Report of the city of Somerville 1956, Part 8

Author: Somerville (Mass.)
Publication date: 1956
Publisher:
Number of Pages: 444


USA > Massachusetts > Middlesex County > Somerville > Report of the city of Somerville 1956 > Part 8


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Lesser captions were :- April 19, "Agent Turns Poet to Praise V. N. A."; June 21, "Griffin's Law Enacted"; July 5, "Aid Recipients Get Mandatory Increase"; August 23, "Nurs- ing Homes Warned About Licensing"; October 4, "Liquidation of Property Liens"; October 18, "Three Social Workers Named"; October 25, "Senior Machine Operator Exam."; November 1, "Children of Aid Recipients Get Free Polio Vac- cine"; October 25, "S.O.S. for Wheel Chairs"; December 27, "Dr. V. C. Szwarc Appointed Asst. City Physician"; and "Con- gressmen Comment on National Desertion Law"; December 13, "Wide Support for National Desertion Law".


The General Agent was guest speaker on five important occasions, during the year:


On Monday evening, February 20th, he addressed the Board of Directors of the Somerville Taxpayers Association, on the subject: "Fiscal Facts About the Somerville Welfare De-


129


WELFARE DEPARTMENT


partment". That this speech proved impressive was evidenced by the comments offered at the Association's Annual Dinner and by the Editorial published in reference to it, in the SOMER- VILLE JOURNAL of February 23, 1956.


The second talk was to the Somerville Medical Society, on "Financing Medical Care and Financing Public Assistance", which was given at Somerville Hospital at the April evening meeting. As a result of this address, a "Grievance Panel" of five physicians was established by the society in response to our suggestion, and it has demonstrated its effectiveness as a medium for exchanging ideas.


The third address was delivered at the joint meeting of the Somerville Rotary and Somerville Kiwanis Clubs, on Tuesday, November 20th, and treated: "Public Welfare Administration and the National Economy". The Rotary Club presented the speaker with a certificate of gratitude on this occasion.


On Saturday, November 24th, the Agent was the principal speaker at the Diamond Jubilee Banquet for Brother Albinus, C.F.X., at Saint John's Preparatory School, Danvers, and spoke on: "Christian Education". This speech has been published for wide distribution.


On Monday, December 3rd, the fifth address was given to the Luncheon Club of the Boston Real Estate Board, on: "Pub- lic Welfare Costs and Taxation". A letter of thanks and com- mendation was received from the Board for this talk.


Both the local and metropolitan press carried notices of all these talks.


The Welfare Agent served as Chairman of Public Relations for the Golden Jubilee of the Somerville Visiting Nursing As- sociation, which was celebrated on April 17th. A verse, written by the Agent for this occasion, was published on the monthly blotter distributed to depositors of the Somerville National Bank, and was reprinted in the SOMERVILLE JOURNAL.


At the Annual Meeting of the Massachusetts Public Wel- fare Administrators Association, the General Agent was unani- mously reelected Chairman of the Association's Legislative Committee and was also elected to the Executive Board as the representative of the Greater Boston District, the largest in the State.


130


ANNUAL REPORTS


In September, the Agent attended the Northeastern States Regional Conference of the American Public Welfare Associa- tion, in Pittsburgh, Pa., and, in November, he attended the Annual Meeting of the Gerontological Society of the United States (of which he is a Fellow), in Chicago, III. Both assemblies were interesting and informative.


During the year, the General Agent was interviewed by a Committee from the League of Women Voters, who were pre- paring a civic guidebook on government, featuring the func- tions of municipal departments. He was likewise interviewed, extensively, by Professor Stanley M. Jacks of the Department of Government at Simmons College, who has been retained by the Legislative Research Bureau to do a study on the adminis- tration of Old Age Assistance in Massachusetts. The findings. of this study will be reported to the State Legislature, for which body, it was undertaken. The present Medical Care Plan was. one of the subjects which received particular attention during. the conference with us.


EDITORIAL, - THE SOMERVILLE JOURNAL-PRESS-Feb. 23, 1956 WELFARE COSTS AND THE TAX RATE


"General Welfare Agent John J. Griffin has performed a public service through the clear and simple explanation of the fiscal facts of the welfare department which he gave in a talk before the directors of the Taxpayers' Association Monday- night.


