By Gorman Gorman

Oct 6, 2009 8:19am

Unforeseen Delays: White House plays outside game, as inside game stalls

ABC News’ Rick Klein reports: Tommy Thompson, Mark McClellan, Mike Bloomberg, Bill Frist (perhaps), and lots of doctors like it. That plus 60 Senate votes equals a health care bill.

At critical times in the health care debate, when the prospects looked bleak and the process looked stalled, the only thing that’s kept things moving has been the illusion of momentum.

The latest White House effort to round up support from former GOP officials falls into that category. (Does anyone think senators started listening to Frist after he left the Senate? Is this supposed to make up for the fact that another week is racing by without a bill out of the Finance Committee?)

Highlighting support for the health care bill (even before there’s a bill) seems much more about defining the terms of bipartisanship than actually impacting the vote totals. Support for doctors from 50 states — that’s all well and good. But wouldn’t the White House rather have the votes of their senators?

(And on Afghanistan — a meeting at the White House today with congressional leaders from both parties may provide a bit more bipartisanship than the president wants at this stage of the debate.)

On health care — the new, new, new effort: “Opening a new front in the effort to promote its plans for an overhaul of the nation’s health care system, the Obama administration is courting support from Republicans and independents some distance from Capitol Hill, and aggressively publicizing the results,” David M. Herszenhorn and Carl Hulse report in The New York Times.

“The effort by the White House to win high-visibility support away from Congress is similar to one that was undertaken during debate on the administration’s economic stimulus package. When Republican lawmakers overwhelmingly opposed that initiative, the White House reached out to Republican governors, many of whom voiced support,” they write.

As for shots at real momentum — what does it say that the Congressional Budget Office is still checking its own math here?

“Senators learned Monday that a committee vote on health-care reform will be pushed back to later this week, and perhaps into next week, as they await an estimate on how much the overhaul would cost,” The Washington Post’s Shailagh Murray and Scott Wilson report. “But if the news of the delayed vote disappointed them, Democratic leaders in the Senate took heart from pro-reform statements from some high-profile Republicans, including former Senate majority leader Bill Frist and former health and human services secretary Tommy G. Thompson.”

“Nobody has more credibility with the American people on this issue than you do,” Obama told doctors Monday, per ABC’s David Wright.

“The president didn’t address the question of whether he will push for the creation of a public plan,” the Los Angeles Times’ Christi Parsons reports. “Popular support becomes more important for the president and his allies every day.”

Regarding Frist — maybe not so fast: “People try to put words in my mouth saying ‘You support the Baucus bill.’ I don’t support the Baucus bill as written today,” Frist, R-Tenn., told ABC News Radio’s Aaron Katersky. “We will see a health care bill. There are five bills out there. I’m pushing the process; it’s not where I want it to be.”

Speaking to the left — House Speaker Nancy Pelosi, D-Calif., on “Charlie Rose”: “The legislative process is such that you take it one step at a time and you build strength along the way. And I believe that we will have a very strong hand going into the conference with the public option.”

(New timeline: “If you promise not to tell anyone — I would like to see us have this as a Thanksgiving present for the American people. But it will certainly be this year,” Pelosi said.)

Why Pelosi is speaking to her own caucus, too: “Some House Democrats have started to ask themselves whether all of the work crafting a House bill will even make a difference in the end, or whether they’ll simply get steamrolled by a White House so eager for a compromise that the president will just use the Senate bill as the template,” per Politico’s Patrick O’Connor.

Snowe watch: “If [Sen. Olympia] Snowe votes against a bill she helped craft in the bipartisan gang of six Finance Senators’ talks, liberal Democrats may take that as a sign that negotiating for her vote could constitute a bridge too far. If she votes for it, she may send a signal that she’s too easy and tempt Democrats to push her limits on a public insurance option,” Roll Call’s Emily Pierce writes.

Wyden watch: “He’s the biggest wild card of all,” The New Republic’s Jonathan Cohn reports on Sen. Ron Wyden, D-Ore. “The White House is heavily engaged here, as it is with other wavering votes:. Over the last week, several members of the administration have lobbied Wyden personally. But, as of the weekend, he hadn’t clearly signaled his intentions in one way or the other.”

