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If beyo of t’s priv requ was on y can d : ‘Th fied the acco ‘The decl man as s.’ n’t tho of frau He on conf ual to all work majoBrian ts com as from be y was ses ina rea wer onc cte spa wh ese ate eve eon time firstwish nd conhap u all are ager trus t hav the NHS iradde Unt wha prop unti main prop ls sed e e dste out the d te the with licts decl . prac oblig well rity O’Co mitt ing their all s, shou boar mo wh mo arat . by priva ir Eve omagre il t is osals ng viewprob osed d that e bei targ vet of cle of m, n wh e to rs thei to of nno cal The legis of inte ion The had cre gua ry ed, a ney ere ved the ng et erin larg . do ‘Des ation beyo to sion thos te and unif “pri have NHS r ee chai effe ver you the ile rele try y r incold be d dit rd, majo ir latio poinlems e full pro trus . mad offer to nd s. said: any e rest of the anxi -mak invo publ orm vate not ctiv in r acc y rigo pite you ase and to def atta gro ary their cons n. bal disc me t Part r error figur e fess ting scru in subs y ‘Therups LON to It’s eties ing lved ic secto losu rous this, prac iden is the do e. wh ounare acco tant an tho oth enc cke cont ulta ies ➱ .’ ‘It e willdefi at tiny ion nat peo the a bit tak are HCA DON conti at ir is have out wou abou would in key r re rdan ial annu of annu they niti tice tiugh er es, d, ractu nts inco of as the t. The ing spe cod to In asso be ple m; like nued also ure their al Bridg is expa BRID so are the cons ld seemt conf allay NHS ce unti subj on ”. the laid al appr al t thebus aki es me rec Llo y of get the ope on ciati NHS appr subj canc e Hosp ndin GE i l 31 pare NHS ultan ect is deci dow do y are mo ng ma the page frau ent yds y ludiclicts any publ aisal com aisal ecte plan NHS re er ney to on ■ work ts, g its EXT ncy, of Octo n kes me Ban dra are nin and ital rup d, centr 3 Read a imp by rous inter ic ver with The wn so g s. esc and, mitm, close d ’ camp Lond END force smal ber ‘It on t Prac k mo ma di you leme man the e (mid it y FedeDr O’Co l min to singest. doct is now of on S to us , gain a staf st ala is alsointo cre is ny said titio full ntin ager cour ents r dle into ratio nnofor priv ors it.’ dib wal ing . bus f pre com tio story fore a such ority le g specs with se, appr prov ners n le n war Thi ine r said. ate decl a requ n on grou new tran of tha let IPOCT and opri ided Orga of Inde See sign s ss sen mo in ific in prac are irem page nd). nly em nin is acc t st 16.p1 job prac job ately cons nisa tice thei pag atu usu oun che g ent 4 tion pend r res. wh plo of .indd with tice desc with ulta and, time that e 32 ally t que en yee a ent s 1 in arran ripti in NHSnts (FIPO be inde spen all Pro don for s dra cor work ) subj thei gem ons, per ed t in The of Cha ect r own ents then cont wn e ed proby son of said racts tha irma to forg al goi non registe wha it was n this time outs private t it ng -su Mr type shou ide t bene and diffi Geo of thr rgic r of wo ld fit cult ffreyanal not oug al ver rks ther ysis. to h cos ifie e wou see Glaz a fac me d pra ld exac er be e-li tic ctit tly be ft car ion in

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Ditc a well-the Only ema t, the ch Whyignore the rrec to open brea a voic sayinelse to no are inco ble to be ing you apps ils e who t una will leav ne deta who n nce, t wha ante age; e of the pho os or there ile insta text Whe abou guar mess ■ ot t up k the phot for k that be awar and g mob nt ers; men chec thin cann to ent Usin patie tition chat You listen g a fax, docu to fax; with ■ pati persfer prac Snap the need the r will usin tran p, date s on de If ved 2 othe data p ■ d pick Yourecei up to sage inclu to tsAp to led page them coul r end. has are mes that ity f on Wha age; label n. ing orm ing ughng othe ient you in nued mess ones on; latio re Leav porti recip conti g unifby mak thro , erph mati re ■ do: Ensu legis ➱ force trans brin hing d an secu ■ new answ l infor dr to n lawsdy in r; a ld/c nallylabs. anyt irme the sona evia serve de ge aims ectio e alrea cel shou Perso to d les you ■ chanhas conf implndinclu a r e prot