| 00:00:03 |
Slen, Peter - Host
US IS LONG-TIME N.P.R. CORRESPONDENT COVERING HEALTH POLICY JULIE ROVNER HERE TO TALK ABOUT SOME OF THE CHALLENGES THAT THE HEALTH CARE LAW MAY BE FACING...
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| 00:00:27 |
Rovner, Julie - Correspondent
THERE'S NOTHING ABOUT THE FISCAL CLIFF THAT PARTICULARLY IMPACTS THE HEALTH'S LAW. WE DO KNOW THAT STARTING JANUARY 1, IF CONGRESS DOES NOT ACT, THERE...
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| 00:01:51 |
Unidentified Speaker, -
PHYSICIAN REIMBURSEMENT, ARE THERE PEOPLE MEETING UP ON CAPITOL HILL ABOUT THIS? THIS IS ANOTHER ONE BY DECEMBER 31 ISSUES. GUEST: THERE
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| 00:01:58 |
Rovner, Julie - Correspondent
HAVE BEEN PEOPLE MEETING ABOUT THIS ALL YEAR. WHEN THEY DECIDED TO EXTEND THIS, FOR A WHILE THIS WAS HAPPENING EVERY MONTH THEY WERE EXTENDING THIS....
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| 00:02:54 |
Slen, Peter - Host
THE HEALTH CARE LAW AND THE COURT. WHAT'S THE STATUS? GUEST: ACTUALLY
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| 00:03:00 |
Rovner, Julie - Correspondent
JUST THIS WEEK, THE SUPREME COURT PULLED OUT ONE OF THE REMAINING CHALLENGES THAT WERE THERE. THE FOURTH CIRCUIT IN RICHMOND, THEY WERE ONE OF THE FEW...
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| 00:06:04 |
Slen, Peter - Host
AROUND AT ALL THESE COURT CASES, DO YOU SEE IT COMING BEFORE THE SUPREME COURT IN ANY TIME FRAME? GUEST: I COULD SEE ONE
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| 00:06:14 |
Rovner, Julie - Correspondent
OF THESE, CONTRACEPTIVE SUITS COULD. NOW THAT WOULD ONLY TAKE JUST A PIECE OF THE LAW. IT WOULDN'T, UNLIKE THE CASE THAT THE SUPREME COURT DECIDED LAST...
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| 00:07:52 |
Slen, Peter - Host
OF THE A.C.A. ARE DUE TO TAKE EFFECT? GUEST:
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| 00:07:56 |
Rovner, Julie - Correspondent
THERE'S SOME TAX PROVISIONS THAT TAKE EFFECT IN 2013. BUT MOSTLY THE BIGGEST TAKE PLACE IN 2014. WE'LL SPEND MOST OF 2013 GETTING READY FOR 2014. HOST:...
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| 00:08:12 |
Slen, Peter - Host
TAXES? GUEST: ON HIGHER-INCOME
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| 00:08:19 |
Rovner, Julie - Correspondent
PEOPLE. THERE IS A NEW TAX LIMITATION THAT GOES INTO EFFECT ON 2013 TO START TO BACK SOME OF THE MONEY TO PAY FOR THINGS LIKE THESE SUBSIDIES THAT PEOPLE...
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| 00:08:39 |
Slen, Peter - Host
IN CONGRESS -- ARE THEY STILL PUSHING FOR A REPEAL? GUEST: REPEAL, NOT SO
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| 00:08:49 |
Rovner, Julie - Correspondent
MUCH. A NUMBER OF REPUBLICANS WERE ACKNOWLEDGING THIS WAS A REFERENDUM ON THE ACA AND THAT IT IS THE LAW OF THE LAND. THAT DOESN'T MEAN THEY'RE STILL...
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| 00:09:29 |
Slen, Peter - Host
CALLS IN JUST A MINUTES. "STATE CEDES LAW TO FED." THE STATE WILL NOT RUN ITS OWN EXCHANGE IN ARIZONA. WE HAVE A MAP SHOWING THE STATES THAT ARE GOING...
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| 00:10:01 |
Rovner, Julie - Correspondent
SURPRISE. STATES HAD AN EXTRA MONTH. MOST OF THE STATES HAVE IT PRETTY MUCH DECIDED -- IT HAS BEEN A DIFFICULT ISSUE FOR REPUBLICAN GOVERNORS. THIS IS...
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| 00:11:47 |
Slen, Peter - Host
HAVE LUE HAVE DECIDED TO RUN A STATE-BASED EXCHANGE. UNDECIDED ARE THE YELLOW STATES. ARIZONA IS DEFAULTING TO THE FEDERAL EXCHANGE. THAT GIVES YOU AN...
