Opinion
Medical Tourism In A Time Of Cancer
Published
3 years agoon
By
Lanre
I got this question a lot as family, friends and colleagues found out about the breast cancer diagnosis. I had no convincing answer. Even to myself. It was left to be in a country where I had no social structures at a time like this.
I did look to the familiar for a biopsy. School, work, love, conferences and life in general made the UK and US more logical choices for me. I asked trusted friends for help arranging a biopsy so I could be efficient. While I waited, work sent me to Berlin – my first visit ever to Germany. Germany’s medical care is legendary and so I thought, ‘why not?’
After meetings in Berlin, I left for a clinic in Wiesbaden, a small town outside Frankfurt popular with Nigerians with ties to Julius Berger. Exactly one week after the sample was taken, I got the result: triple negative breast cancer (TNBC), fast growing aggressive cells. If breast cancer is a western, TNBC is the baddest villain, but I did not know that then. Who even knew there are types of breast cancer? There are some things we never want to have to know.
Within 10 days, I was back in Wiesbaden for the next important step – staging. For this I needed a Positron Emission Tomography (PET) scan that would determine what stage the cancer was in, which would in turn determine treatment. The PET scan produces detailed three-dimensional images inside the body by detecting radiation given off by a radiotracer – a dye of sorts injected into your veins (or inhaled/ingested) which helps doctors determine cancerous cells because these mutated cells use up glucose at a faster rate than normal cells. Nigeria got its first PET scan machine only in 2022, thanks not to the investment of any federal or state government, but a private oncology centre in Lagos. How have our oncologists been determining cancer staging and treatment without this machine?
Shivering under the blanket thoughtfully provided by the hospital as I waited for the tracer dyes to diffuse through my body, I wondered: cold or nerves? I slept through it, out for the entire process immediately I stretched out on the machine.
The good news was: cancer was at stage 2 and had not spread and TNBC responds well to chemotherapy. The recommended treatment plan was 16 rounds of chemo, then a lumpectomy to remove the tumor, and then 5-6 weeks of radiation. Bad news: I had to move fast, travel was not recommended (presuming I was an heiress with a private jet and could fly in and out for chemo) because of how miserably sick chemo makes the body and weakens the immune system. Buying the drugs and getting them administered at home was also not advisable though it was a possibility. Keeping track of the white blood cells count, ensuring organs are coping, this was where care could slip. Could I start right away?
Of course not.
Abuja – Dakar – New York – Wiesbaden.
Tell family. Tell colleagues. Tell bosses. Then I was ready. Sort of.
Factors influencing decisions
No one in my family had a valid EU visa at this time. Germany was alien, the language and people unknown. There was no one to call, to say ‘check on her’ or ‘make pepper soup and take to her’ (that was soon sorted out!). But the advice to get started without delay gave Germany an advantage despite the well-meaning pressure to consider the US or UK. I had introductions to experts in TBNC across the world within hours – all standing by and ready to assist.
But two things helped me feel more comfortable with Germany. One, if I moved, the doctors would want to do these tests all over again…I did not feel I had the time, energy or money.
Second was health insurance. Until it kicked in (it never did; thankfully the organization I work for was supportive), I would be paying out of pocket and US medical costs were easily 4-5x higher than Germany. So, Germany it was.
The seeds of Germany’s health care system were sown on the eve of the carving up of Africa, with Bismarck’s 1883 Health Insurance Act. It was the first social health insurance system in the world. Today, Germany boasts of being within the top 20 health systems in the world spending 11% of GDP on health expenditure (€407 billion in 2019 or almost €5000 per person). Government funds 77% and the rest is private funded and everyone is covered. Everyone. Including refugees.
In addition to government funding, employees & employers fund up to 14.6% of gross wages, shared equally by the employer and employees and at the point of access a copay (this is where a patient is required to pay part of the cost) is required in some cases but not for preventative services such as cancer screening. Policy makers understand that prevention is better than cure and want zero excuses for those who need regular checkups. Germans who earn below a certain amount are compulsorily covered (88%) and private health insurance exists for high earners (11%).
