Peter Stackpole SophiaLoren in a Manhattan Coffee, NYC 1958
VDB
https://twitter.com/i/status/1463646508956454917
“If you agree with me, you can listen to my opinions. With Dr. Fauci, it’s not the same. He has opinions, but he wants you to be forced to do as he says.”
• Fauci Claims His Critics Are “Killing People” (SN)
Anthony Fauci, who continues to appear on TV every day two years into the pandemic, declared Tuesday that anyone who criticises him is “killing people.” In an MSNBC interview, Fauci proclaimed “I’m not in it for a popularity contest. I’ve devoted my entire professional career of 50 years to try and essentially safeguard and preserve the health and lives of the American people and as an infectious disease doctor who deals with outbreak, that gets really extended to the rest of the world.” “That’s what I do,” Fauci further declared, adding “The praise or the arrows and slings are really irrelevant. I do what science drives you to do, and that’s what I do. And you know, I’m not in it for a popularity contest. I’m trying to save lives.” In between gain of function funding and torturing dogs, he cares about lives.
Fauci continued, “And the people who weaponize lies are killing people. So the only question I have is that when you show Tucker Carlson and Peter Navarro criticizing me, I consider that a badge of honor.” He added, “I just wanted to make that statement. People throw up those people that make ridiculous statements. They’re telling people to do things that they’re going to die from and telling me I should go to jail. As they say in my old neighborhood in Brooklyn, give me a break, will ya.”The arrogance is plain to see once again. Fauci’s critics are pointing out his lies over funding dangerous experiments with coronaviruses, his flip flops over health policies such as masking and lock downs, and his constant moving the goalposts when it comes to vaccine efficacy, in tandem with an obvious casual lack of regard for freedom.
In an interview with Glenn Beck this week, Senator Rand Paul noted that “Fauci not only has a casual disregard for science, but also for individual liberty. You combine the two — ignoring the science, and then having no regard at all for individual liberty — and you have a really dangerous situation. But it’s also dangerous because we’ve centralized the authority.” Paul further explained, “I have opinions on where the virus came from. I have opinions on how to treat it. But they’re my opinions, you don’t have to take them. If you agree with me, you can listen to my opinions. With Dr. Fauci, it’s not the same. He has opinions, but he wants you to be forced to do as he says. So it is the difference between coercion and freedom. And in freedom, there are many choices. But the real danger is, as we centralize authority, ultimately you get authoritarianism. And I think that he could easily be a medical dictator, if he were allowed to be.”
Who would you rather have in your corner, Marik or Fauci?
What snows under is that Marik, Varon, McCullough et al are the top in their fields. Or were, until their ideas diverged from Fauci’s.
• Dr. Marik Suspended After Suing Hospital for Banning COVID Treatments (CHD)
A top critical care physician who filed a lawsuit against Sentara Norfolk General Hospital over its ban on administering life-saving drugs to treat COVID patients, has had his hospital privileges suspended.Dr. Paul Marik, chief of pulmonary and critical care medicine at Eastern Virginia Medical School and director of the ICU at Sentara Norfolk General Hospital, learned about the 14-day suspension when he arrived to work on Saturday and found a letter on his desk.The letter was dated Nov. 18 — the same day Marik appeared before a judge in Norfolk Circuit Court requesting a temporary injunction to lift the ban, Marik’s attorney said.Judge David Lannetti did not grant the temporary injunction, but did determine Marik had standing to bring his lawsuit, allowing the case to move forward which will give Marik the opportunity to “establish his right to administer life-saving treatments that patients have been prohibited access to by Sentara,” the Front Line COVID-19 Critical Care Alliance (FLCCC) said in a statement.
Sentara’s attorneys didn’t tell Marik about the suspension during Thursday’s hearing, nor did they mention it to the judge, said Marik’s attorney, Fred Taylor, a partner at the Virginia law firm Bush & Taylor. In a Nov. 22 letter to the judge, Marik’s attorney accused Sentara of making a material misrepresentation during the hearing by failing to disclose the letter and telling the court the hospital would not retaliate against Marik for filing the lawsuit.“Evidently Sentara chose, for reasons of its own, not to disclose this suspension either to the court or the plaintiff during the hearing,” Marik’s attorney told the judge. In his letter, Taylor told the judge: “The letter [from Sentara to Marik] gives no explanation whatsoever for the ‘coincidence’ of Sentara’s choosing to suspend Dr. Marik at this particular moment, leaving only one realistic conclusion. Sentara has engaged in a blatant act of retaliation against Dr. Marik for filing this suit and for exposing to the public Sentara’s unlawful unjustified denial of safe, potentially life-saving medicines to its COVID patients in violation of Virginia statutory law and public policy.”