"The factual information he presented should suffice to dissipate much of the misty thinking and most of the perennial. propaganda about the supposed impact of welfare expenditures on the local real estate tax. While, of course, virtually all governmental spending - national, state, or municipal - ultimately depends on tax-derived funds, as the speaker took care to indicate, the component expenses which account for the local real estate tax are of special significance at the mo- ment to the people of the community.


"The truth about the high proportion of the public assist- ance outlay which is subsidized by the federal and the state governments has been too long unrealized and unappreciated by the general public. It is well to know, for example, that only 22 per cent of the total expenditures of the welfare de- partment in 1955 devolved upon the local taxpayers through the local tax levy. It also points to the conclusion that such general phrases as "rising welfare costs", at least when applied


131


WELFARE DEPARTMENT


as an explanation for local tax spiralling, merit more searching analysis than has been assumed."


EQUIPMENT ACQUISITIONS


Some valuable additions were made to our supply of equip- ment, during the year, 1956.


Major pieces of new equipment included an eleven-column electric calculator, an electric typewriter, a regular typewriter, and a photo-copy machine. New furniture comprised two steel desks, two posture chairs, and a four-drawer metal filing cabinet.


The new electric calculator has repeatedly demonstrated its excellence in facilitating the computation of figures for reports and other purposes. It is capable of adding, subtract- ing, multiplying, and dividing, and greatly expedites the working out of percentages.


The new photo-copy machine expedites the multiplication of records, especially medical case records of the Disability Assistance Division. Copies of these records are frequently submitted to the local office of the Social Security Administra- tion, in order to hasten the processing of claims for the new Disability Insurance and "Freeze" Benefits.


It is worth remarking here that an annual inventory of equipment is now kept up to date by our Accountant. The records of same are available for the inspection of Federal and State Auditors.


Pertinently, too, we may record here the fact that we have established a new staff position under the title of "Senior Sta- tistical Machine Operator". A promotional examination, open to junior clerks, was held for this position by the Division of Civil Service, on December 8, 1956. The eventual appointee will have general oversight of our mechanical equipment and supervision of the junior clerks who work with these machines, insofar as such employment is concerned.


NEEDS


Annually, we submit a list of needed repairs and furnish- ings, to the Municipal Department of Public Works which has complete charge of building maintenance. Under date of Oc-


132


ANNUAL REPORTS


tober 24, 1956, we forwarded to Public Works Commissioner, Walter J. Manning, a communication outlining the following needs :-


1) Twenty new shades, or preferably, venetian blinds for the main offices of the Department;


2) New flooring in the main clerical office and in the quarters used by the social workers (formerly the City Engineer's Office);


3) A scientific survey of the lighting conditions in the office of the clerical force and in the office of the social workers. The present lighting is inadequate and operates to hinder efficiency, and adversely affects the sight of the staff members;


4) All the windows in the offices of the Department should be puttied and should be protected by weather- stripping. During the winter months, the wide open spaces of the offices are quite drafty;


5) Three metal desks for the three social workers just appointed;


6) Three new posture chairs for the same persons;


7) A small ventilating unit for the General Agent's office;


8) The radiator, near the rear door of the main clerical office, has no valve control, and therefore, the heat cannot be regulated;


9) The window locks need checking and, in some in- instances, tightening;


10) The pillar, in the main clerical office which was re- cently plastered, should be painted;


11) All the offices of the Department need a complete renovation. If such a project is too large, the walls should be washed and a general clean-up job should be carried out.


12) Another electric floor fan for the main clerical office will be needed during the summer months.


In addition to the foregoing request, we have, since the date of our original letter, likewise asked for the installation of shelving in the office of the Settlement Division so that its library of street directories and poll books can be kept in orderly fashion.


133


WELFARE DEPARTMENT


INDICES OF POSITIVE PROGRESS


Within the limited space accorded us, it is impossible to treat extensively the multiple facets of our work. Composi- tion of the Annual Report comes simultaneously with the final preparation and presentation of the Annual Budget, and the pressure of time is exceedingly great. A skeletal sketch is about "par for the course", and in our delineation, we have endeavored to allude, at least in passing, to the highlights of accomplishment during the year, 1956.