The unemployed pay a proportion of their unemployment entitlements and for the long-term unemployed, government contributes for them. The German federal government is not directly involved in care delivery but uses laws and regulation to set quality measures and ensure that providers cannot arbitrarily increase premiums and copayments. Dependents and children are covered free of charge and special schemes exist for the police, military and other public service employees.
Health funding in Nigeria
In Nigeria – the federal health budget covers part of the funding required for health insurance under new National Health Insurance Authority (NHIA) law enacted in 2022. The idea of a health fund is to act in a similar way as our pensions do – i.e., contributions from employees, employers, government (e.g., N4.4 billion was allocated to NHIA to cover retired military) and investments. Just like arrangements must be made for those who will retire, arrangements have to be made for those who will inevitably need medical care. It is not clear though, at least not from the agency’s website, how much the NHIA has in funds, what it spends annually, what it generates and who has access.
Health has never been a priority for Nigerian government and policy makers. For the first time since the Abuja Declaration of 2001 where Africa Union members pledged to dedicate at least 15 percent of annual budgets to health, Nigeria’s 2023 health budget got as high as 5 percent of the budget. High recurrent expenditure and corruption ensure that there is always too little to invest in building our medical facilities and expertise.
This is why Nigerians have to migrate when they are ill, increasing the financial and emotional resources required to get better. India, Turkey, Egypt, United Arab Emirates, Ghana etc. have become havens for Nigerian patients. Several factors dictate where patients go for health care outside Nigeria: family, budget, medical referrals, visas and expediency. Improving the health sector requires detailed research and assessment of medical tourism needs and costs in order to prioritize government interventions – until then, Nigerians will continue to seek better health care wherever they can.
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By Dr. Sam Akpe,
The hall wore a robe of expectations as minutes ticked towards the hour. The city was wrapped in the mood of impending festivity. Something was in the air. Road safety personnel and armed policemen were on duty—directing traffic and maintaining orderliness along Woji Road.
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A walk into the event hall felt like an excursion into a carnival. From the urbane music equipment emitting jazzy tunes, to the symmetrically-arranged seats, the arty wall decorations, and the storybook backdrop, poetry was on display.
Outside, directly opposite the car park, a massive poster announcing the event in the making—the Annual Wole Soyinka Lecture with a life-size portrait of the literary legend—exhibited what was about to unfold.
The imposing poster also indicated two other persons—the technocrat extraordinaire, Chief Ndutimi Alaibe, as chairman of the day, while the former Aviation and Aerospace Development Minister, Chief Osita Chidoka—was the guest speaker.
Indeed, almost the entire Port Harcourt—a city of political frenzy, soaked in oily wealth but surrounded by shantytowns—was in colourful feel of expectancy, as it awaited the arrival of Akinwande Oluwole Babatunde Soyinka, Africa’s first Nobel Laureate in Literature.
Then almost surreptitiously, the literary idol walked into the hall unannounced. Except for his traditional white hair, the big smile, and the hawk-like penetrating eyes, the hall almost missed his entry. Eventually, everyone rose in honour of the reverential figure—the father of modern political literature.
The 92-years old, with a deep voice, was in the city not just to attend a lecture in his honour, but to participate in a highbrow yearly ritual of the National Association of Seadogs, also called Pyrates Confraternity—a body of intellectual militants founded by him several decades ago.
It turned out to be quite an explosive event. Chairman of the summit, Chief Ndutimi Alaibe, known simply as ‘Timi, paid extensive tributes Wole Soyinka before setting the tone for the lecture that triggered off wide-ranging discussions.
‘Timi told the audience that Nigeria is immeasurably better today because of people like Soyinka who, throughout his remarkable journey, has consistently chosen the harder path—the path of conscience, courage, and truth—when silence could have been safer, easier, and far more rewarding to him.
Labelling the scholarly sage as a man with generosity of spirit and loyalty to friends, he applauded Soyinka’s readiness to encourage worthy causes, and the extraordinary willingness to show up whenever principle, rather than prominence was needed.
He declared, “Today, we honour you not merely with words, but with our presence and our shared commitment to engage the very questions your life has posed to our nation for more than six decades—questions of justice, accountability, freedom, and the moral courage required to build a truly democratic society.”