In Sentara’s letter to Marik, hospital officials summoned Marik to a proceeding scheduled for Dec. 2 during which, the hospital said, “no lawyer representing Dr. Marik will be permitted and no recording/video or transcript … will be made.” Sentara said its suspension of Marik was based in part on an allegation that he informed COVID patients that his “hands were tied” and there was nothing more he could do for them.
Excellent long article.
• Are Adverse Events In Covid-19 Vaccine Trials Under-Reported? (DeMasi)
Data on adverse events is vital for effective decision-making by regulators, policy makers, doctors, and patients. But there are serious concerns about publication bias or selective omission of data, whereby adverse events are less likely to be published than positive results. A systematic review in PLOS journal analysed 28 studies and found that adverse events were less likely to appear in published journal articles than unpublished studies (e.g. industry-held data). Experts now suggest that the pivotal Covid-19 vaccine trials may have beenunder-reported adverse events in several ways. In the Pfizer and AstraZeneca vaccine trials, participants were given digital apps to record adverse events remotely – a more convenient, time efficient and cost-effective way of gathering patient data.
A major problem however, is that the pre-determined options on the digital apps have a narrow focus on particular adverse events. For example, the app only allows a participant to record what the company deems as ‘expected’ events such as fever, pain at injection site, temperature, redness, swelling, fatigue, headache, diarrhoea, chills, muscle and joint pain. But if they experience a serious adverse event like myocarditis or early signs of transverse myelitis, Guillain-Barre Syndrome, a myopathic disorder, myocarditis or thrombosis, there is no option for them to record it on the app. Case in point: Brianne Dressen, a participant in the AstraZeneca (AZD1222) trial. She suffered a severe adverse event after her first injection and became disabled. But her smartphone app did not allow her to record the particular type of adverse event, nor did it allow her to record her symptoms in her own words.
Once hospitalised, Ms Dressen was ‘unblinded’ from the trial. She was informed that she had been given the AstraZeneca vaccine, not the placebo, and advised not to have the second injection. The investigators subsequently “withdrew” Ms Dressen from the trial, they disabled her smartphone app, and all her data from that day onwards, were never documented despite still experiencing disability today. Ms Dressen was concerned about the lack of reporting of her adverse event (and others) in the trial’s publication in the top-tiered New England Journal of Medicine. She wrote to the journal’s editor-in-chief Dr Eric Rubin, seeking to “request inaccuracies in the trial publication be corrected, and to demand complete reporting of the trial publication and results.” Dr Rubin refused to correct the inaccurate data in his journal. The full email exchange has been made public.
Dressen
https://twitter.com/i/status/1457829975680245769
“..9.4 million “serious” adverse events..”
• Severe Reactions to Covid Vaccines Far More Common Than VAERS Data Shows (BN)
Richard Baris, also known as the People’s Pundit, is currently one of the best pollsters in the country. I had the pleasure of appearing on a TPUSA Orlando panel with him on election integrity matters and can tell you he is the real deal. In fact, I suggest that you support his work to reform the corrupt polling industry in America by considering joining his Locals community. Now, Baris was concerned by the noticeable disparity between the AEs reported in Pfizer’s documents (more on that below) and the VAERS website, and had taken it upon himself to start polling Americans directly about their vaccine experiences. He went above and beyond the critical threshold needed for a representative sample of national significance by polling 2,414 registered voters across the country. Furthermore, he drilled down enough to check all the boxes on represenative subgroups. This gives his results a sound 95% confidence interval in terms of their representative value.
[..] The Baris poll shows that simply the “serious adverse effects” from the Covid vaccines – described as events so serious they “prevent daily activity” – were reported to be 5.2% among all groups. This spans self-identified Democrat, Republican, and Independent voters. Independent voters had the highest reported serious adverse effect rate at 6.5%. The extrapolated data would project out at a national scale to around 9.4 million “serious” adverse events, which alone dwarf the VAERS reports by 14 times over. But if you take all of the events together, a whopping 63% of Americans who take the vaccines have some kind of adverse event. Since there are 194 million Americans who are reportedly “fully vaccinated,” or nearly 60% of the population, there is no way to square the VAERS reports and the monumental scale of AEs that are communicated by this trustworthy and reliable polling.