Nothing is as constant as change in the field of public wel- fare and there is not a moment's cessation in the movement of the mighty tides motivating legislation and professional action. It will, for example, be a long time before we are able to evaluate fully the impact of the 1956 Amendments to the Social Security Act, especially with reference to the imple- mentation of the Disability Insurance program (which, inciden- tally, we predicted in our 1955 Annual Report). Nor, are we yet in a position to appraise accurately the ultimate influence of the liberalization in the Massachusetts Statutes allowing aliens to receive Old Age Assistance.


But, at this juncture, we are mostly concerned with record- ing the notable events of the past year in our own circum- scribed sphere of administration. Supplementary to the points made in the text of the foregoing narrative, we should probably list the following evidences of constructive action:


1. Successful claiming of proportionate expenses of City Law Department in providing legal services to our Department .. Our success in this respect is unique insofar as we know, and is creditable, particularly, to our Accountant, Mr. Biondo, who did the spade work.


2. Immediately upon being notified of the possibility of Federal participation in fringe benefits' costs (life insurance premiums, retirement pensions, etc.), we filed a claim. When the decision came to process them, we were successful in hav- ing our dateline posted back from April 1, 1956, to October 1, 1955, the earliest possible date, because of our prompt action.


3. In July, we were notified that reimbursement from the Commonwealth, totalling over $10,000, was being held up on order of the Attorney General, because we had failed to dis- charge certain debts to the State for cases allegedly settled in Somerville. An early conference with Asst. Attorney General


134


ANNUAL REPORTS


Fischer led to prompt release of the money in question, and a later conference, by the General Agent and Mr. Singleton of the Settlement Division with Attorney Kallis of the Attorney General's Office, precipitated the conclusion that Somerville was not liable in any of the alleged instances.


4. We terminated an untenable practice of voluntary trusteeship which marked the Disability Assistance program since its origin. Based on emergency conditions, it imperiled Federal and State payments for clients not competent to handle their own funds. Legal conservatorships are now being sub- stituted for the previous arrangements which had no legal validity.


5. Our successful sponsorship of the proposal, enacted into law, empowering public welfare agencies to destroy ob- solete case-records. (Chapter 356-Acts and Resolves-1956).


6. The clearance from our vaults of a large quantity of antiquated and partially corroded General Relief case histories. dated prior to 1900.


7. The establishment of closer relations with the local


Social Security Administration office. Our publicity releases, explaining the 1956 Amendments brought an expression of appreciation from the District Manager.


8. The establishment of uniform procedures, in respect to the details of the Medical Care Plan, to be followed by all' categorical Divisions.


9. The purchase for all staff members of the newly pub- lished MANUAL OF LAWS (State Welfare).


10. The arrangement with the Board of Health, whereby the children of Assistance recipients receive free polio vaccine shots.


11. The retention, temporarily, on a part-time basis, of an apprentice-pharmacist to assist us in formulating a workable. code of regulations in respect to drug purchasing by recipients.


12. The introduction of careful follow-up procedures in regard to Workmen's Compensation (Industrial Accident) cases, with the resultant recovery of monies to the benefit of: the Department.


135


WELFARE DEPARTMENT


13. Conclusion of a much improved understanding with the local, (and also with the State) Department of Veterans' Services, to the mutual advantage of both parties.


14. Successful campaign to collect additional copies of Poll Books for the Settlement Division's Library.


15. In-Service education by general staff conferences, the publication of bulletins and informational memoranda, and the distribution of current literature of pertinence.


16. Revision of all personnel payrolls so that the names. of staff members appear alphabetically, according to position. Replaces traditional, haphazard, juxta-position of names with- out any semblance of order.


17. Centralization of "Settlement" bills in office of Ac- countant.


18. Responsibility of preliminary approbation of social workers' expense vouchers placed on Supervisors.


19. Successful crusade to uncover concealed assets, early in the year, resulted in the recovery of several thousands of dollars.


20. Renewal of Federal financial participation in the sal- ary of Supervisor of Social Work who has charge of Domestic Relations.


CONCLUDING REMARKS


That we are continuing to make a modest measure of prog- ress appears to be sufficiently documented by the foregoing. narrative. But we are likewise harassed by a number of vexa- tious problems.


One of our major difficulties is the recruitment of com- petent personnel to fill vacancies, promptly. The time-lag, which occurs in filling staff vacancies, operates against uni- form efficiency. During the past year, we have filled four social-worker positions, only by depleting, correspondingly, our clerical staff. We do not regard this as a satisfactory procedure.


