Medicaid counselor encouraged teen to get pregnant for dental coverage
source: http://www.kvue.com/news/Medicaid-counselor-encouraged-teen-to-get-pregnant-for-dental-cover...
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- MotherForTruth
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But the State of Texas appears to be encouraging teenage girls to become pregnant so they can receive free dental care under Medicaid.
Our investigation last year found hundreds of millions of dollars of taxpayer money spent for free braces on kids' teeth under Medicaid. That spurred a federal investigation, because cosmetic braces aren't supposed to be paid for under Medicaid.
If that is an example of good intentions gone bad, Latricia Banks and her mom, Patricia Jones, may exemplify a good idea gone terribly wrong.
For them, home is a tiny, wooden house in the shadow of Dallas' skyscrapers, which they share with Latricia's 82-year-old grandfather. It is a household held together with love, not money. Medical and dental care came mostly through Medicaid.
A little more than two years ago, Latricia's mom got a postcard in the mail, like many people in the neighborhood. Access Dental was offering to provide free braces for qualified children like Latricia, then 17 years old.
Mother and daughter responded.
Access Dental pulled one of Latricia's upper front teeth, the mother and daughter say, and put braces on remaining upper teeth. Latricia was left with a huge gap in her smile.
But the job went unfinished, because the clinic said Latricia needed a dental implant, which is not covered under Medicaid.
The clinic installed a false tooth, held in place by her braces.
"On my right hand side, I have a tooth that's really fake," Latricia said. "It even moves."
If her braces were ever removed, she would be left with an unsightly gap between her front teeth.
Three months ago, Latricia turned 19. Her Medicaid counselor told her she was now too old to receive Medicaid Orthodontic treatment, unless she got pregnant.
"Why do I have to have a baby just to get my teeth fixed?" Latricia said. "That's just not right."
Latricia's mother asked the state to explain the pregnancy policy, in writing.
They did.
"Ms. Latricia Banks is now 19, and no longer eligible for Children's Medicaid," the Dallas office of the Texas Health and Human services wrote Mrs. Jones, in a letter. "If she becomes pregnant, she can apply for Adult Medicaid."
Latricia's mother was infuriated.
"What you're saying is telling my daughter to go get pregnant!" Jones said.
Fifteen miles away in Carrollton, obstetrician Dr. Bill Montanaro has hundreds of teenage Medicaid patients. As an obstetrician, he both delivers babies and provides birth control under several state and federal programs.
A couple of years ago, he began noticing that many of his pregnant teenagers also had braces on their teeth.
"I thought, there's something seriously wrong with this picture," he said.
He gradually realized that state policies might be encouraging emotionally immature girls to become pregnant when a 14-year-old girl came to his office.
She'd already delivered one baby, and he'd implanted a birth control device under Medicaid. Then she lost her Medicaid coverage and came back to his office, offering to pay cash for him to remove it.
"She said, 'I need to get back on Medicaid, because I want to get braces,'" the doctor said. "Her means to get back on Medicaid was to get pregnant again. ...And she said, 'My sister has [braces] too, and she's pregnant.'"
"I'm thinking there's a pattern here," Montanaro said.
Montanaro says pregnant teenagers receive expanded health care under state and federal programs, Medicaid among them. He estimates that at least five percent of his pregnant Medicaid patients have braces on their teeth.
According to the Texas Health and Human Services Commission (HHS), the state provided braces for nearly 1,181 pregnant girls last year under Medicaid.
At HHS headquarters in Austin, spokesperson Stephanie Goodman responded to WFAA questions in writing.
Ms. Goodman said Medicaid Orthodontic coverage extends through age 20, not until age 19, as Patricia Jones had been told. Latricia's care would be finished under Medicaid expense. If care is begun before age 21, it is not possible to "age out" of the program. Pregnancy is irrelevant to orthodontic coverage.
Further, Ms. Goodman wrote, "The line about Medicaid for pregnant women was inappropriate and should not have been included [in the letter to Patricia Jones.] I can understand why the family was offended and I apologize for the misunderstanding."