It’s not just pollsters who are sounding the alarm on serious Covid vaccine events: Cardiologists are reporting a huge spike in heart inflammation cases to the American Heart Association (AHA). A cardiac surgeon has circulated a warning to the AHA that heart inflammation markers are drastically increasing in patients in conjunction with increasing mRNA Covid vaccination rates. [..] “Dr. Jessica Rose, who is normally positive about vaccines, says that VAERS (Vaccine Adverse Event Reporting System), the US database for vaccine injuries, has only managed to collect an estimated 1% of the total number of serious side effects from mRNA injections,’ NewsVoice reported. “VAERS is, unfortunately, a weak system when it comes to how side effect data is handled, says Rose.
She, therefore, divided adverse reactions and side effects into several categories such as neurology, immunology, reproductive organs, and cardiovascular. In this way, she has created a warning system where it should be easier to see if and in that case how side effects can be linked to the mRNA vaccines.” “Rose says that the so-called ‘covid vaccines’ are not actual vaccines but rather injections of genetic material,” the report added. “Several studies have been published, despite attempts to censor these, which show that the spike proteins themselves are very toxic to the body. These spike proteins are foreign proteins.” “The fact that millions of people have been injected with these so-called ‘mRNA vaccines’ is to be considered a crime against humanity, Dr. Jessica Rose believes.”
We covered Gundry’s report a few days ago.
• Pfizer And Moderna Vaccines “Dramatically Increase” Heart Risk (Attkisson)
The Covid-19 Pfizer and Moderna RNA vaccines “dramatically increase” a common measure of heart risk in people. That’s according to a recently-published “warning” in the journal Circulation by cardiologist Dr. Steven Gundry, who is called a pioneer in infant heart transplant surgery. The analysis was presented at the recent meeting of the American Heart Association. The “dramatic changes in most patients” means they are at higher risk of a new Acute Coronary Syndrome, such as heart attack, according to Gundry. In part, the analysis states: “We conclude that the mRNA vacs dramatically increase inflammation on the endothelium and T cell infiltration of cardiac muscle and may account for the observations of increased thrombosis, cardiomyopathy, and other vascular events following vaccination.”
“Recently, with the advent of the mRNA COVID 19 vaccines (vac) by Moderna and Pfizer, dramatic changes in the PULS score became apparent in most patients” Dr. Steven R Gundry in Circulation. Scientists have already established a myriad of heart and blood related effects of Covid-19 vaccines in some patients, including young people. Among the adverse events linked to the vaccines are thrombosis blood clots and heart inflammation known as myocarditis and pericarditis. The Centers for Disease Control (CDC) and Food and Drug Administration (FDA) say the vaccines are safe and effective for everyone they are recommended for, and that the benefits outweigh the known risks, which will be emerging for some years as more people get vaccinated.
There are millions of adverse events officially reported by people after vaccination, including thousands of heart-related injuries. The PULS (Protein Unstable Lesion Signature) Test measures the most clinically-significant protein biomarkers that measure the body’s immune system response to arterial injury. These injuries lead to the formation and progression of cardiac lesions which may become unstable and rupture, leading to cardiac event.
CNN says don’t vaccinate the recovered. Well, they almost do.
• Reinfection From Covid-19 Is Rare, Severe Disease Is Even Rarer (CNN)
When people got reinfected with Covid-19, their odds of ending up in the hospital or dying were 90% lower than an initial Covid-19 infection, according to a new study. The study published Wednesday in the New England Journal of Medicine found that there were few confirmed reinfections among 353,326 people who got Covid-19 in Qatar, and the re-infections were rare and generally mild.The first wave of infections in Qatar struck between March and June of 2020. In the end about 40% of the population had detectable antibodies against Covid-19. The country then had two more waves from January through May of 2021. This was prior to the more infectious delta variant.To determine how many people got reinfected, scientists from Weill Cornell Medicine-Qatar compared the records of people with PCR-confirmed infections between February of 2020 and April 2021.
