 9 and 10 I would get a monthly scholarship of 400Ron, if I received smaller grades I only got 200 Ron.

“I can’t say I was discriminated. Discrimination should not be taken as a handicap. Discrimination made me want to better myself. If you are a professional no one can discriminate you. “

The young student admits that she chose her profession from the 11th grade, because it offered her moral and financial satisfaction.
This program offers 360 positions during the 2012-2013 school year, for mentor programs and scholarships 125 for medical qualification courses.
Young Roma people that want to follow a medical career can enter the program by signing up till the 30th October to the scholarship programs offered by Active Watch, in collaboration with other non-government organizations.

Active Watch, together with the Roma Education Fund Romania Foundation, Resident Doctor Association, Roma Center for Health Policy and Open Society Institute, offer in total 360 places in the program “A generation of professional Roma citizens in the Medical Field” with funding help from the Social European Fund. This program is implemented nationwide between 2011 and January 2014.

The Program for Personal Development gives 500 Roma students and pupils the chance to benefit from courses in the medical field during the 2011-2012 and 2012-2013 school years.

For 2012-2013, young Roma citizens, depending on their interests and qualification, can apply for the Personal Development Program “Roma professionals in the medical field” or the program for qualification and re qualification of young Roma’s in the medical field.


Source of the article here


Bulgarian parliament passed amendments to human medicine act

Friday, September 7th, 2012

Sofia 4 September 2012.

Bulgarian parliament passed Tuesday the amendments to the Medical Products in Human Medicine Act.

The draft bill for amendments and supplements to the act, filed by the Council of Ministers, was adopted with 91 votes “for”, 2 votes “against” and 18 abstentions.

The amendments proposed by MP Vanyo Sharkov with the Blue coalition and a group of MPs, were turned down.

Before the draft bill was voted on, Bulgarian Minister of Health, Desislava Atanasova said that the government’s motives for amendments to the draft bill concern the medical safety rules.

“These amendments require serious change, which concern the fake medical products. I hope that the amendments will be backed by all parliamentary groups, because they involve the safety of all Bulgarian patients. “

In her words, the establishment of a national council on prices and reimbursement aims at establishing a central body, which should monitor, register and update the prices of the medical products and compare them to those in the rest of the EU countries.

“Only in a week we have drastic decrease of 5% to 75% of 74 new medical products,” stated the minister.


Source of the article

Numbers don’t lie

Monday, August 6th, 2012

The Romanian news portal “Stirile ProTV” published an article with the following title: “The Romanian doctor factory can’t keep up with the high number of doctors that choose to leave the country. Since 2007, 8200 doctors left the country.” 

Because of no significant changes in the Romanian health system, future doctors choose to leave the country. Candidates that get accepted by the Medical Universities state that nothing good awaits them in Romania once they graduate.

These sincere words come at a time when the Romanian health system has great needs for doctors and nurses.

The best of them seek jobs abroad, mostly for financial and technical reasons.

Fresh medical students with high and low grades alike choose to practice abroad once they finish their studies.

In the last 5 years the Romanian “doctor factory” couldn’t keep up with the massive exports. 7800 doctors graduated and 8200 left the country.

The Romanian health system searches for new solutions to resolve the personnel problems. One of these solutions is attracting foreign doctors to practice in the Romanian health care system. For now, doctors from the Republic of Moldova are most likely to be attracted by this possibility.

Source of the article


Changes in wages for the Romanian resident doctors!

Friday, July 27th, 2012

The new health bill makes a series of legislative changes regarding the medical staff. It’s not an unknown fact that both Romanian doctors and nurses prefer to leave the Romanian health system, being attracted by the substantial foreign wages.

Their enrollment as state employees, and their uptake as civil servants made the doctors express their grievances publicly at many occasions, even threating with mass resignations several times in the recent years.

The Romanian College of Physicians said that the new bill of health would regulate some aspects of the medical profession. Although not fully agreeing with the chapter on health workers, Dr. Prof. Astarastoae explained that the existing measures in the project could cause some doctors to stay in Romania after completing the residency.

“We have to take into consideration that the negative attitude people have towards doctors can not be controlled by law,” said the president of A few months ago at the General Meeting of the Romanian Medical College, a list of grievances was made public by the doctors. The new bill seems to take into account some of these grievances.

“In principle we agree with the chapter regarding the medical staff in the health bill. A key issue is that the doctors will no longer be considered state employees and civil servants as before. A doctor’s autonomy is important and I hope the state bodies will no longer be concerned about the activity of the doctors and bud out,” continued Prof. Dr. Vasile Astarastoae.


The National Register of staff in the health system, particularly useful

One of the first articles in the bill with the title X shows that the Ministry of Health established the National Register of specialized personnel in the health system, both for contractors and for the non-medical care.