Besides, the lecture, the event was also a celebration of those described as the National Association of Seadogs Martyrs—a group comprising members of the confraternity arrested on February 17, 1997, imprisoned and tortured by the military in Rivers State on accusation of undue radicalism.
Their ordeal, which lasted 72 days, stated Dr Joseph Oteri, the confraternity leader, was an unplanned journey into the darkest hell of the late General Sani Abacha’s regime, “for daring to believe that Nigeria deserved better than the boot of a dictator,” until they were freed by a court of law.
‘Timi noted that the arrest and prosecution of the Pyrates was basically “for refusing to be silent in the face of oppression” describing the victims as “enduring symbols of resilience and civil courage in the struggle for the restoration of democracy and the rule of law.”
He said the anniversary of the event reminded everyone that democracy not freely bestowed; but was won through the sacrifices of countless Nigerians –many celebrated, many unsung—who endured intimidation, persecution and personal loss in defence of freedom, justice and accountable governance.
Going down memory lane, he mentioned other martyrs of democracy to include “Dele Giwa, whose fearless journalism challenged military authoritarianism until it claimed his life, Ken Saro-Wiwa and the Ogoni Nine, whose martyrdom awakened the world’s conscience to environmental justice and human rights, Kudirat Abiola, whose courage sustained the struggle to reclaim a stolen democratic mandate.
“We remember Chief Alfred Rewane, whose unwavering commitment to democracy cost him his life. And we remember Chief Bola Ige, Nigeria’s former Attorney-General and Minister of Justice, whose assassination remains, to our enduring national shame, unresolved.”
Then he added: “Whether through imprisonment or assassination, torture or intimidation, these men and women bore heavy personal burdens so that future generations might live under the rule of law rather than the rule of fear.
“Their stories remind us that civil courage is not an abstract ideal. It is rather the willingness to stand for what is right, even when the consequences are severe and deadly.
“As we honour their memories today, may we also recommit ourselves to completing the work for which they sacrificed so much—building a Nigeria founded on justice, accountability, constitutional governance and respect for the dignity of every citizen.”
The hall sat in silence, except for intermittent applauses and fulfilled smiles from Soyinka as ‘Timi recalled rare moments of encounter with the erudite professor several years ago—a part of four decades of relationship that has profoundly shaped his understanding of what Soyinka means to Nigeria.
He mentioned an instance of close interaction in 2006 when, under the auspices of the Commission of Nobel Laureates, Soyinka was part of an international mission that visited the Niger Delta to promote peaceful dialogue and undertake a fact-finding exercise in the region—including a visit to the Niger Delta Development Commission, where ‘Timi served.
He recalled that after listening to their presentation, Soyinka remarked that the NDDC had taken on an enormous burden on behalf of a beleaguered region and deserved to be remembered as one of the positive initiatives of the Obasanjo administration, adding with characteristic generosity, “I will remember to commend him when next I see him.”
Two years later, ‘Timi’s late wife, Alaere, extended an invitation to the revered literary czar who was then in the United States, immersed in an exceptionally demanding schedule, to visit ‘Timi’s village of Igbainwari in Opokuma, Bayelsa State, to inaugurate the Wole Soyinka Library—an initiative of Alaere’s organisation, Family Reorientation, Education and Empowerment (FREE).
He revealed that what made that visit even more remarkable was that Soyinka “did not merely fly in to perform a ceremonial duty and depart. He chose to spend the night in our modest country home in that remote riverine community.
“For a man of such global stature—a Nobel Laureate whose voice commanded respect across continents—it was an extraordinary act of humility. Let me add that he also tried Izon local brew.
“By his presence, he honoured not only our family but also an entire community that had long felt disregarded, affirming that no place is too small, and no people too insignificant, to deserve dignity, learning, and hope.
“He spoke with genuine admiration of my late wife’s vision, courage, and steadfast determination, recognising in her work a powerful testament to what conviction and selfless service can accomplish. He said ‘I am not often impressed with people, but she has succeeded in impressing me with her drive, her vision and her total commitment.’”
‘Timi noted that Soyinka created more impact during that visit when he spoke to the youth of the Niger Delta whose militancy at that time had emerged as one of the defining challenges confronting the Niger Delta.