They excluded 87,547 people who got the vaccine. Researchers found that among the remaining cases there were 1,304 reinfections. The median time between the first illness and reinfection was about 9 months. Among those with reinfections, there were only four cases severe enough that they had to go to the hospital. There were no cases where people were sick enough that they needed to be treated in the intensive care unit. Among the initial cases, 28 were considered critical. There were no deaths among the reinfected group, while there were seven deaths in the initial infections. “When you have only 1,300 reinfections among that many people, and four cases of severe disease, that’s pretty remarkable,” said John Alcorn, an expert in immunology and a professor of pediatrics at the University of Pittsburgh who was not affiliated with this study.
The study has limits. It was done in Qatar, so it’s not clear if the virus would behave the same way anywhere else. The work was done when the alpha and beta variant were the cause of many re-infections. There were 621 cases where it was undetermined and 213 from a “wild type” virus. There was no mention of the delta variant, which is now the predominant strain. That could have an impact on the number of reinfections.
And still we can’t say the vaccines don’t work?
60% vaccinated should mean a significant decrease in deaths, if not simply 60%. It should never mean deaths go up.
• US COVID Deaths In 2021 Have Surpassed 2020’s Total (ZH)
COVID-19 has killed more people in 2021 than 2020. The virus was reported as the underlying cause of death (or a contributing cause of death) for an estimated 377,883 people in 2020, accounting for 11.3% of deaths, according to the CDC. As of Monday, more than 770,000 people have died from the coronavirus, according to Johns Hopkins University data. That means over 15,000 more people have died in 2021 than last year from COVID-19 – and there’s still more than a month left. his has happened despite the fact that last year no Americans were vaccinated (now 59% of all eligible Americans have had the “life-saving” jab) and some 17% have received booster shots…
The 2021 U.S. death toll caught some doctors by surprise. They had expected vaccinations and precautionary measures like social distancing and scaled-down public events to curb the spread of infections and minimize severe cases. But, The Wall Street Journal has its own explanation, suggesting lower-than-expected immunization rates as well as fatigue with precautionary measures like masks allowed the highly contagious Delta variant to spread, largely among the unvaccinated, epidemiologists say. Among missteps, Dr. Abraar Karan, an infectious-diseases doctor at Stanford University, said, public-health officials failed to effectively communicate that the purpose of vaccines is to protect against severe cases of Covid-19 rather than to prevent the spread of infection entirely, which may have led some to doubt the effectiveness of the shots. CDC has an excuse too, claiming that there was a larger undercount of Covid-19 deaths in 2020, when the disease was newer and a scarcity of tests made confirming some infections difficult.
Scientists, Facing Scrutiny About Vaccinations Not Stopping Virus, Announce Discovery of New Vaccine Resistant Strain of Virus
• Scientists Announce Discovery of New Vaccine Resistant Strain of Virus (CTH)
As more data revels less benefit to vaccination status; and additional data reveals vaccinated individuals are becoming the group with the most adverse health outcomes; the scientific and medical community -writ large- are facing increased scrutiny to justify the public benefit of a seemingly endless booster approach with little upside. In essence, what good are all these vaccinations; and specifically all the rules of proving your vaccinated status vis-a-vis passports; if the vaccinated can still be infected and spread the virus? The voices asking this question are growing more loud by the day. Then, all of a sudden….
Isn’t that convenient? A new variant that tamps down the issue of questioning science about why the vaccine doesn’t seem to work. It appears the COVID science always has a way to explain why the COVID science may not work. SKY NEWS – “Scientists have raised concerns about a new variant of coronavirus that has an “extremely high number” of mutations that vaccines may not protect the human body against. The B.1.1.529 variant was first detected in Botswana, Africa in November with subsequent infections confirmed through genome sequencing in South Africa and in a traveller from Hong Kong after returning from the Rainbow Nation. Only ten cases have been reported across the world but health experts believe it could have spread further than three countries as nations ease COVID-19 restrictions and restart international travel.
The latest variant has 32 spike mutations in the spike protein, the part of the virus that most vaccines use to boost the immune systems against the highly infectious disease. Mutations in spike protein can affect the virus’ ability to infect cells within the body and spread but also makes it difficult for immune cells to attack the pathogen. The worrying number of mutations mean it could evade immunity.”
More boosters! They work great!