Coming out of Monday’s doctors’ event at the White House, the DNC’s Organizing for America arm is putting medical professionals to use in its new ad, a two-week national cable buy. “Tell Congress to pass health insurance reform now,” a doctor says in the ad. “We simply can’t afford to wait,” says a nurse.

From the DNC Tuesday: “In addition to this national television ad, OFA’s campaign also includes online advertisements, the placement of op-eds and letters to the editor from medical professionals in support of reform and the use of social networking sites by doctors and nurses. In addition, Organizing for America volunteers across the country have planned or participated in dozens of events from coast to coast with health care professionals, members of Congress and other health insurance reform advocates to discuss the urgent need for reforming America’s health insurance system this year.”

The president’s Tuesday: At 2:30 pm ET, Obama and Vice President Joe Biden discuss Afghanistan and Pakistan with congressional leaders and top committee members of both parties — about 30 members total — in the State Dining Room.

“What he’s likely to hear from the members of Congress is a debate mirroring the debate inside his administration,” ABC’s George Stephanopoulos reported on “Good Morning America” Tuesday, with Pelosi backing Vice President Joe Biden’s plan.

“Administration officials tell me to expect a decision from the president somewhere in that late October, early November timeframe,” Stephanopoulos added.

Been awhile: “It is the first time in six months that House Republican leaders have been invited to the White House to discuss official business; Minority Leader John Boehner (R-Ohio) and Minority Whip Eric Cantor (R-Va.) are both scheduled to attend,” Mike Soraghan, Molly Hooper and Sam Youngman report for The Hill.

While we reminisce … “They chanted antiwar slogans, acted out waterboarding and pretended to die on the sidewalk. Those who refused orders to leave the area — including ubiquitous activist Cindy Sheehan — were arrested,” Dana Milbank writes in his Washington Post column. “But the remarkable thing about this familiar antiwar demonstration is that it occurred Monday, and the target was not George W. Bush but the White House’s current occupant. Protesters’ signs carried Obama-specific barbs: ‘Change? What Change?’ ‘The Audacity of War Crimes.’ ‘Yes We Can: U.S. Out of Afghanistan.’ ”

Before that, at 11:40 am ET, the president speaks at the National Counterterrorism Center.

The big picture: “President Obama will make his first visit to the National Counterterrorism Center in McLean on Tuesday morning, telling intelligence officials that their recent successes have proved how effectively multiple agencies can perform when they work in concert,” Anne E. Kornblut reports in The Washington Post. “The White House has been charting a delicate course as it attempts to turn the page on Bush-era anti-terrorism policies. Even as Obama wages a war in Afghanistan that he has called critical to curbing terrorism, his administration is trying to defend itself from criticism by former vice president Richard B. Cheney and other Republicans for casting aside what they say are critical tools for protecting the United States.”

Under one roof: “President Barack Obama’s top defense and diplomacy advisers said the United States retains the Afghanistan war goal that he outlined just two months into his presidency — to sideline al-Qaida — but changing circumstances require a reassessment of how to get there,” per the AP’s Anne Gearan.

“A ‘snap decision’ on whether to add more U.S troops would be counterproductive, Secretary of State Hillary Rodham Clinton said Monday. . . . ‘It’s important that at the end of the day that the president makes a decision that he believes in,’ Clinton added.”

A hint from Robert Gates? “Because of our inability and the inability, frankly, of our allies, to put enough troops into Afghanistan, the Taliban do have the momentum right now,” Defense Secretary Robert Gates told CNN’s Christiane Amanpour, in the interview scheduled to be broadcast Tuesday.

Maybe a few weeks late for this? “Defense Secretary Robert Gates on Monday called on the U.S. government’s civilian and military leadership to keep their advice to President Barack Obama on Afghanistan private amid an increasingly public debate over a White House review of war strategy,” The Wall Street Journal’s Peter Spiegel and Anand Gopal report. “The comments come just days after the U.S.’s top commander in Afghanistan, Gen. Stanley McChrystal, made a public appearance in London in which he said he was opposed to narrowing the military’s strategy to focus on unmanned drones and elite forces to target al Qaeda.”

Gates was asked at the evening forum with Clinton whether his suggestion that presidential advisers offer suggestions “candidly, but privately” was aimed at McChrystal: “Absolutely not,” he said, adding that McChrystal is exactly the right person for the job, per ABC’s Luis Martinez.