Such a register will be extremely useful, especially considering that hospitals would have managerial autonomy. In addition, such a register should include all persons still in the Romanian health system, providing relevant statistics on actual figures of the exodus of doctors and nurses.

A novelty in the new draft law it the fact that resident doctors will be paid for medical work carried on in public health. Currently, resident physicians have low wages in light of the fact that the work they are making is considered training.

“It is important that the work of the medical residents will be remunerated. Another key issue is the fact that physicians will be able to negotiate their salary based on performance,” said the president of the Romanian College of Physicians.

Source of the article

Romanian Healthcare Reform – the introduction of private insurers – the first info’s about the new healthcare law.

Wednesday, June 27th, 2012

The Romanian Minister of Health, Vasile Cepoi, explained during an interview, what the new health law will bring to the table. Probably one of the most notable things of this reform is the introduction of private insurers.

“As far as insurance goes, we would like to introduce in the market the competition between private and public insurers, thus giving the ensured individual the option of choice without paying more for the healthcare coverage.

Another implementation regards the reorganization of the mandatory insurance system, which will permit the insured individual to have some control over how the money is spent, and thus bringing the downfall of the monopoly that the National Health Insurance Agency now has.

The National Health Insurance Agency will be reorganized and will have the more of a supervision role”, stated Cepoi in the interview.”

On a more personal side, I can’t wait to hear the full content of the reform. Till then we can only speculate on behalf of its impact on the current system.

What do you think?




Source of the article

Consider starting work as a doctor in France?

Tuesday, June 26th, 2012

Before starting the actual work, here are some general facts about France’s healthcare system!

The French healthcare system was considered in the year 2000 “the best overall health care provider” by the World Health Organization, and in 2005 France spent almost 12% of its GDP on healthcare.


The current system has undergone several changes since its foundation in 1945, though the basis of the system remains state planned and operated.

Jean de Kervasdoue, a health economist, believes that French medicine is of great quality and is “the only credible alternative to the Americanization of world medicine.” According to him, France’s surgeons, clinicians’ psychiatrists, and its emergency care system are an example for the world.

The health care system:

The entire population must pay health insurance. The insurers are non-profit agencies that annually participate in negotiations with the state regarding the overall funding of health care in France. There are three main funds, the largest of which covers 84% of the population and the other two a further 12%. A premium is deduced from all employees’ pay automatically. The 2001 Social Security Act, set the rates for health insurance covering the statutory health care plan at 5.25% on earned income, capital and winnings from gambling and at 3.95% on benefits (pensions and allowances).

After paying the doctor’s or dentist’s fee, a proportion is reimbursed. This is around 75-80%, but can be as much as 85% The balance is effectively a co-payment paid by the patient but it can also be recovered it the patient pays a regular premium to a voluntary health insurance scheme.

Under recent rules, general practitioners are required to act as “gate keepers” who refer patients to a specialist or a hospital when necessary.
About 65% of hospital beds in France are provided by public hospitals, around 15% by private non-profit organizations, and 20% by for-profit companies.



While French doctors only earn about 60% of what American doctors make, their expenses are reduced because they pay no tuition for medical school and malpractice insurance is less costly compared with the United States. The French National Insurance system also pays for a part of social security taxes owed by doctors that agree to charge the government-approved fees.
Médecin generaliste /General practitioner

The médecin généraliste (commonly called docteur) is responsible for patient long-term care. This implies prevention, education, care of diseases and traumas that do not require a specialist. They also follow severe diseases day-to-day (between acute crises that may require a specialist).

They survey epidemics, fulfill a legal role (consultation of traumas that can bring compensation, certificates for the practice of a sport, death certificates, certificates for hospitalization without consent in case of mental incapacity), and a role in emergency care (they can be called by the SAMU, the emergency medical service). They often go to a patient’s home if the patient cannot come to the consulting room (especially in case of children or old people) and they must also perform night and week-end duty.


Emergency medicine

Ambulatory care includes care by general practitioners who are largely self employed and mostly work alone, although about a third of all GPs work in a group practice. GPs do not exercise gatekeeper functions in the French medical system and people can see any registered medical practitioner of choice including specialists. Thus ambulatory care can take place in many settings.



A government body, ANAES, Agence Nationale d’Accréditation et d’Evaluation en Santé (The National Agency for Accreditation and Health Care Evaluation) is responsible for issuing recommendations and practice guidelines. There are recommendations on clinical practice (RPC), relating to the diagnosis, treatment and supervision of certain conditions, and in some cases, to the evaluation of reimbursement arrangements. ANAES also publishes practice guidelines which are recommendations on good practice that doctors are required to follow according to the terms of agreements signed between their professional representatives and the health insurance funds. There are also recommendations regarding drug prescriptions, and to a lesser extent, the prescription or provision of medical examination. By law, doctors must maintain their professional knowledge with ongoing professional education.


If you would want to become part of the French health care system, feel free to read more about France on our website see our current job vacancies and apply!

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