• Vaccine Immunity Waning, Signs Israel Faces Fifth COVID Wave (Haaretz)
The expert health panel advising Israel’s government believes that another COVID wave is on the horizon in light of waning vaccine effectiveness, and that the children’s vaccination drive would not be enough by itself to halt the pandemic. This comes amid the launch of Israel’s vaccine drive for children aged five to 11 on Tuesday, and an accelerating infection rate, ending a ten-week standstill of coronavirus’ spread in the country. The panel advised the coronavirus cabinet to enact further restrictions, in part because the vaccination of children takes time to come into effect. Among the suggestions is a further test for travelers arriving in Israel after three to five days. In a coronavirus cabinet meeting on Tuesday, Prime Minister Naftali Bennett called for officials to begin planning for an antigen test campaign for schools after the upcoming Hanukkah break.
The ministers also decided that existing restrictions on indoor spaces should be extended for another two weeks. Prof. Eran Segal from the Weizmann Institute made a presentation on Tuesday in front of the coronavirus cabinet in which he argued that the level of immunity has fallen since November, and that this is reflected by the rise in the number of new confirmed cases. According to Segal, the reasons for the rise in the R number – the average number of people each coronavirus carrier infects – include the slackened enforcement of restrictions, an increase in infection among children and a fall in immunity among the general public. “In this reality, vaccines aren’t enough to stop the [coronavirus] wave, and we need to continue using all the effective methods that minimize infection without hurting the economy,” a summary of the coronavirus cabinet meeting on Tuesday read.
“This includes strengthening public awareness and effectively enforcing Green Pass guidelines and masks in enclosed spaces, as well as renewing the effort of ensuring those exposed to the virus quarantine,” it added. [..] The expert panel advising the government on coronavirus also met on Monday, and a report summarizing the discussion shows that they also fear a further wave of the virus. “At the moment, there is still no clear evidence of a significant outbreak, but it is very likely that one will occur,” the report said, citing the fact that a third of the population remains unprotected. This refers to 670,000 unvaccinated Israelis, more than a million people who haven’t received the booster, and children under 12.
“Requiring health care workers to get a vaccination or face termination is unconstitutional and unlawful and could exacerbate health care staffing shortages to the point of collapse..”
• Missouri Sues To Block Vaccine Mandate For Health Care Workers (MT)
Attorney General Eric Schmitt led a coalition of nearly one dozen states Wednesday in a legal effort to block the federal COVID-19 vaccine mandate for health care workers under the Centers for Medicare and Medicaid Services (CMS) umbrella. The effort in partnership with the Nebraska attorney general is the first lawsuit to challenge the CMS mandate, according to the Attorney General’s Office. The lawsuit alleged the mandate violates the Administrative Procedures Act (APA). Schmitt has already sued to block the federal vaccination requirements for large companies and federal contractors and employees.
“Unfortunately, with this latest mandate from the Biden administration, last year’s health care heroes are turning into this year’s unemployed. Requiring health care workers to get a vaccination or face termination is unconstitutional and unlawful and could exacerbate health care staffing shortages to the point of collapse, especially in Missouri’s rural areas,” Schmitt said in a statement. “My office has been, and will continue to be, a national leader in challenging the Biden administration’s illegal edicts, and this instance is our latest effort to push back on this unprecedented federal overreach,” Schmitt said.
The Biden administration unveiled two heavily expected COVID-19 vaccination requirements earlier this month. One required employers with at least 100 workers to ensure they are fully vaccinated against COVID-19 or submit to weekly tests by Jan. 4. The CMS rule required all health care workers, clinical and non-clinical, under Medicare and Medicaid programs to be fully vaccinated against COVID-19 by Jan. 4. Exemptions would be permitted for people with a medical or religious excuse, a senior administration official had said. Both rules would cover about two-thirds of the workforce in the country, according to the White House.
Compromise.
• Big Three U.S. Automakers Agree to Not Mandate Vaccines for UAW Union Members
A big win for medical privacy and the principles of freedom. Ford, General Motors and Stellantis have agreed the United Auto Workers union members will not be forced to take the mandatory vaccine as a condition of employment. Additionally, the vaccine status of the workers will remain private with a policy of private and voluntary disclosure. UAW – “At a meeting Monday evening, the COVID-19 Joint Task Force, comprised of the UAW, Ford, General Motors and Stellantis, has aligned on a policy of voluntary and confidential disclosure of vaccination status for UAW members. Each company will provide additional communication to employees on how, where and when to report their vaccination status.