Boxed in by the calendar? “This is where the question of, ‘Has [the president] adopted too big of an agenda,’ may really play, and it’s just been hard to preserve some thinking space for him,” Michael O’Hanlon of Brookings said Monday on ABCNews.com’s “Top Line.” “Now he deserves a little bit of that space, but you could argue that he’s a month and a half — a little, you know, late to the game, and he really should have been obsessing about this issue through August. The fact that he wasn’t I think was at least a tactical mistake by the White House.”

Job one: “The big question on the domestic front right now is whether President Obama understands the gravity of the employment crisis facing the country. Does he get it? The signals coming out of the White House have not been encouraging,” Bob Herbert reports in The New York Times. “We seem to be waiting for some mythical rebound to come rolling in, magically equipped with robust job creation, a long-term bull market and paradise regained for consumers. It ain’t happening.”

Setting a precedent for Wall Street? “The Obama administration’s pay czar is planning to clamp down on compensation at firms receiving large sums of government aid by cutting annual cash salaries for many of the top employees under his authority, according to people familiar with the matter,” The Wall Street Journal’s Deborah Solomon reports. “Instead of awarding large cash salaries, Kenneth Feinberg is planning to shift a chunk of an employee’s annual salary into stock that cannot be accessed for several years.”

While the worst may not be all that much behind us: “With unemployment expected to rise well into next year even as the economy slowly recovers, the Obama administration and Democratic leaders in Congress are discussing extending several safety net programs as well as proposing new tax incentives for businesses to renew hiring,” Jackie Calmes reports in The New York Times. “But officials emphasized that a decision was still far off, and that in any event the effort would not add up to a second economic stimulus package, only an extension of the first.”

“President Barack Obama is considering a mix of spending programs and tax cuts to respond to widening job losses that would amount to an additional economic stimulus without carrying that label,” Bloomberg’s Mike Dorning and Nicholas Johnston report.

Just don’t call it a “stimulus”  — or, do: “If there was to be another round of stimulus, additional infrastructure would be at the top of the list,” said Rep. Chris Van Hollen, D-Md., chairman of the Democratic Congressional Campaign Committee.

Splintering over climate change, continued: “The U.S. Chamber of Commerce, the nation’s largest business trade association, has suffered the defection of five of its members, including Apple Inc. and Nike Inc., over its hard-line opposition to pending climate change legislation,” Amanda DeBard writes in the Washington Times. “The resignations, submitted in just the past two weeks, have shined a spotlight on the deep divisions in industry over how to deal with the issue of climate change.”

At SCOTUS, a debut: “New Justice Sonia Sotomayor, hearing cases Monday on the first day of the 2009-10 term, showed she can match the most relentless of the justices in challenging lawyers who make their cases in the well of the courtroom,” USA Today’s Joan Biskupic reports. “During arguments on criminal law and civil procedure disputes, she jumped in with the vigor of Chief Justice John Roberts and Justices Ruth Bader Ginsburg and Antonin Scalia.”

ABC’s Terry Moran: “So while there is a great deal of speculation about the Court’s membership (it was ever thus), the justices set out today on a term that promises some important rulings on free speech, church-state relations, business regulation, and national-security law. And they go at it with gusto; it’s a “hot bench,” as lawyers sometimes say. That means that the opposing counsel who argue the case get peppered with questions, and can hardly catch their breath up there.”

GOP hopes rebound, in New Hampshire: “Former New Hampshire Attorney General Kelly Ayotte (R) leads Rep. Paul Hodes (D) by seven points, according to a new survey, giving the GOP hope of holding on to a seat it once openly worried about losing,” The Hill’s Reid Wilson reports. “Ayotte is the choice of 40 percent of voters in the University of New Hampshire’s Granite Poll, sponsored by WMUR-TV, while 33 percent pick Hodes.”

More Rangel woes: “The outcome of a legislative tussle over rum taxes between Puerto Rico and the U.S. Virgin Islands remains in doubt, but there is already one clear winner — the House’s top tax writer, Rep. Charles B. Rangel, a New York Democrat who is pocketing campaign cash from both territories,” S.A. Miller reports in the Washington Times.

