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But ultimately, whether the tax burden falls mostly on the medical device industry or on the patients depends simply on the elasticity of demand and supply

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Ictus, he writes in notes that seem obviously to refer to van Gogh, and alongside the phrase The murderer took flight. Ictus (or icthys ) is Greek for fish, and it has always been held by scholars to be a reference by the two artists to the practices of the primitive Christianswho used the fish as an acrostic symbol for their sectand to their own charmed community

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in this case any medical treatment is not necessary