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| 00:12:19 |
Rovner, Julie - Correspondent
MEDICAID EXPANSION ISSUE. THIS WAS GOING TO BE A REQUIREMENT FOR NINE DISABLED ADULTS WHO HAVE NOT BEEN ELIGIBLE FOR MEDICAID. YOU HAD TO BEAT A PREGNANT...
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| 00:14:12 |
Slen, Peter - Host
JIM.
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| 00:14:15 |
Rovner, Julie - Correspondent
GUEST: YES. IN THEORY. PEOPLE WILL BE ABLE TO GO ONLINE OR TO SOME KIND OF A STOREFRONT AND THERE WILL BE A STANDARDIZED LIST OF PLANS. THE ONLY DIFFERENCE...
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| 00:15:21 |
Slen, Peter - Host
THERE STILL LIMITATIONS ON BUYING ACROSS STATE LINES/ GUEST: INSURANCE IS
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| 00:15:29 |
Rovner, Julie - Correspondent
REGULATED BY THE STATE AND THAT IS SOMETHING CONGRESS DECIDED NOT TO CHANGE IT. THERE WILL BE 50 DIFFERENT EXCHANGES AND NOT ONE. HOST: IT
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| 00:15:42 |
Slen, Peter - Host
IS NOT APPLES TO APPLES WHEN YOU COMPARE IT TO CAR INSURANCE. YOU CAN CARRY YOUR CAR INSURANCE ACROSS STATE LINES. GUEST: YOU BITE
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| 00:15:57 |
Rovner, Julie - Correspondent
THE CAR INSURANCE IN THE STATE WHERE YOU LIVE -- YOU BUY THE CAR INSURANCE IN THE STATE WHERE YOU LIVE.
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| 00:16:07 |
CALLER, -
CALLER: HI. I AM A DISABLED AMERICAN. I HAVE A BACK INJURY. I AM CONCERNED -- THEY ARE TALKING ABOUT ENTITLEMENTS. I MAKE LESS THAN $10,000 A YEAR. I...
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| 00:16:44 |
Rovner, Julie - Correspondent
YOU ON MEDICARE OR MEDICAID? CALLER: YES,
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| 00:16:49 |
CALLER, -
I AM. GUEST: IT SHOULD NOT AFFECT
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| 00:16:54 |
Rovner, Julie - Correspondent
YOU . THE FISCAL CLIFF NEGOTIATIONS MIGHT. MOST PEOPLE ARE NOT TALKING ABOUT DOING ANYTHING TO MEDICAID. DEMOCRATS IN CONGRESS DO NOT WANT TO CUT MEDICAID....
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| 00:17:32 |
Slen, Peter - Host
OF THE ENTITLEMENTS ARE ADDRESSED DURING THE SO-CALLED FISCAL CLIFF TALKS -- GUEST: YOU REALLY
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| 00:17:41 |
Rovner, Julie - Correspondent
MEAN MEDICARE. SOCIAL SECURITY IS NOT THREATENED FOR SOME TIME. MEDICAID IS PRETTY MUCH OFF- LIMITS. HOST: HOW WOULD THAT AFFECT
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| 00:17:53 |
Slen, Peter - Host
THE ACA? GUEST: A LOT
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| 00:17:58 |
Rovner, Julie - Correspondent
OF THE COST CONTAINMENT IS ALREADY MEDICARE. THEY WOULD GO BACK AND PERHAPS DO MORE. LET'S RAISE THE ELIGIBILITY AIR -- LET'S JUST MATCH THAT FOR MEDICARE....
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| 00:19:28 |
Slen, Peter - Host
LINE -- CRAIG. CALLER: THE CONDITIONS
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| 00:19:35 |
CALLER, -
ON MEDICARE -- THERE IS TOO MUCH BUREAUCRACY. BATTERIES FOR A WHEELCHAIR COST $500 APIECE. IF YOU BUY THEM PERSONALLY AT AN AGENCY, THE BATTERY IS MUCH...
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| 00:20:29 |
Rovner, Julie - Correspondent
THAT EVERYBODY IS LOOKING FOR SAVINGS -- 9 MILLION PEOPLE ARE ELIGIBLE FOR MEDICARE AND MEDICAID AND THEY TEND TO BE FRAIL AND ILL AND CONSUME AN ENORMOUS...
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| 00:21:26 |
Slen, Peter - Host
IN.