In Virginia Tuesday: “Tonight at 7 p.m., ABC 7 will air ‘Battleground Virginia,’ a primetime Gubernatorial Special with Democrat Creigh Deeds and Republican Bob McDonnell. The special is the result of a unique multi-platform partnership with ABC 7/WJLA-TV, POLITICO, YouTube and Google.”

From a statement out late Monday: “General [David] Petraeus was diagnosed with early-stage prostate cancer in February. He went through two months of radiation treatment at Walter Reed Army Medical Center that had minimal impact on his work schedule as he was spending 4-5 days a week in Washington, D.C. for various policy reviews and other Penta gon activities at that time.  He did at least one overseas trip during the period of the treatment, and he was able to maintain his physical training regime throughout the period as well. The treatment is assessed to have been successful.

“President Obama, Vice President Biden, Secretary of Defense Gates, Secretary of State Clinton, ADM Mullen, and others were fully informed of the initial diagnosis and treatment. GEN Petraeus kept the information close-hold because he and his family regarded his situation as a personal matter and because it did not interfere with the performance of his duties.”

The Kicker:
 
“I don’t want to interrupt, but … ” — Justice Sonia Sotomayor, interrupting.

“Levi! How’s the baby?” — Off-camera voice, to almost-Palin-family-member Levi Johnston, in a new ad for pistachios.

For up-to-the-minute political updates check out The Note’s blog . . . all day every day:

http://blogs.abcnews.com/thenote/

User Comments

The White House is wise not to overplay the intricacies of te Finance negotiations and vote and wait for a real bill to get to the full Senate. The public will only support something where they can read and understand exactly what will happen to them.

Posted by: matt | October 6, 2009, 8:29 am 8:29 am

The democrats have dragged their feet on this one. They are figuring ways to make sure it fails so when it goes into effect the neocons can say. Look the government can’t do anything right. The yellow dog democrats will be cleaned out as they come up for reelection.

Posted by: rightbehind | October 6, 2009, 9:02 am 9:02 am

When will this marxist realize that the people have spoken, and the overwhelming MAJORITY does not want his health “reform”?

Posted by: Dave | October 6, 2009, 9:55 am 9:55 am

What a ridiculous display yesterday
when those doctors who support health
care reform all had their white coats on. New picture today was a doctor
who forgot his coat and the white house
conveniently had a spare for him to
put on. Proves what a staged and fake
president this is and his vision of
the American people being duped into
falling for all his theatrics. You can’t
trust anything they say or do. Its all
about them. This bunch is the height of
hypocrisy and arrogance.

Posted by: wis134 | October 6, 2009, 9:57 am 9:57 am

The Obama administration is courting support from Republicans and independents some distance from Capitol Hill, and aggressively publicizing the results? What that they may support a plan without the government option and even that depends on the details. Problem is they are taking a half a trillion dollars from Medicare and still haven’t fixed Medicare. Why do I see our taxes skyrocketing to pay for a Medicare system I’ll never see and to pay for all this debt. A second spending bill? What good is even more spending on infrastructure if nobody is going to use that infrastructure? And isn’t there more to the economy than just infrastructure jobs!

Posted by: YourGoingTheWrongWay | October 6, 2009, 10:09 am 10:09 am

I think Obama needs to drop the health care issue and start worrying about ACORN. Other reliable news agencies are reporting a 5 million dollar embezzelment from ACORN by some of there administrators. And to think. Our great god send leader has ties with them. Guess pay back to your buddies is backfiring.

Posted by: Jim Rod | October 6, 2009, 10:16 am 10:16 am

So doctors support health insurance reform according to the new ad. What about the other parts of the “package” like being told which procedures they can use or medications they can prescribe for their patients? We have a TV ad in South Florida that says the government has a plan already and we should all call our representatives to vote for it. What is “it” and how is “it” going to affect me? The devil is in the details…

Posted by: older&wiser | October 6, 2009, 10:33 am 10:33 am

..may I suggest that if the President really wants to get far, far away from the Washington crowd as we begin to hear the death rattles of his goofy health “reform” (laff) mess, he ought to check in with the recent governor of Alaska, Sarah Palin. The more I think about it, they make a good pair!