In addition to encouraging members to disclose their vaccination status, the Task Force continues to urge all members, coworkers, and their families to get vaccinated and get booster vaccinations against COVID-19, while understanding that there are personal reasons that may prevent some members from being vaccinated, such as health issues or religious beliefs. After reviewing the status of CDC and OSHA guidelines, the Task Force also decided it is in the best interest of worker safety to continue masks in all worksites at this time.”
Morals are easily abandoned. As is compassion.
• Assisted Death Only For Vaccinated, German Euthanasia Association Says (RT)
Anyone wishing to be euthanized now has to first present proof of vaccination or recovery from Covid, as per the new guidelines issued by Germany’s euthanasia association. A statement put out by the Hamburg-based group on Friday reads “assisted suicide and the preliminary examination of a patient’s ability to make decisions freely implies physical closeness between people. However, that is precisely the precondition for the spread of Covid.” In February 2020, Germany’s top court overturned a ban on providing euthanasia as unconstitutional. A number of German regions have put in place strict curbs, banning the unvaccinated from most public places. Across the country only recovered or inoculated people can enter restaurants, museums and similar venues, while those even with a negative Covid test cannot.
Amid the surge in cases, the German states of Saxony and Bavaria have both cancelled all Christmas markets. German Chancellor Angela Merkel told her fellow party members on Monday that the current wave of Covid in Germany was worse than any previous one and called for stricter measures to contain it. The country’s health minister, Jens Spahn, went even further, claiming that “by the end of this winter everyone in Germany will either be vaccinated, recovered or dead.” Those statements came as the seven-day infection rate per 100,000 people broke a new grim record on Wednesday, reaching the 404.5 mark, as reported by Germany’s disease control and prevention authority, the Robert Koch Institute.
“Once again, ABC. NBC, CBS, CNN, MSNBC, and other media just cannot see the elephant.”
• This Elephant Is Truly Difficult To Unsee (Turley)
I previously wrote a column on the one year anniversary of the Hunter Biden laptop story that marveled at the success of the Biden family in making the scandal vanish before that 2020 election. It was analogized to Houdini making his 10,000-pound elephant Jennie disappear in his act. The Biden trick however occurred live before an audience of millions. Now, in an encore, a new major story on Biden’s Chinese dealings has surfaced. Once again, poof! The media has made the story disappear except for a couple of the usual outlets. Even with the New York Times reporting on the story, the disclosure of Biden’s role in securing one of the world’s largest cobalt mines for China (a key component to electric battery production) has been ignored by the major networks and many other print outlets. Once again, ABC. NBC, CBS, CNN, MSNBC, and other media just cannot see the elephant.
What is most amazing about this continuing trick is that the story has all of the elements that the media longed to confirm during the Trump Administration on the financial dealings of the Trump children. The son of the President was involved in a successful effort to handover a strategically vital natural resource to the Chinese that would guarantee their dominance in one of the most important new industries of the “Green economy.” This occurred during a period when Hunter Biden and his uncle were accused of running a global influence peddling operation with foreign powers that cashed in on the Vice Presidency of Joe Biden. Then there is the fact that the story appears to contradict denials of continuing ownership in such foreign interests by the Bidens.
Finally, there is the fact that this windfall from the Chinese occurred in a field that Hunter Biden knew nothing about (much like his work on the board of the Ukrainian natural gas firm Burisma) and he was, by his own description, a hopeless addict. In his recent book, Hunter admits that he was a crack addict and alcoholic all the way up to the start of his father’s presidential campaign — in his words, “Drinking a quart of vodka a day by yourself in a room is absolutely, completely debilitating,” as well as “smoking crack around the clock.” This elephant is truly difficult to unsee.
π
NASA only uses 15 digits of π for calculating interplanetary travel. At 40 digits, you could calculate the circumference of a circle the size of the visible universe with an accuracy that'd fall off by less than the diameter of a single hydrogen atom https://t.co/iXpDgKZvBx pic.twitter.com/QXAcgmLhWz
— Massimo (@Rainmaker1973) November 24, 2021
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Home › Forums › Debt Rattle November 25 2021