In the day-to-day management of the Department, the ab- sence of a Municipal Personnel Practices Code constitutes a real handicap. Both the Federal and State Governmental.


136


ANNUAL REPORTS


Agencies are provided with published guide books containing well-defined, systematized policies on virtually all contin- gencies which may arise. It is regrettable that our Municipal Government does not have an official, organized set of rules and regulations applicable to Personnel Practices, in all De- partments.


To discuss, in studied detail, all the complex and perplex- ing problems which confront us, would extend this report beyond acceptable limits.


We are happy to observe that our endeavors to enhance the efficiency of the Department have met with official ap- proval and public recognition. In his Mid-Term Message, Mayor William J. Donovan offered the following commend- atory comment, on our Department:


"The Welfare Department's responsibility to provide money payments and services to the aged, the disabled, de- pendent children, and those temporarily in acute distress, has been discharged with a minimum of fanfare and a maximum of despatch and professional skill. The reorganization of the Department's staff structure, which commenced over two years ago, continues to progress with accruing advantages to the community.


"New investigative procedures and a continuing public in- formation program have demonstrated their positive worth. The Department has acquired some new mechanical equip- ment and additional social case workers are increasing the operating efficiency of the agency. Prudent and economical management of the Department's financing has effectuated certain savings, while, at the same time, the Welfare Depart- ment, during the past year, has liquidated a backlog of over one hundred thirty-five thousand dollars in accumulated in- debtedness to other cities and towns."


Whatever degree of success we have achieved is ascribable, in great measure, to the constant cooperation and sustained support which we have received from the Members of the Board of Public Welfare. To our gracious Chairman, Mrs. J. Helen Clough, and to her associates, Mr. John J. Conway and Mr. John P. Henry, we are abidingly grateful.


JOHN J. GRIFFIN,


General Agent


February 11, 1957


137


WELFARE DEPARTMENT


ANNUAL BUDGET - 1956


Initial Appropriations


Supplementary Appropriations


Total


Old Age Assistance Ordinary Maintenance


$1,047,644.00


$44,823.64 $1,092,467.64


Old Age Assistance Personal Services


98,140.08


2,413.20


100,553.28


Aid to Dependent Children


Ordinary Maintenance


202,606.00


22,422.78


225,028.78


Aid to Dependent Children


Personal Services


47,885.20


1,206.60


49,091.80


Disability Assistance


Ordinary Maintenance


171,916.00


10,093.58


182,009.58


Disability Assistance


Personal Services


24,991.12


703.85


25,694.97


Disability Assistance


Equipment


190.00


190.00


Miscellaneous Welfare


Ordinary Maintenance


183,300.00


22,660.00


205,960.00


Miscellaneous Welfare


Personal Services


46,657.49


1,507.01


48,164.50


$1,823,329.89 $105,830.66 $1,929,160.55


* $6,000. was transferred from Miscellaneous Welfare Ordinary Maintenance to Veterans Services Ordinary Maintenance.


DETAILED BREAKDOWN SHOWING EXPENDITURES, RECEIPTS AND NET COSTS TO THE CITY 1956


Table No. 1 OLD AGE ASSISTANCE


Ordinary Maintenance


$1,852,440.13 90,130.13


Equipment


GROSS EXPENDITURES


$1,942,570.26


Refunds


$13,254.01


Recoveries


44,062.86


Federal Grants (Assistance)


716,872.13


Federal Grants (Administrative)


55,219.98


Revenue from Meal Tax


43,362.08


Cities and Towns


38,267.36


State Reimbursement


745,652.06


TOTAL REIMBURSEMENTS


1,656,690.48


NET EXPENDITURES Net Costs = 14.7% of Gross Expenditures


$285,879.78


.. ....


..