Posted by: justj joey | October 6, 2009, 10:55 am 10:55 am

Do we really know how many of the doctors there were truly mds! Sorry, but you would have to some me some ID from each and every one……just can’t trust anything Bamy says anymore

Posted by: lyineyes1956 | October 6, 2009, 10:57 am 10:57 am

Lets hurry up and pass this democratic bill, so we all can pay 50% taxes for nothing. Hope we all have a job after this, and if not it will be all FREE.Pres. Obma can’t outsource this, like he has done with everything else.

Posted by: Lizzie | October 6, 2009, 11:20 am 11:20 am

I am a college student in Washington D.C. and not a physician; but I played one yesterday on the White House lawn. My friends and I were contacted at school a couple weeks ago by a white house staffer recruiting studnets for some symposium at the white house. When we got thre yesterday we were given white coats and asked to sit on the white house lawn. President Obama then came out and adressed us as physicians; but it was all a fake set up; we were not physicians.

Posted by: Peter Smith | October 6, 2009, 11:23 am 11:23 am

There seems to be something wrong with the idea that 40 million people are with out health care in America. If you stop and think about it, that seems to be the figure of about how many Americans are collecting welfare and receive free health care. So why not just deduct a fee from their monthly check like they do from senior citizens on medicare. That would reduce the cost of health care for every one.

Posted by: John Demeter | October 6, 2009, 11:27 am 11:27 am

Where is the Democrats backbone?
It’s about time they grow some and back the President we all elected.
Now is when we need them!! All will be remember come voting time…..
Health care for all!!!!

Posted by: ivone | October 6, 2009, 11:35 am 11:35 am

Come on abc where is the ACORN story today? Acorn is blaming disgruntled employees for embezzeling 5 million. Man is it that easy. Just work for ACORN and get rich doing it??

Posted by: Jim Rod | October 6, 2009, 11:39 am 11:39 am

If anyone thinks that the current system with its flaws such as dropping insurance, having to resubmit insurance payments, not being able to choose from enough carriers ect,is a problem JUST WAIT, Health Care is going to turn from a business with checks and balances based on customer service and the market into a Bureaucracy, not beholden to being efficient, no need to keep costs down, no employee will be accountable for their performance as in a typical business fashion. Just ask yourself, where do I get better service? The restaurant or the DMV? The clothing store or at the college registar(a nightmare of bureaucracy.) Bureaucracy breeds inefficiency, and a lack of accountability for job performance. year after year the healthcare system will get more bogged down in gov’t administation level after level one hand not knowing what the other is doing. SO GET READY FOR THE NIGHTMARE

Posted by: Brian | October 6, 2009, 11:46 am 11:46 am

Obama….
The constant lying.
The staggering arrogance.
The dangerous narcissism.
The astounding incompetence.
The Obama Buffoon wants to put as much of the private economy under government control as possible to create his nanny state utopia where he is the boy king.
Let’s continue to stand strong against Obama in every way and get Congress out of the hands of the insane Pelosi and Reid in 2010.
Obama is a smug, smirking con man. Nothing more.

Posted by: Jackson | October 6, 2009, 12:02 pm 12:02 pm

So with something SOOOOO IMPORTANT why is it being backdoored? No up or down vote? Why cant the good stuff be passed in smaller bills quickly? If anyone thinks this isnt just another HUGE MONEY/POWER GRAB is OUT of their MINDS. NOTHING GOOD will come of this. The Government is using us like door mats wiping their feet on our bodies and stepping on our heads to get into their limos. PT Barnum has a name for people that think otherwise.

Posted by: ChicagoBob | October 6, 2009, 12:05 pm 12:05 pm

Congressional leaders fight against posting bills online >>>> I wonder why? PEOPLE actually READ the BILLS since YOU MORONS in Congress cant read.

Posted by: ChicagoBob | October 6, 2009, 12:13 pm 12:13 pm

Just checking. How is the main stream media comment lines feeling about Obama? I need a reality check to see if anyone aside from the black community and the political class is still supporting his Presidency.

Posted by: nickel | October 6, 2009, 12:35 pm 12:35 pm

the senate finance committee approved an amendment last week that would require that the final health care bill will be posted on line 72 hours before a final vote. There was disagreement over whether to use the “plain language” or the “legislative language”. The senators themselves use the “plain language”, which is the version that passed.