Latricia Banks is still worried about her teeth, but a kindly dentist, not affiliated with Access Dental, has begun the process of putting an implant in her mouth for free. That should ultimately allow her orthodontic care to continue.
She's started college at Navarro Junior College in Corsicana, where she plans to learn to become a dental hygienist.
"I don't want anyone else to experience what happened to me," she said.
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- groups:
- Community, Current Cultural Issues, News not On MSM
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- tags:
- US, Corruption, Medicaid, Teen Pregnancy
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Truthitswhatsfordinner
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This is just so wrong.
- 3 months ago
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Truthitswhatsfordinner
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cmc101
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Good old Texas we can expect that from the haves,to dictate to the have not
- 3 months ago
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cmc101
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MotherForTruth
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cmc101:
Government agencies are corrupted all across US not only in Texas.
- 3 months ago
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MotherForTruth
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cmc101
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MotherForTruth:
I agree but this story came fromTexas
- 3 months ago
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cmc101
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MotherForTruth
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cmc101:
Yes and Texas is admitting this problem exists.
- 3 months ago
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MotherForTruth
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cmc101
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MotherForTruth:
I was outreach worker to help welfare applicants and the fear,mistrust ,guilt and humility they have upon themselves should not be called weakness or laziness by the social worker or government official
we have enough outsiders that quote generalize condemnation that only spill over into hatred and grief I take offense to those people who say so much while knowing so little about what they condemned , - 3 months ago
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cmc101
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JohnA
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Your tax dollars at work!
- 3 months ago
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JohnA
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MotherForTruth
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JohnA:
...And feeding the corruption.
- 3 months ago
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MotherForTruth
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Anonmaly
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Idk.... I'm torn, I think we should have more dentists, and with that more dentists willing to do charitable work...
Not for forcing socialism, just think we should take better care of one another, but someone who can't afford to have dental work done being told to have a kid so she can get free dental?
That's fuct up...
I don't have kids or teeth either, it's not necessarily that I'm horrible, dog ugly, or even that stupid or unlikable....
I CAN'T AFFORD THEM, and rather than bring another being into this world to struggle like I did....
Thanks, no, but irresponsible and self centered people will probably maintain me in a spot of getting nowhere, but hey keep breeding when you know you can't afford them, and you're not yet prepared to deal with all that goes along with parenthood....
- 3 months ago
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Anonmaly
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KmValla
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This is nothing new back when I was 18 in the early 90's I had a worker tell me to get pregnant so I could get aid. I looked at her and went why the hell do you want me to have a baby if I need help caring for myself.
It is surprising that people think that generational welfare is something that lazy people just want, when we have workers telling young women to get knocked up so they can receive help. Then these poor girls get stuck in a vicious cycle.
- 3 months ago
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KmValla
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Leen61
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How f**ked up is ths? This makes this whole birth control debate/debacle even more ludicrous! If this is taking place in heavily right wing Texas, you wonder how many other states have the same messed up rules. Insanity.
- 3 months ago
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Leen61
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good_stuff
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This explains perfectly why we need government run healthcare, although I don't think most countries offer orthodontic work in their national healthcare. Should they?
- 3 months ago
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good_stuff
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artemis6
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You do not get much dental from medicaid if any , bad advice . The policy recently changed .
- 3 months ago
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artemis6
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Plue
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I had this happen to me when I was in my twenties and went to try and get food assistance. The worker told me the only way they could help me was if I were to get pregnant. I ask the worker was she nuts and then walked out.
- 3 months ago
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Plue
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MotherForTruth
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Plue:
Wish there where more people with strong morals like yourself.
- 3 months ago
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MotherForTruth
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Plue
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MotherForTruth:
Well good morals and respect for myself and any potential child I might produce/adopt.
- 3 months ago
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Plue
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The_Wanderer_Kansas
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And this is where abuse of the system stems from! I hope this gets national attention so the right-wingers have an actual target to go after instead of the rhetorical grandstanding they are up to now. This counselor deserves a good public embarassment.
- 3 months ago
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The_Wanderer_Kansas
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thedirtman
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I'm beginning to suspect that the encouragement is coming from more than just Medicaid counselors. With America's aging population a labor shortage is on the horizon ten years down the road.