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| 00:21:29 |
Rovner, Julie - Correspondent
GUEST: NO. THE FEDERAL GOVERNMENT IS PAYING IT ANYWAY. IF STATES DO NOT DO WIIT, THE FEDERAL GOVERNMENT WILL. THEY'RE SUPPOSED TO BE STARTING AT OPEN...
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| 00:22:01 |
Slen, Peter - Host
BEEN ENTHUSIASM FROM THE INSURANCE COMPANIES THAT WILL BE PROVIDING THE CARE? GUEST: THEY ARE
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| 00:22:16 |
Rovner, Julie - Correspondent
DEFINITELY INVOLVED AND I THINK THEY ARE ENTHUSIASTIC. THERE'S A CERTAIN AMOUNT OF TREPIDATION. THERE IS CONCERN THAT EVERYTHING WILL WORK SMOOTHLY AND...
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| 00:23:20 |
Slen, Peter - Host
TWEET FROM BREAKER. GUEST: I DO NOT THINK
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| 00:23:24 |
Rovner, Julie - Correspondent
SO. HOST: CAN BE
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| 00:23:28 |
Slen, Peter - Host
ON THE INDEPENDENT LINE -- CANDY. CALLER: MY NEICE CLASS
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| 00:23:38 |
CALLER, -
THAN $30,000 A YEAR. SHE CAN AFFORD TO GET HEALTH CARE FOR HIMSERSELF. HER DAUGHTER DOES NOT HAVE HEALTH INSURANCE. IS SHE GOING TO BE REQUIRED TO...
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| 00:24:13 |
Rovner, Julie - Correspondent
WILL HAVE AN OPTION TO GET COVERAGE UNDER THE NEW EXCHANGES AND WILL BE ELIGIBLE FOR A LARGE SUBSIDY. IT SOUNDS LIKE THE DAUGHTER IS OVER THE AGE OF 18....
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| 00:24:53 |
Slen, Peter - Host
GOOD MORNING. PLEASE GO AHEAD.
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| 00:25:00 |
CALLER, -
CALLER: MY HUSBAND RECENTLY RETIRED AND HE IS ON MEDICARE. TOGETHER WE'RE RAISING THREE GRANDCHILDREN. I'LL BE RETIRING NEXT YEAR. THE GRANDCHILDREN RECEIVE...
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| 00:25:30 |
Slen, Peter - Host
GRANDCHILDREN? CALLER:
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| 00:25:32 |
CALLER, -
YES. GUEST: IT DEPENDS ON THE
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| 00:25:37 |
Rovner, Julie - Correspondent
STATE. SOMETHING TO THE CHILDREN'S HEALTH INSURANCE PROGRAM. HOST: REMIND US WHAT HAS
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| 00:25:47 |
Slen, Peter - Host
GONE INTO EFFECT SO FAR, THE OVERVIEW WITH THIS LAW. 2013 AND 2014. GUEST: THINGS LIKE --
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| 00:26:08 |
Rovner, Julie - Correspondent
THERE ARE NO ANNUAL ALL LIFETIME LIMITS ON POLICIES ANYMORE. WE WERE TALKING ABOUT THE PATIENT'S BILL OF RIGHTS. THERE ARE NO EXCLUSIONS FOR CHILDREN....
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| 00:26:31 |
Slen, Peter - Host
GO INTO EFFECT ? GUEST:
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| 00:26:38 |
Rovner, Julie - Correspondent
2014. THERE WILL BE HIGH-RISK PULOOLS. THERE ARE TAX CREDITS FOR SMALL BUSINESSES. SINGERS ARE GETTING THE DONUT HOLE CLOSED -- SENIORS ARE GETTING THE...
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| 00:27:47 |
Slen, Peter - Host
MUCH MONEY HAS BEEN SPENT SO FAR? GUEST: I DO NOT
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| 00:27:53 |
Rovner, Julie - Correspondent
KNOW. I CAN TELL YOU THE TYPES OF THINGS IT HAS BEEN SPENT ON. THE GOVERNMENT HAS GIVEN PLANNING GRANTS FOR EXCHANGING. INSURANCE COMPANIES HAVE HAD TO...
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| 00:28:58 |
Slen, Peter - Host
IN MARYLAND. CALLER:
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| 00:29:01 |
CALLER, -
GOOD MORNING. I AM MAKE HEALTH INSURANCE BROKER. ONE PROBLEM I SEE IS THE BUREAUCRACY. THE PRESCRIPTION DRUG COVERAGE, YOU HAVE OVER 30 PLANTS IN MARYLAND...
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| 00:31:03 |
Rovner, Julie - Correspondent
WENT THROUGH OPEN ENROLLMENT WITH MY MOTHER IN MARYLAND. IT IS CONFUSING. IT IS A PROBLEM. BROKERS HAVE A LOT OF EXPERTISE. IT IS ONE OF THOSE THINGS...