Personal Services


138


ANNUAL REPORTS


Table No. 2 AID TO DEPENDENT CHILDREN


Ordinary Maintenance


$452,456.08 45,238.50


Personal Services


Equipment


GROSS EXPENDITURES


$497,694.58


Refunds


$30,154.90


Recoveries


Federal Grants (Assistance)


186,035.55


Federal Grants (Administrative)


24,718.16


State Reimbursements


142,551.61


TOTAL REIMBURSEMENTS


383,460.22


NET EXPENDITURES


$114,234.36


Net Costs == 22.9% of Gross Expenditures


Table No. 3 DISABILITY ASSISTANCE


$285,527.61


Personal Services


24,155.81


Equipment


1,079.00


GROSS EXPENDITURES


$310,762.42


Refunds


$2,269.35


Recoveries


5,326.69


Federal Grants (Assistance)


93,618.86


Federal Grants (Administrative)


14,918.19


State Reimbursements (Assistance)


117,427.52


State Reimbursements (Administrative)


7,459.10


TOTAL REIMBURSEMENTS


241,019.71


NET EXPENDITURES


$69,742.71


Net Costs = 22.4% of Gross Expenditures


Ordinary Maintenance


139


WELFARE DEPARTMENT


Table No. 4 MISCELLANEOUS WELFARE


Ordinary Maintenance


$206,359.82 49,229.43


Personal Services


Equipment


GROSS EXPENDITURES


$225,589.25


Refunds


$12,852.42


Cities and Towns


33,649.61


Commonwealth (Unsettled Cases)


18,721.37


City Home - Cities and Towns


951.27


TOTAL REIMBUSEMENTS


66,174.67


NET EXPENDITURES


$189,414.58


Net Costs = 74.1% of Gross Expenditures


Table No. 5 RECAPITULATION


Gross Expenditures


% of Aggre- gate Costs


Net Expenditures


% of Total Net Costs


O. A. A.


$1,942,570.26


64.6


$285,879.78


43.4


A. D. C.


497,694.58


16.6


114,234.36


17.3


D. A.


310,762.42


10.3


69,742.71


10.6


Misc. Welfare


255,589.25


8.5


189,414.58


28.7


Totals


$3,006,616.51


100.0%


$659,271.43


100.0%


NET COSTS REPRESENT 21.9% OF GROSS EXPENDITURES


GROSS EXPENDITURES


1955


1956


+ OR -


$3,010,429.67


$3,006,616.51


-$3,813.16


% OF INCREASE OR DECREASE . 1 % Decease


NET COSTS


1955


1956


+ OR -


$662,279.53


$659,271.43


$3,008.10


% OF INCREASE OR DECREASE .4% Decrease


140


ANNUAL REPORTS


Table No. 6 ADMINISTRATIVE COSTS OF CATEGORICAL DIVISIONS AND ENTIRE WELFARE DEPARTMENT - 1956


Gross Expenditures


Administrative Expenditures


Percentage


O. A. A.


$1,942,570.26


$98,017.67


5.0%


A. D. C.


497,694.58


47,477.33


9.5%


D. A.


310,762.42


28,678.51


9.2%


Misc. Welfare


255,589.25


52,510.33


20.5%


$3,006,616.51


$226,683.84 7.5%


Administrative expenses equal 7.5% of Gross Expenditures


Total Personnel Salaries = 92.1% of Total Administrative Costs


Total Personnel Salaries = 6.9% of Aggregate Cost


Table A FEDERAL GRANTS RECEIVED FOR CATEGORICAL ASSISTANCE - 1956


Category


Assistance


Administration


Aggregate


Old Age Assistance


$716,872.13


$55,219.98


$772,092.11


Aid Dependent Children


186,035.55


24,718.16


210,753.71


Disability Assistance


93,618.86


14,918.19


108,537.05


Total


$996,526.54


$94,856.33 $1,091,382.87


Table B INCOME FROM THE COMMONWEALTH - 1956


Type of Assistance


Amount


Old Age Assistance


$745,652.06


Aid to Dependent Children


142,551.61


Disability Assistance


124,886.62


Old Age Assistance - Meal Tax


43,362.08


General Relief - (Unsettled Cases)