- 3 months ago
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thedirtman
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Kelly_Balthrop
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thedirtman:
The irony is that with automation there will not be a labor shortage, there wil be a huge surplus of unemployed. This just highlights how F*cked up our system has become.
- 3 months ago
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Kelly_Balthrop
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The_Wanderer_Kansas
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Kelly_Balthrop:
This is going to sound strange but here goes anyway!
I disagree with you despite the fact your right.... ummmm... yeah! --wink wink--
- 3 months ago
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The_Wanderer_Kansas
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Kelly_Balthrop
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The_Wanderer_Kansas:
Conventional economic theory states the increased productivity lowers price which increases demand and then increases production and the need for labor. This hold true as long as only one or two segments are hit, there are other areas of the economy that grow and pick up the slack.
The theory cannot account for the radical acceleration in technology, or the fact that new advances coming on line soon will have such a dramatic effect it's hard to even fathom, and that they will be hitting most segments of employment at the same time. Think for a minute about the impact of 3D printers on manufacturing, intelligent agents on administrative, secretarial, customer service and call center staff, Strong AI on professional trades; lawyers, managers, programmers, writers, even medical staff. Not many people will be left to buy those cheap goods. Something has got to give.
http://www.thedailybeast.com/newsweek/2011/07/17/the-threat-of-automation-robots...
- 3 months ago
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Kelly_Balthrop
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The_Wanderer_Kansas
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Kelly_Balthrop:
I would refuse to do business with any company that uses preprogramed AI for customer service. I also do not see anyone trusting a legal system run by AI lawyers... thats just bad juju from the start. Same idea on the "management" ploy, no matter how powerful or advanced an AI it will never be capable of running as many equations as the human counterpart.
I agree that I still disagree with you on this.
- 3 months ago
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The_Wanderer_Kansas
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MotherForTruth
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thedirtman:
A yes answer on "Are you a victim of domestic abuse" also opens every door to abuse of system. Seemingly simple and harmless lie gets a lot of financial benefits. Due to such gross abuse of system, the people who really need the support can not get it.
- 3 months ago
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MotherForTruth
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rerushg
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Kelly_Balthrop:
In fact, conventional theory fails because increased productivity does not lower price; it is taken as increased profitability. Reduced price in consumer products is last resort in dire circumstance. Steady and relentless rewriting of financial and tax law has resulted in capital expendure, marketing and advertising, and investment (diversification) providing vastly greater ROI than economics of scale. There's no advantage in monopoly so major corps don't compete on price. It's far better to establish product recognition and obfuscate price. (Every tried to figure out which paper towels are cheaper in the grocery store without a scientific calculator? You're more likey to decide on habit, feel, perforation spacing, or how much you want to spend on them at the moment.)
There's lots more to this but that's enough for now. - 3 months ago
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rerushg
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Kelly_Balthrop
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The_Wanderer_Kansas:
You are using linear thinking. Super computers already equal the human brain in computations per second. In 10 years your desk top machine will. Within 10 years after that the software for human level intelligence will be here. We are talking 2030 time frame when $1,000 of computing power will be as smart and able to reason like a person. After that all bets are off. They double every year and start designing their own improvements.
- 3 months ago
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Kelly_Balthrop
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Kelly_Balthrop
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rerushg:
Very good points rerushg. If the automation does not lower price then the traditional argument that automation does not hurt unemployment becomes invalid even quicker.
- 3 months ago
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Kelly_Balthrop
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The_Wanderer_Kansas
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Kelly_Balthrop:
Sorry but I disagree with you on the supercomputer comment. You have a good grasp of technology but seems you may be a little lacking on the human capacity. There is an old baseball related analogy regarding our brains. We have the capacity to follow a struck ball into the air, calculate it's trajectory, move our legs to get into place to catch while retaining our balance, getting our glove into the right spot to make the catch, knocking our hat out of the way to unobstruct our view, glance at the runners on the base path, decide how to play the ball once caught, reacquire visual of the ball, think about our breakfast and the cute girl in that skirt all at the same time, and that doesn't even come close to tapping the full 10% of our brain that we regularly use. I am highly suspect of the notion that techo-brains will come anywhere close to what we are capable of, and I certainly have no faith that they are capable of the type of calculations that we are capable of let alone the quantity.