Posted by: pj | October 6, 2009, 12:41 pm 12:41 pm

At any time during the process any person may go to the senate website and read a current version if the draft that is presently under consideration. (including the congress members and their staff that complain that they don’t know what is going on) Here is a link

Posted by: pj | October 6, 2009, 12:48 pm 12:48 pm

Hey Mr Transparency, how about mandating that any FINAL bill version be online for two weeks to allow the citizens and the media to read and digess and comment. So far the “transparency” has been nil, zero, nada. So Mr President YOU LIED about that, but its not too late to try to win back some support. Try doing the right thing for a change.
Deny This: Guess Who Has the Highest Medical Claim Rejection Rate?
By Tom Blumer
October 6, 2009 – 00:06 ET
Oh, the establishment press will just loooooove this — not.
From BigGovernment (HT Mark Levin over the airwaves this evening):
Beverly Gossage, Research Fellow for Show-Me Institute and founder of HSA Benefits Consulting wondered which insurance companies rejected the most claims. She found her answer in the AMA’s own 2008 National Health Insurer Report Card (fairly large PDF).
I’m curious. Was it Aetna? Humana?
A chart showing the major carriers and how Medicare compared to them in the study follows:
Well, well.
The Medicare denial rate found in the study was, on a weighted average basis, roughly 1.7 times that of all of the private carriers combined (99,025 divided by 2,447,216 is 4.05%; 6.85% divided by 4.05% =1.69).
You would think Medicare’s sheer size might enable it to have smoother procedures with its providers that would enable it to turn down a lower percentage of claims. But no, this is the government we’re talking about.
So who’s the most “heartless” now? And why should Americans accept the idea of gradually being forced into a government-run system when, based on documented government experience, they will be more likely to see their claims denied?
And I didn’t even get to the idea of refusals to treat in the first place, something that is present to some degree in virtually every state-run system, but is currently against the law in hospital emergency rooms in the U.S.

Posted by: Tony T | October 6, 2009, 1:01 pm 1:01 pm

How is everyone feeling about the change? The Change about making a living to being unemployed. The change from being independent to being a ward of the state. WOW this is not the Change I thought it would be.

Posted by: ChicagoBob | October 6, 2009, 1:04 pm 1:04 pm

Still more TAXING of Americans — In the Baucus Bill ia a “Medical Device Tax” that would add 3 percent to the costs of most medical equipment. Small and midsized manufacturers will pass that tax along to YOU!! Patients will clearly be harmed by this fee if it starts to choke off the medical device innovation, such as stents and heart valves. Consider that the industry says it now spends about $9.6 billion per year on research and development. The $4 billion annual fee would take away $2 of every $5 spent on R&D!! —- What did Obama say — If you make less than $250k, no increase in taxes — LIES!!!

Posted by: MidwestValues | October 6, 2009, 1:19 pm 1:19 pm

Problem is Reid and Pelosi have vowed to fight the posting of the health care bill on the internet. What is up with that? what is in the bill the Democrats do not want the public to see?More Bonsus?More Pork? what are they hiding?

Posted by: marion | October 6, 2009, 1:30 pm 1:30 pm

All of the health care bills currently making their way through Congress are already posted online.

Posted by: GARY | October 6, 2009, 1:35 pm 1:35 pm

“Where is the Democrats backbone?
It’s about time they grow some and back the President we all elected.
Now is when we need them!! All will be remember come voting time…..
Health care for all!!!!” – ivone
Ivone – not everyone voted for this type of change.

Posted by: mj | October 6, 2009, 2:26 pm 2:26 pm

nickel | Oct 6, 2009 12:35:27 PM
“nickel]”; You asked; … “:Just checking. How is the main stream media comment lines feeling about Obama?” … _____________
Why not invest some personal time in your own research? Though I doubt your sources would give you a “Balanced View.”

Posted by: bobj72 | October 7, 2009, 9:35 am 9:35 am

Obama is lost with out Acorn. They weren’t present at the meeting on Afganistan. So he voted present at the meeting. Obama’s mind is a blank! Nato said they would send more troops to Afganistan before the meeting was held. So what did Obama say! He said he needed time to talk to other countries about what to do in Afganistan. Meanwhile our troops are left to fence for them self. Keep saying -GOD BLESS AMERICA OBAMA- yea, like you really mean it-NOT!!!!!! Keep it up Obama and
after awhile we won’t have an Army to defend America.

Posted by: John Demeter | October 7, 2009, 3:37 pm 3:37 pm

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