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| 00:31:44 |
Slen, Peter - Host
THROUGH SOME OF THESE TWEETS THAT WE HAVE BEEN RECEIVING. THIS IS FROM KAREN.
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| 00:31:54 |
Rovner, Julie - Correspondent
GUEST: NO. THIS IS VERY CONFUSING. THEY WILL BE GIVEN A 1099. THAT IS SOMETHING CONGRESS WANTED TO DO. THEY WILL NOT BE TAXED ON THOSE BENEFITS. THAT...
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| 00:32:55 |
Unidentified Speaker, -
WHEN IT COMES TO INSTITUTING SOME OF THE ACA PROVISION . WIREMOMMA TWEETS IN -- GUEST: YES, IN AA
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| 00:33:13 |
Rovner, Julie - Correspondent
WORD. WHAT A STATE DECIDES TO DO NOW IS NOT WHAT A STATE HAS TO DO GOING FORWARD. THESE ARE NOT ERODIBLE DECISIONS -- ERODIBLIRREVOCABLE DECISIONS. I...
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| 00:34:57 |
Slen, Peter - Host
COME TO HIT/ GUEST: IN A WEEK OR
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| 00:35:03 |
Rovner, Julie - Correspondent
TWO. CALLER:
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| 00:35:06 |
CALLER, -
THIS IS JUST LIKE AMERICA, THE MASTERS OF THE INSIDE JOB. OUR BUREAUCRATIC PEOPLE THAT WE HIRE GET INTO THESE PRIVATE AND PUBLIC PARTNERSHIPS AND FIND...
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| 00:35:30 |
Slen, Peter - Host
WHERE YOU'RE GOING WITH THAT BUT YOU'RE STILL ON THE LINE AT THIS POINT. WE WILL MOVE ON TO PURSUE IN NEW YORK -- SUE IN NEW YORK. CALLER: GOOD
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| 00:35:45 |
CALLER, -
MORNING. GOOD MORNING? HOST:
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| 00:35:51 |
Slen, Peter - Host
WE'RE LISTENING. CALLER:
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| 00:35:54 |
CALLER, -
I THINK WE EVENTUALLY NEED TO MOVE TO A SINGLE-PAYER PLAN. THE BUREAUCRACY IS INCREDIBLE AND COSTS SO MUCH MONEY. HOST: WE'RE HAVING
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| 00:36:09 |
Slen, Peter - Host
TROUBLE HEARING YOU. WE WILL LET YOU GO. SINCE THE IMPLEMENTATION OF ACA, HAS THE BEEN A TREND TO HIGHER HIGHER COST IN HEALTH CARE COVERAGE? GUEST:
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| 00:36:29 |
Rovner, Julie - Correspondent
NOT REALLY. COSTS HAVE NOT GONE DOWN. A FEW SMALL COST INCREASES HAVE HAPPENED BECAUSE THERE ARE SOME THINGS IN THE LAW THAT WOULD BE EXPECTED. SOMEONE...
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| 00:38:16 |
Slen, Peter - Host
ITSELF TO MORE COMPETITION AMONG HEALTH- CARE COMPANIES? GUEST:
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| 00:38:22 |
Rovner, Julie - Correspondent
I THINK A LOT OF PEOPLE BELIEVE PART B HAS, IN AND HAS COME IN UNDER COST NOT SO MUCH BECAUSE OF COMPETITION BUT BECAUSE THERE HAVE BEEN FEWER BLOCKBUSTER...
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| 00:40:07 |
Slen, Peter - Host
WHEN IT IS A STARTED TO TAKE THE FACEFFECT? GUEST: I THINK NEXT
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| 00:40:15 |
Rovner, Julie - Correspondent
YEAR. HOST: JULIE ROVNER,
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| 00:40:20 |
Slen, Peter - Host
WE APPRECIATE YOU COMING OVER AND TALKING HEALTH CARE. HOUR AND HALF LEFT TO GO IN A PROGRAM. WE ARE TALKING ABOUT SO-CALLED FISCAL CLIFF ISSUES. TODAY...
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| 00:41:00 |
Unidentified Speaker, -
ROB NEIGHBORS ARE MEETING AT THE CAPITOL WITH HOW TO AVOID TAX INCREASES AND SPENDING CUTS. STOCK FUTURES ARE UP ON THE EXPECTATION THAT PROGRESS WILL...
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NOTE: The transcript for this program was compiled from uncorrected Closed Captioning.