Soyinka offered a wise counsel urging them to choose dialogue over violence and a future built on peace, not conflict.
With characteristic moral clarity, he challenged them to embrace “intellectual militancy in pursuit of the region’s development—a powerful call to exchange the force of weapons for the power of ideas, knowledge, and constructive engagement.”
By his confession, ‘Timi’s reminiscences were not merely out of nostalgia, but because they spoke directly to the event of the day, or as he put it, long before “reclaiming the state” became a familiar phrase, Soyinka was already living it’s meaning.
Or how would you describe a man of Soyinka’s standing journeying to a remote community which many considered too insignificant to matter, just to inaugurate a library and spend a night among strangers without ceremony or pretence, in an environment of budding militancy—with violence on parade.
Soyinka’s act simply affirmed that the true measure of leadership is not the distance one travels, but the willingness to stand with people wherever they are. ‘Timi described this as principled leadership and accountability exercised with wisdom and humility.
On the of the theme: “Reclaiming the Nigerian State through Accountability, Justice and Civil Courage” the former managing director of NDDC said it speaks directly to the realities of the Nigeria—a country we inhabit and the nation we aspire to build.
His words: “Nigeria is blessed with extraordinary human talent, abundant natural resources and remarkable resilience. Yet we continue to fall short of our collective potential. Our national challenge has never been a lack of diagnosis; it has been a failure to act consistently on what we already know.”
It was his view that too often, the institutions designed to hold power accountable have been weakened, thus making justice, for many Nigerians, a privilege rather than their inalienable right.
Restating the virtues of the confraternity, he said: “This gathering cannot, in good conscience, speak of reclaiming the Nigerian state without confronting one of the cardinal evils that the National Association of Seadogs was founded to repudiate.”
That evil, called tribalism, has birthed partisanship, clannishness, ethnic chauvinism and statism, while the enduring values of nationalism, absolute honesty, absolute selflessness, and love for all have been neglected, said ‘Timi.
He asserted that, tribalism has become less an individual prejudice than a systemic condition, coursing through Nigeria’s national bloodstream and eating away at the very fabric of our society.
He noted that reclaiming the Nigerian state must therefore begin with reclaiming ourselves—by ensuring that the principles we so proudly profess are applied consistently, without fear or favour, irrespective of tribe, political affiliation, or the identity of those who wield power.
Ultimately, he said, “accountability is sustained not by laws alone but by the courage of men and women who insist that those laws apply equally to the powerful and the powerless.”
His position was that reclaiming the Nigerian state would not be achieved by a single dramatic event, but through the steady accumulation of principled choices by citizens who refuse to be indifferent, institutions that remain faithful to their mandates, and leaders who choose integrity over expediency and courage over convenience.
Falling back on his modest experience in public service, ‘Timi said the journey has reinforced one enduring lesson in him, that sustainable development cannot exist without accountability, and that where institutions are weak, hope gives way to cynicism; where accountability is upheld, even limited resources can produce lasting impact.
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He urged participants to see beyond the event of the day as they aim to rebuild Nigeria, knowing that “nations are not reclaimed by rhetoric alone,” rather, they are reclaimed “when conscience triumphs over convenience, when institutions are stronger than individuals, and when citizens summon the courage to do what is right, even when it is difficult.”
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Opinion
Obasanjo declares ‘political war’ on Adeola, vows to test strength in Ogun Central
Published
3 weeks agoon
July 16, 2026
By Oriyomi Olufemi B
Former Ogun State governorship aspirant and Peoples Democratic Party (PDP) candidate for Ogun Central Senatorial District, Prof. Iyabo Obasanjo, has declared what she called an “all-out political battle” against Senator Solomon Olamilekan Adeola, popularly known as Yayi, accusing the All Progressives Congress (APC) senator of “betrayal, dishonesty and lacking integrity.”
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Speaking during an interactive session with journalists in Abeokuta on Wednesday, Obasanjo said she had resolved to “show who I am” after alleging that Adeola failed to honour promises made to her following the APC governorship consensus process.