I know I know, you don't see things the way I do, but I think you are putting a little too much "faith" in technology. All things have their limits, and those that are not constructed over millenia by the great technologist Nature have far more imposing limitations. Tech is great, tech helps and changes things all the time but even technology has it's limits. The is every possibility that the technological advances that are supposed to bring about this human equivalent AI runs into a roadblock, and unconquerable obstacle. A limitation of materials to function under such demanding tasks or such.
Additionally all of the calculations done by computers are mathematical in nature, our are not. Lust+Attraction=Love? Does father+son equal "family" or "fishing trip"? Just because everyone's new iPhones can talk to them doesn't bring that piece of plastic anywhere closer to comprehending or mimicing human thought. You should be familiar with "Eliza" an early nineties ineractive "AI" program that responded to basic words typed into the interface. This program proved two basic things, computers are capable of equation based thought, but they are not capable of commonsense or what ever term you want to equate to the human ability to adapt to new things based off previous experience.
- 3 months ago
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The_Wanderer_Kansas
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cmc101
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Kelly_Balthrop:
blue can win most chess games ind with a little tweaks they can out think most high school grads but its problem is it can't out thank a fifth grader
- 3 months ago
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cmc101
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cmc101
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The_Wanderer_Kansas:
where is the commonsense ?
it take a special person with commonsense and they are few and far between
and a majority of the population have never played baseball and the challenge of a computer came that is too smart will not sell - 3 months ago
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cmc101
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Kelly_Balthrop
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The_Wanderer_Kansas:
I'm not sure if you are saying ours are based on metaphisical spiritual source? If so that would answer your reluctance to beleive a computer able to mimic a human mind in complexity, and will be the end of our discussion because I will not argue science against mythology or faith based reasoning.
If you trying to say the brain is just too complex, we'll never understand it, well a few years before the write brothers flew for the first time some fairly well respected scientists were saying it was phsically impossible to fly.
If your saying that because a 20 year old program was not very smart therefore computers can never be smart, well then I would have to question your claim that you stay up on this stuff. 20 years ago is like a billion computer years in terms of evolution.
The brain is estimated to to be capable of 100 million million or 100 million MIPS calculations per second. If we use 10% of that capacity at any one time, we would need 10 million MIPS to repicate the brains power. In 1997 The Blue Gene super computer was capable of 1 million MIPS or 10% of what is needed. This year IBM will complete Sequuoia which will be able to do 20 million MIPS, twice what is needed. By 2018 it's estimated that they will be at 100 MIPS and able to replicate the entire brain nueral structure, and the 1000 MIPS in 2019.
In 2011 the Intel Core i7 Extreme processor is the top of the line for desktops. It is capable of 177,730 MIPS. If it doubles every 2 years it will be at 1 million MIPS by 2020 and reach 100 million MIPS by 2032. So, a desktop processor will be able to replicate the entire brain in 20 years. By 2052 it will be equal to the power of 1,000 human brains.
These machines are highly parallel (multi core) like our brain which is usefull for doing things like pattern recognition. After all, thats what our brain is, it's a huge pattern processor.
If there has been one claim in science that has been proved wrong time and time again, it's to claim something is impossible.
- 3 months ago
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Kelly_Balthrop
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Dagum
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That's quite an obligation to take on for dental coverage. Not only fraud, but a terrible way to commit Medicaid fraud.
- 3 months ago
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Dagum
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good_stuff
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Dagum:
It isn't fraud, it is just working within the rules that were set in this man made system. The law of unintended consequences is a more accurate explaination. If you don't like the results produced by the system, change the laws that govern the system.
- 3 months ago
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good_stuff
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bailey78
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Dagum:
They are bending the rules not breaking them.
- 3 months ago
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bailey78
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cmc101
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bailey78:
you are so right
- 3 months ago
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cmc101
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bailey78
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cmc101:
Not that it is any better but it is legal.
- 3 months ago
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bailey78