18,721.37


Total


$1,075,173.74


14T


WELFARE DEPARTMENT


Table C REFUNDS IN VARIOUS DIVISIONS - 1956


Type of Assistance


Amount


Old Age Assistance


$13,254.01


Aid to Dependent Children


30,154.90


Disability Assistance


2,269.35


Miscellaneous Welfare


12,852.42


Total Refunds


$58,530.68


Table D RECOVERIES IN DIVERSE ASSISTANCE CATEGORIES - 1956


Type of Assistance


Amount


Old Age Assistance


$44,062.86 5,326.69


Disability Assistance


Total


$49,389.55


Table E REIMBURSEMENTS FROM OTHER CITIES AND TOWNS - 1956


Type of Assistance


Amount


Old Age Assistance


$38,267.36


Miscellaneous Welfare


33,649.61


City Home


951.27


Total


$72,868.24


Department's Aggregate Income $2,347,345.08


142


ANNUAL REPORTS


ANNUAL STATISTICAL REPORT ON MEDICAL CARE 1956


ITEM Total Amount


OAA


ADC $40,947.52


DA $140,376.55


GR $47,697.72


%


HOSPITALIZATION:


A. General


a. Units


8970


b. Amount


137,340.17


5637 82,852.02


710 12,089.21


1464 24,748.45


1159 17,650.49


17.9


B. Chronic


a. Units


10367


2164


113


4738


3352


b. Amount


62,096.16


12,116.67


847.50


35,777.45


13,354.54


8.1


PHYSICIANS:


A. Home Visits:


2. Units


7951


655


242


b. Aomunt


28,378.38


6485 24,588.30


569 1,089.34


2,220.64


480.10


3.7


B. Office Visits:


a. Units


5844


2650


1573


750


871


b. Amount


13,893.03


7,594.41


3,061.81


1,582.78


1,654.03


1.8


NURSING HOME CARE:


a. Recipients


2818


2433


3


13


b. Amount


355,853.12


300,980.41


202.00


369 52,266.42


2,404.29


46.6


DRUGS:


Amount


97,567.23


69,280.96


7,834.53


14,250.42


6,201.32


12.7


DENTAL CARE:


a. Recipients


862


163


238 7,938.25


20 1,059.00


1,852.00


2.4


OUTPATIENT CARE:


a. Units


2770


949


543 1,086.00


833 1,670.00


904.70


.7


EYE CARE:


a. Recipients


806


539


177 2,396.40


35 610.00


876.25


.2


VISITING NURSE ASSOCIATION:


a. Units


4436


3043


150


1233


10


b. Amount


8,553.97


5,812.57


294.66


2,426.94


19.80


1.1


ANCILLARY SERVICES:


Amount


2,347.30


2,028.00


146.00


96.00


77.30


.3


OTHER:


Amount


21,223.29


11,370.12


3,961.82


3,668.45


2,222.90


2.7


441


b. Amount


18,599.25


7,750.00


445


b. Amount


5,650.70


1,990.00


55


11,794.60


7,911.95


b. Amount


$763,297.20


$534,275.41


143


WELFARE DEPARTMENT


TOTAL COMPARATIVE COSTS ON MEDICAL CARE


Year 1956


Year 1955 $776,442.50


+ or -


Total Amount ... $763,297.20


-$13,145.30


1. HOSPITALIZATION:


A. General


a. Units


8970


10634 164,000.53


-26,660.36


B. Chronic


a. Units


10367


7425 50,264.38


+


2942


b. Amount


62,096.16


+ 11,831.78


2. PHYSICIANS:


A. Home Visits


a. Units


b. Amount


28,378.38


46,068.61


..


-17,690.23


B. Office Visits


a. Units


5844


7893


-2049


b. Amount


13,893.03


18,232.76


..


- 4,339.73


3. NURSING HOMES:


a. Recipients


2818


2640 330,657.51


+ 178 +25,195.61


... ....


4. DRUGS:


Amount


97,567.23


99,352.52


1,785.29


5. DENTAL CARE:


a. Recipients


862


832


+


31


b. Amount


18,599.25


17,715.00


+


884.25


...


6. OUTPATIENT CARE:


a. Units


2770


3023


253


b. Amount


5,650.70


6,198.00


..


547.30


7. EYE CARE:


a. Recipients


.... .......


806


840


34


b. Amount


11,794.60


12,236.20


...


8. VISITING NURSE ASSOCIATION:'


a. Units


4436


4098 7,778.08


+


775.89


......


..


9. ANCILLARY SERVICES:


Amount


2,347.30


3,308.00


...............


- 960.70


10. OTHER:


Amount


.........


21,223.29


20,630.91


+ 592.38


........ ...


..


....


+


338


...


b. Amount


8,553.97


TOTAL +$39,279.91 -$52,425.21




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