thos tro e files Clou be n’t . EU. samp t voic as a that e y ent will impe like the does Wha adj ils th ected , it 3. ernm ges UK’s out www.independent-practitioner-today.co.uk are Send such emaa i f prot men nals ‘Brex Gov chan the od, ■ rts nsend d a t word R e ite essio prothe inve meth expe titio as GDP desp the EU.’Prof ers by on pass Only a l ent prac up for ce t n Strid ■ r s o n d or So that ted, d aten from , KMS read advi wha Robi agem ent p e ypte ‘disc men exit our By man pend are geare wing and tices firm help h thre pliencr tially ing An accident but still your fault prac Personality goes a long way tice inde they whic -com Swindler’s list follo to take re Her to see s employees ed with doctors Private Prac ing re s Medical training can stifle good the ensu Reg- e inde Fraudsters are finding new laws for non step to offer ng warnto ensudata dama ges ld be need to be aware of the risks marketing methods. Here’s some ction forc ways to target doctors. So duci e key done lties ers EU 50%. run of vicarious liability P28 Prote to t. R chan shou ideas to enliven your website P16 how do you fight back? P14 som ld be ors new pena data Data is set plian GDP ners Priva of shou com ral doct go huge . ch s; PR) way were be to n main titio are for ance Gene(GD ths The ent prac a brea hour provide The the . ectio 1. rt 72 fines mon are: ; ion in to her Prot is conrepo pend e of ches rols esses three ulat ges grip far ced to to Data there are toug brea cont nt awar chan busin just ing Time reduntly and igno patie ted, tices ■ been tt getsies andLo their with exist ce are s and ng ifica But the rs a ermo injur h of p has t be plian ation stori n; is upday prac of l Sign othe McD on ■ tor com oblig g and yptio mus how unti ctive man e ired. Ian of knee launc ent nonencr Mr osis at the story , directice manent Dire that y, whilrequ New essin cons ge and. If you r on ly ■ See igan prac pend ■ proc ding nt cern read t is surge diagnative re. over , inclu patie r stora data otheGP, ove oper Cent from of wha a Mulliding inde nt Pract dic nt’s with conicit cove to ende nt’s licit data opae to imprpost- ome rant anth prov ces n’t that patie e it Expl to Orth y and Outc patie Imp le. ■ ues to be cautiously optimistic, Sampany servi Indep d have this ed that shar increase if the pound continued to down, but this again may be offset By Robin Stride olog & KS! feare or h pregain use g to or the ent. ptab com ent s, told is including for NHS PPUs. se fall against other currencies. arch by more self-pay. MAR t techn nts manw‘It reali muc you goin ners cons acce ‘Despite general market uncer- agem ialist y: e But he foresaw little impact on tice follo : 4 er ‘Around the country, the promYOUR lates patie Rese , the Private doctors in London stand to are titio need long prac spec er Todado not d how . ying n’t ON the t of dics’ Issu tainty, international and domestic Issue 2018 embassy work, as they would conthe ised £350m per week to the NHS lose thousands of pounds in the 8 prac will is no boar t them ition nts with smen opae 2008unen worr e havebring your of berMay trade will continue largely unafIn associatio tinue to use the UK-based medical following Brexit seems to have dis200 you ent or g any by wake of Brexit, accountants fear. the asses ts Orth sulta n on affec e som t to convia e mor can fected – although some investexpertise. d cons you doin Septem appeared in a haze – if it ever was a Spor Financial projections for Indepen t stop data canema il take ge wan of all Jun If even is thatWe coul a ment decisions may be postponed. 2. He thought the UK self-pay marare e mus nal onlythe reality. Things are likely to conchan dent Practitioner Today, based on to tion ions ‘And on of it. d ager thes perso – not d, ; ‘So, in that climate, will individwith of ket would continue to grow as it tinue as they were before.’ ressi d independent practitioners’ earnil atten rcuss e ing tifie rrect email; nee nity can ing, uals and companies renew PMI imp hear the repe larg to 4% has done recently unless there was Private practice marketing conSend ema iden ings from the City, predict a 2-3% u up ly ■ ted be be inco via even R to as the and will we see a hit to self-pay significant NHS investment. yo er at youindem sultant Malcolm McCoskery said: aims average drop in private practice ting ling files cryp ent te e. It GDP nts, ’ growth? Personally, I doubt it, as nk may voice total NHS private patient units (PPU) ‘There is much uncertainty at the wh al gross incomes in the centre of the pati ess over. n upda usag sulta so daun fine thi covat dic 0 the PMI market has pretty much ing 2018 expert Philip Housden said: ‘This IPMAR17.p1wPic.ind moment, but if Sterling continues capital for every 10,000 job losses. addr be ntial al turn latio ay dataMay ling n’t on k me P4 Send d 1 reduced to a core already following will take years to work through to fall, this could attract more ■ the That represents a drop of £3,50025 pote glob reguern-d Do mp al loo ut nce on one hand the recession, and self-pay is more and life and business needs to go e it edi it te international patients, especially their datamod £4,500, although the figures could ski leg aboura if The force w pressures ct gav imm likely to respond to NHS on. A every those from outside Europe. R upda be nearer £35,000-£45,000 for ay d on. refle in to ct ers kno ins ries than macro-economic ones.’ GDP to ‘Therefore, the outlook for pries impa mati ‘If the Eurozone continues to tax erp lea w some if forecasts by pessimistic and pow ra sala com will infor : ‘The ➱ continued on page 6 vate healthcare provision contindisband, then the international und ld ho commentators are realised. ary ined and nal new ext ers’ cou g markets will fluctuate even more But the analysis, by Stanbridge if uct pay s an s win sal perso expla ir with thi and if the Euro currency collapses, She new Associates, highlighted that a profsaid ded tax re wa n kno the on ms e to m could opportunities t more then ese more by offset He be could fall its ciati the ble t ic abl e fro the , no in asso arise. patients coming to : ‘Th pro beinternational righ ly ed tax ers ect aus of clin In a jor n’t bec n ting ate iev of ‘In the longer term, the ability of ltants be treated in London as a centre of fermma tax of s bel nt pay exp . consu e unit wo ad rcy medical of European doctors to work here r ow put excellence. ry me tax to nth Red se o ahe world s me ent y aedic privat BMI ts a newtax l you could be restricted. But, there s l 4 accountant Specialist to ch mo Mr l cau , wh ym ntl medical dia oun h kle get the of orthop specia joined t pril ng uire P3 e mu h ed wil ers cie vai added: nth again, it may become easier for ‘Optimists da Stanbridge Rayrpa have larges A teamopene bud at Th ild opi es reqhat eac Add r am oug y tac mo ago effi pre wil se Commonwealth doctors to work ers pay ove as could sayingl there are bu vel Tax is 1 ate thr call e years the UK’s list d n be 10,000 who wil ve and l be R it . two d job here, so this could be a neutral De mis har tax City indd mo l con have said pow tax n Pessimists se losses. to bee just care, group for Specia rr gre ing cifi nin d nde DS e y pre a 18.p1. for pla wil n al sen thewhich situation. I don’t believe. But y partne 100,000, ful had ove lud spe Health . bte t of ugh abl the e now on to y IPFEB hospit d Clinic tha od . t er they take their pri‘As for the UK market, if there is d liabilit , will Rec t inc e to re tha itsleaves, vate Oxfor n, tho is the RC dou refu‘gowhoever hav s be  til pay insurance-covered limite ltants d Clinic n The fer ‘Al RC e tha ers nce o HM He a significant downturn, then permedical ed vate y, a consu Oxfor surgeo deb forc mo ’ and un tax uld h Red d: t HM enu pow fina int sonal PMI may suffer as subscribing Surgerof 45 The aedic d families with them too. task ts wo hop RC (PMI) it the BMI suc ed the ers deb . vid sai tha rev ship ers – especially the elderly if their I ’d a d v i s e c o n s u l t a n t s to it and HM aye ‘ to orthop a found lowa to If new ow pay s, s en, d Muscu our old Da eez y r e at del increase be namedltant RETAINING THE CROWN: HCA Healthcare UK was named Private Hospital th savings hit zero per cent interest – . their prices and level of im ant tax se thr tax irs. ir tly Bowd Consu be nce squ , the yea rev er wi on Oxfor ‘Since 2016, repeating its success Group of the Year at the HealthInvestor Awards feel the pinch.’ Cla ort the they to ing the ure t affa ssed develto self-pay patients. ren e ess to Gavinin the said: que service Issue 57 are rly pay to for Mr chief executive (left), and the Hospital imp lect ed, LLP, we have Bridge 2014 of 2015. John Reay, London er Gary Nials, managing director at cur a taxin taxtax te tax ts fai ing leis tha asse ‘Outer-London consultants are Jan : liv str ing ence tax s col ow acit ork ue ir 2013 – officer Andrew Gore, collected the gong at a ir is partn l Clinic 2006, st of ll Decoperating company’s chief Medical Billing and Collection, likely to see some fall off in the ess ing try ual wri ir thi are cap dw com s the tan un raw the techniq we co.uk of excellures. skeleta tion in mu wa to t the rtfa sul d hd g ult ceremony at London’s Grosvenor House Hotel. See page 3 might str nag t the har said overseas self-pay -today. to care business as the economy slows ivid end to a novel proced r an wit sin res – the at forma a centre the ’t mISSE sho ind ed tha e of os.’ RC etal ve ma hou 0 ect con titioner Health ess using uir er du rea l e wh rd Don mak oped loskel BMI cha HM the any ting rd in t yea h lie for – witit P2 nt-prac g busin resp est ha d by inc ura tak any req pay ts til epende Re s job muscujoinin vangua In association with oUt. yoU R our rk, marke and nex oug hon nge nat tax e of the 2 to un oup ate thr tan ir n rance ‘In Tip www.ind also tax too pon and e SURE yoU is in page add its netwo rec from delive the dic pla tax sul n the ed by is the l cha . IVE l govern res our Th less sit l clinicstory on will th of ’s r ces, poten nue ent ow ld po era RECE CopyIng lab e. is ed surgica full RC ove con pla y cou and rm wil streng ce, clinica nce e op ’ has ve resour See aym es and tim re e . s an to the com info nEXt CRIb thE London r sustain resour istrati plia som nt UK a the te ed. HMto rec me e if thi dis le: a oral cancer t servic cod erp greate SUbS USE E oR abl the admin t ple end said e ng st, com to me list examp und ed thed patiensaid. ay. even in d agains int He abl ght be pay lea ual ing wider esti nalfor e he ide tax lea mit cia acquirOxfor toD InSID 2 Shining fight e rt,’ be mi not net y ivid rs ms typ Str 0175 inv itio y tial, suppo care has The E in the ver ind s foRm nE11/07/2016 to rov and ir com, spe n. sto ide is add log in its e 8 6 40 08:44 staff strHealth e are in ing partne . wa of IPJUL16.p1.indd 1 PAY uld ly the e pho equity imp e the tor war Cu s nce 18:2 l of pag sharends Rob ent in hno BMI 3121 found in ity ctic s’. wo nth‘At som tive ts of the to kfir g sec ts d : thi w the on 17 s By tec plia pita nm 3bn tin e tan mo . to execu , of y ual third Rob major ,pra with usa amp an ced ves bac cut 2/20 ant in ver 5mnew hos stor tax d said £2. allo vat tho atte tt,carchief Group iBy Clinic k ate of Mo ld s pri oun e oun of com ivid sult y 17/1 for care ng over lea .’ Go £15 ate full n E:of e- a subsid ity g in es by tac h s cou tor ind con lth and acc enu retaini ma Fawce is ms h fort The r to oug ann up y bill SIV g in priv ind e a strong hor brin doc the al 36% illness t priv the al Health the es st wea enu t care tec n s tax Adrian hav has tax clai ch thr ence aut p rev on staff to dic Rev) has ing alth mo as that CLU firs d are side o Gener Health fur urc . eco ts er payin ant A grip doctors do to roa y hel ng centre l excell of its the on BMI thawh o id me HM RC ten ‘we new e hos- ck of EX out pay as tan reso RC tax to tax The s. Rea ke say ed rn ‘This clinica absence app nom of den sul wh avo What can which rk for chent privat sult sho as bra costs y findi consid D: tigh for ts ard s; HM The t a ers said: sickness for wa tax ines e in its eco se ng nds (HM A defence cas nal wo treatm P48 the surve ts would ion ‘hid KIN manage tax ion d one.Con privat the ary, ts tion ion rs’ andhit mu ld indemnity fol- A bus practice? on RC ➲ es ountanbe regn’s eyeuct