I’m on a war path to show who I am. My name and my family’s name are indelible in the history of Ogun State. For anybody to want to rubbish me, they will find out the hard way that I’m not rubbishable, she said.
Obasanjo alleged that after a reconciliation meeting, Adeola requested one week to respond to issues raised but failed to communicate. I gave him six weeks. After I resigned, he started calling me. I never picked his calls and I never will. Once you’ve broken my trust, you are dead to me, she said.
She claimed her supporters had sought three concessions during the meeting: support for her senatorial ambition in the APC, reimbursement of campaign expenses from the governorship race, and inclusion of members of her political structure in his administration.
Obasanjo said she told Adeola he did not have to grant all the requests but should simply indicate what he could accommodate.
I told him to let me know what he could do so I could explain it to my supporters. Instead, he failed to keep his word. I think he is a man that lacks integrity. He sees people as things to be used, she alleged. She further claimed the senator later attempted to win her over with money, describing the amount offered as insulting.
Obasanjo also asserted that the APC halted her governorship ambition because of the momentum her campaign had generated, adding: If I had continued, there was no way I wouldn’t have beaten Yayi.
The former senator announced the commencement of her senatorial campaign, stating she would begin consultations with PDP structures across the six local government areas of Ogun Central before wider media engagements. Moving forward, I will be doing more media engagement. I am now open to interviews,” she said.
Obasanjo anchored her confidence on her record in public office, citing interventions in mechanic villages and community infrastructure.
Politics is about making people’s lives better. If you cannot make things better for individuals and society, there is no reason to be in politics, she said.
In Ogun Central, I believe I am unbeatable. People know my brand because they have seen what I have done. My focus is on my senatorial district, and we are going to win it, she declared.
Dismissing concerns over the simultaneous conduct of presidential and National Assembly elections, she said, Our people are not stupid. They know who they want to vote for. On fears of election violence, she added: We are citizens, and we will defend our rights. No violence can stop people from voting for who they want.”
She maintained that her nomination met electoral requirements, noting that the Independent National Electoral Commission (INEC) had accepted her as the PDP’s Ogun Central senatorial candidate.
We met the deadline. I was within the time limit, and INEC has accepted me as the PDP candidate, she said. She vowed to beat Yayi to a pulp at the polls.
Prof. Obasanjo, daughter of former President Olusegun Obasanjo, served as Commissioner for Health in Ogun State and later represented Ogun Central in the Senate from 2007 to 2011.
Her name recognition and past performance in office remain assets in the district, particularly in Abeokuta South, Abeokuta North, Odeda, Obafemi-Owode, Ifo, and Ewekoro LGAs that make up Ogun Central.
Senator Adeola, however, is the incumbent senator for Ogun West but has been a central figure in APC politics in Ogun State, with significant grassroots machinery and backing from party structures. He won his current seat in 2023 after switching from Lagos West.
Political observers note that Obasanjo’s threat signals a potentially bruising contest in Ogun Central, where PDP retains pockets of strength despite APC’s dominance at the state level.
Her ability to mobilize her old structure, leverage legacy projects, and frame the race as a referendum on “character and trust” will test Adeola’s reach beyond Ogun West, should he seek to contest in Central.
As of press time, Senator Adeola had not publicly responded to Prof. Obasanjo’s allegations. The APC in Ogun State also has not issued a statement on the claims regarding the governorship consensus or post-consensus agreements.
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With campaigns set to intensify, Ogun Central is shaping up as a key battleground. Whether Obasanjo’s “war path” translates into electoral upset will depend on PDP cohesion, voter turnout, and the credibility of her claims among undecided voters — with investigations into party negotiations and campaign financing likely to feature in the coming weeks.
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Opinion
Seven prime ministers in a decade: What Nigeria can learn from Britain’s chaos
Published
1 month agoon
July 2, 2026
By Dr Toju Ogbe,
The resignation of British Prime Minister Keir Starmer, less than two years after leading the Labour Party to a landslide electoral victory, was dramatic, yet reflected a pattern we have become familiar with in recent British politics.
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Starmer now joins a procession of fallen prime ministers stretching back to 2016 – from David Cameron to Theresa May, Boris Johnson, Liz Truss, and Rishi Sunak.