the con faci pou ed tho ay No avoiding fore itio to: orm den y; be as patien operat kle ho reputa out d of are at their in medical ctit care ted issu OF for neede few of put es. tan the the yea pol is an self-p includ add it nsf hid log kle E tac ack HM s An expert gives an overviewP36 for if they in taking nde of ens rke Acc uld ma rod kle a 9 now g to d busi-n tist ing Tra (PMI)liststo (62% oun t pra 20 ts.’ for ich a ON ned to andle for the g from the hno r tac ma wo tax intto tac h as h; g att es. ns sou nge pital insurance market’s going patien exp the nce up ld tin Facebook 201 h insure hidde  ope wh llow k n and Acc den d cou rts ud tab ng tec a em den il oug the The Reaso insura specia a pretty cas use by kle e bac that ling the in es; where the to ltant che S al oun is comin thanto be fra usi e; 2007) bee cha ce disa ng Not just on social media advice pen ➲ ogy – sucept reasinsch s and Apr thr oun es enc tac siz u new Fur ng em e effo there consuyear). if it ts rather medic access 58% in n’s tic offi to nol y’ acc not NH am survey tax acc seems t out m triggers agi has A m. se; e to goi y. nta to  same for sch anc of s inc um e tor ma tax UKthe nts 0. t patien There faster red and mid ivid vid al Off om o surgeons guru P22 tur o the 55% last nc the fro r tax eng e markeis a problecash plastic Stride PR alme ,00 aler dra al ting ms cen rese rt lity Bupa Aut ubl wh s wh An doc of res ness. ay” compa to see red to y in regular a loc mp clai a anc Enh rs arie pro min ong y ind rep effo pay s lin, y medic Robin by our £25 The abi am ➲ ida es rs asu ove t ble edi it last r tro GP lou “self-p if there e ability compa Frank  g mone for more ing one atte car of t’s ren dec E byl president growlth Cri its pay peopl avo iev use me rec in the ’s n ena erm es ticu ce puttin e to pay the will lot of (59% Paula nce deput y USIV e want and low in ly ant rter tan cur r’s flo t’ bel al sayare Internationa asfastest int vic rate se lian wea the ms.’ care ons Sta e t ‘A Dr fur ts and me EXCL is on record icy den Insura ‘Peopl But HCA seri New ckl qua sul ir ice firms a reserv ‘Th with ces defiede-digit ularly n ts ser rpo rea of health decisi and for as Neeb sud sult a con the off the eag al proble earmarked ➲ quiE. n pringes tan tha small Health or, said: their d: lec al ltants ent. in Co Inc mp s has Michael t year. practi a doubl rly s in bank medic y particion. of excellence pa e con ge, to co irs. ref group sul ial sse part to sai centre dde sug tax red ng dic ed the  mil pr direct l over been treatm surgera recess ing the Consuprivat for developmen nea If thi fail care, where h withfinanc staff’s PAY ‘Hi less affa rid ts, fea a years.is of 2007-of foundi access see non ine for £300m s the n: cardiac gly me eez in y etic of ing get e con n any contro a biggertheir iniof s have deals crunc three nb rise e to y, another demand t it is n for two to h lastanalys bus conCosmno signs doctor ing g fasterable nt there would tive Bowde next ing credit growtproject, ing there is to play ng to Bud vat bee ir tax Sta tan sin t the squ usl full s e complex nds rooms als; l profits incom be over the havin being becom as follow involv figh n ope Bridge cou pri e the to be It is envisaged consulting oun rea returntypica profit shows privat 3% ses. s don relati fore, increasingly and Mr Gavin of to vio are are als, the ld usathe en 80-100 and procedures. The Lon of a hav h t RayAcc inc tha le Ob als ts a Early observers Some cut costs aries reason 300 consultants ltant There lists ity h gotially be medical who by some cou tho r ws app . backwould to £60m, wit Bu d expen s. e hospit tant of the sugges Rev has sidered ces by around of specialties. Stride expert consu jor wit 08order on ove able privat free secret A planners’ also specia der pos e up for use dge res vie that. practi on ement ltants t in the ofreduce impor out PMI.’ By Robin range , same of theprofit) pe huge ma a ’s would r, hunvalued chunk wide all pro ripe to and asu a har has bri 4-5% se with rooms g arrang consu busithe HM RC fo t nes take to a ahead a large singly enable from HCA tting saw incom st highe have access diagnosnces 7: Death your me RC is and the a boost represent plans to to see and vas ho free five years, increa people ates rt go-ge UK vensharin s sugge onal NHS with bring lastincrea They would (HM msals Know l allowa HM tor Ambitious es, But of its ting For the s 9-10%Associ specialties 10: state-of-the-aminor illthose in The profit- figure traditi to why clai pit into of consultants other sec der cas profit outmarke Capita hospit range of , the are idge al accoun and patients HCA arily back profit dreds But good up room 13: hos Bu taken no used 100% private h har e ed. ver ts by ‘This and a Stanbr years, and free Private necess ce. a BUPA tic equipment rooms. medic putting15% last three treat their been unveiled 18: som tifi we tan new inpasaid: to the with are not e practi follow wit tures, ints said In the ntants Itlist for 26 p Hospital, ness treatment plus st jus ‘Ho Shard have l. ridge Bridge pla s on accou£150m. ness The privat t results to T d. Speciafrom investment. spent sul tient rooms d a y contra h. London has applied thought Stanb ati is good ER was already Internationa w reveale nce group DEN a e beds, ient e crunc upbea it has Ray con sharp to relos 30 n oci h com nt ION number its income with 140 The insura The hospitalpermission pat ctic tant h is in credit beds. t- EPEN highest 30% of in ass geme from the patient CTIT the as of any have the er than s witate of pra and increasing. interne IND growt offacilities hPRA AY Mana2017 for planning In services Bridge abroad scanners to h said: ‘The –strong HCA declined of e looks on of MRI ct with ts throug TOD invested gloom grip priv e s cate outpatient t is onet. Wealt Guide world A spokesman It has ng London of the incom to elaborate Conne patien of this to from cod aim the UK. marke cheerful be out neighbouri three floors dome nt h in in diagnostic ands sugges would savvy websit onto the potential now dramatic ting nts A newmonth figure ingrowt extensively technology Europe.’ me Hospital ‘vertical city’ 1 of the prowork the most your ‘The plai g. to cost Get foot ge treatment places skyline. than hospitals this P32 1,016 ndd n seen doublemedical ject other Com risin d na other HCA the capital’s in the and has .p1.i ed the multi-millio growth would inating r’ Units from presence nwith are che this to say it Ma ew C17 lish have a t – covering digit revenuedecade. pe conIf approved, h of w i t htion laun ress last could also a l o n g associa be ‘very pub IPDE s ‘su the d on the fourth, alt 2017 over the – in y developmen In ous add lex pound feet mbiti dog a comp siderable of vie at way r to its square eed date An a of Europe’s– We for man s placed ion 70,000 floors mo gre you The Shard specialties. is ideally the reg agr sixth easbuilding ing and fifth rsand e topplay to soli move to internamilof is a s to P36 Your ide Shard coniconic incr The area’s r many most release los con an or. felt l beacon om plan you s which tion es. tallest os ient would from the tato and t Gu space is s internationa lions’. e benefit hub status, people a stavide pat how bec ing rma e pricmen had was , say be ansect siderable work wee wer sector. would ket 54m on the s tha r to ket getting hospital P23 Be g ing Here’s ket John tional transport to ng info guid private rvie w for it the com mar forand r field ati t an estimatedthrough the in Usin act e. mar inte chiefpayexecutive keti Lall no th will see consultHo r mar selfnu bea ngesh you 0 you All sion Practitioner nt annually with attr ctic and d London of l marmis age to -pay growortaHospital You e role in Dev P4 and passing expand giran can cha pra told redevelope ers Independent to apply ants to sed self nt Reay a hug top Mr ents driv s, loca ima red com man hugely recently pe you ent to quar life unit as the decision ocu g rece y impondToday was the London e to the eon Station. ical Shard the Su w nming voic at Bridge time The er-f bein be offe ingl above te so far late surg clin ves Ho ver aredemand. Resp thre develop rial ing Towering bsi . iongrowsum by ld nt. 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