None of these prime ministers was ousted through military intervention, popular insurrection, or a court order. Rather, each was ultimately brought down by the same political system that elevated them to electoral glory.
To the casual observer, the rapid turnover of British Prime Ministers in the last decade may appear chaotic, or even a symptom of political instability. Some argue that the British electorate has become ungovernable.
However, beneath the apparent chaos at Westminster lies an uncomfortable truth that African democracies would do well to examine, particularly Nigerians who wonder why our democracy has delivered so little despite almost three decades of uninterrupted civilian rule.
The turbulence of British politics over the last decade, presents an important lesson on democratic accountability beyond successful elections.
Once the prime minister is deemed a liability by their own political party, the mechanics of accountability are activated. The daggers are quietly drawn and the ruthless pressure to resign begins.
Every poll and survey on public opinion is closely monitored, local election results are taken as a referendum on leadership. Cabinet resignations begin to gain momentum and backbenchers get restless.
Once the news media smells an internal uprising, they amplify scrutiny of the prime minister, subjecting every move – speech, public appearance, political misstep etc to relentless examination.
Pressure gradually mounts until the prospect of bitter internal leadership challenge becomes impossible to resist. The Prime Minister falls.
For every British Prime Minister, winning an election is merely the beginning of examination, not the end. Political survival lasts only for as long as the prime minister maintains the confidence of his party and the parliament.
This is the muscle of British democratic accountability; a political culture that prioritises institutional survival over individual ambition. Starmer recognised this reality in his resignation speech:
“The question my party is asking now is whether I am best placed to lead us into the next general election. I have heard the answer of my parliamentary party to that question, and I accept that answer with good grace.”
That closing sentence alone is a masterclass in British institutional democracy. The party spoke. The leader listened. The correction comes from within.
Nigeria presents a strikingly different political logic.
Nigeria on the other hand, presents an interesting contrast with a different political logic and culture.
The notion that a governing party would overtly interrogate the performance of its own leader and engineer a transition to someone better equipped to maintain public confidence, is in most cases politically unthinkable in Nigeria.
Political parties in Nigeria do not coalesce around ideological principles; rather, they operate more as electoral instruments organised around powerful individuals.
Internal dissent is often dealt with as betrayals rather than as part of healthy democratic engagement. Godfatherism and transactional loyalties shape political succession and leadership retention.
Once elected in Nigeria, there is an inherent assumption that a governor or president has a fixed two-term lease on power.
While 10 Downing Street is preparing to welcome its seventh Prime Minister in a decade, Nigeria, in contrast, has had only two democratically elected presidents during the same period – one of whom is still serving.
Social and economic conditions may deteriorate. Insecurity may worsen. Campaign promises may be ignored.
Public frustrations may become unbearable. Yet, incumbent governors and presidents often remain insulated from meaningful internal scrutiny and are even routinely anointed as ‘consensus’ candidate for second terms provided loyalties to godfathers, rather than the electorates are maintained.
The consequence is that loyalty, instead of performance is often rewarded at the expense of accountability.
This is not an argument for a revolving door at Aso Rock, as frequent leadership changes, by themselves, do not guarantee good governance.
Rather it is a case for making accountability an integral aspect of party politics in Nigeria.
Although the Nigerian presidential system provides for a fixed four-year term regardless of party confidence, political parties should however, be more than instruments for election campaigns, activated to simply retain or take over power every four years.
Electoral victory, should not be the ultimate goal, but the starting point of public service where democratic legitimacy must be continuously earned.
Equally important, political parties must develop the institutional maturity to honestly evaluate their own leaders. They must prioritise public interest and institutional credibility over loyalty to ‘Godfathers’.
The ultimate lesson from Westminster’s revolving door is clear: the true strength of a democratic system, lies not in the ability to produce leaders, but the capacity to effectively replace them, when they no longer command confidence.
Protecting failing leaders from accountability weakens democracy and political parties must ensure that no leader is more powerful than the institution.
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As political parties gear up for the 2027 general elections, the political class must decide what matters more: we can continue to reward blind loyalty and endure predictable decline, or discover the courage to demand accountability from those who seek to lead us.
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