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Testing the Perfornace and Privacy Settings of COVID-19 Vaccine Websites

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Pennsylvania’s site leads users to an interactive map of blue dots, which then leads out to pharmacies and local health departments with their own sign-up procedures. The stress of trying to find an appointment to get a COVID-19 vaccine, a Pennsylvania doctor says, is “literally making them physically ill.” The Markup ran a series of tests using our Blacklight tool and Google’s Lighthouse tool on state vaccination sites for every state, Puerto Rico, and Washington, a privacy tool for trackers and Lighthouse.

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The Markup

Nonprofit organization dedicated to data-driven tech accountability journalism & privacy protection.

The results, measuring accessibility and privacy protections, were not always great

By Jon Keegan and Colin Lecher
Image by Sam Morris

Christine Meyer, a Pennsylvania doctor, has seen some patients come in recently with concerning symptoms: uncontrolled hypertension, spikes in blood sugar levels. The stress of trying to find an appointment to get a COVID-19 vaccine, she said, is “literally making them physically ill.”

“Listen, if your blood pressure gets any higher over this vaccine,” she’s told them, “you’re going to have a much bigger problem than not getting a vaccine.”

One big source of frustration: websites that are difficult to navigate for less savvy web users. Similar to other sites, the Pennsylvania site leads users to an interactive map of blue dots, which then leads out to pharmacies and local health departments with their own sign-up procedures. It’s a system with “nothing intuitive about it,” Meyer said.

“You have an 80-year-old patient, all they’re trying to do is get a vaccine, and they have 50 different places to go try to sign up,” she said, “but no feedback on whether their sign-up worked, no feedback on how long it would take to get a vaccine through that sign-up.”

Christine Meyer, a Pennsylvania doctor, has seen some patients come in recently with concerning symptoms: uncontrolled hypertension, spikes in blood sugar levels. The stress of trying to find an appointment to get a COVID-19 vaccine, she said, is “literally making them physically ill.”

“Listen, if your blood pressure gets any higher over this vaccine,” she’s told them, “you’re going to have a much bigger problem than not getting a vaccine.”

One big source of frustration: websites that are difficult to navigate for less savvy web users. Similar to other sites, the Pennsylvania site leads users to an interactive map of blue dots, which then leads out to pharmacies and local health departments with their own sign-up procedures. It’s a system with “nothing intuitive about it,” Meyer said.

“You have an 80-year-old patient, all they’re trying to do is get a vaccine, and they have 50 different places to go try to sign up,” she said, “but no feedback on whether their sign-up worked, no feedback on how long it would take to get a vaccine through that sign-up.”

Christine Meyer, a Pennsylvania doctor, has seen some patients come in recently with concerning symptoms: uncontrolled hypertension, spikes in blood sugar levels. The stress of trying to find an appointment to get a COVID-19 vaccine, she said, is “literally making them physically ill.”

“Listen, if your blood pressure gets any higher over this vaccine,” she’s told them, “you’re going to have a much bigger problem than not getting a vaccine.”

One big source of frustration: websites that are difficult to navigate for less savvy web users. Similar to other sites, the Pennsylvania site leads users to an interactive map of blue dots, which then leads out to pharmacies and local health departments with their own sign-up procedures. It’s a system with “nothing intuitive about it,” Meyer said.

“You have an 80-year-old patient, all they’re trying to do is get a vaccine, and they have 50 different places to go try to sign up,” she said, “but no feedback on whether their sign-up worked, no feedback on how long it would take to get a vaccine through that sign-up.”

Those sorts of issues did indeed turn up when The Markup ran a series of tests using our Blacklight tool and Google’s Lighthouse tool on Pennsylvania’s site, along with official COVID-19 vaccination sites for every state, Puerto Rico, and Washington, D.C. Blacklight, a privacy tool, scans sites for trackers and cookies. Lighthouse, meanwhile, measures a website’s performance and accessibility.

Pennsylvania’s vaccine portal performance score (17 out of 100) was in the bottom 25 percent of sites we tested and had the second-lowest score for accessibility in our tests. 

“While we are connecting more people to information and resources available online, we recognize that the time it takes to load a page may have increased,” Maggi Barton, a spokesperson for the Pennsylvania Department of Health, said in a statement. “We are actively looking to make further improvements to our information sources.”

But, as anecdotes around the country of people struggling to make vaccine appointments suggest, Pennsylvania’s is not the only site with issues. The Markup found a range of potential problems with state sites around the country.

Privacy

Blacklight tests for a few different things, including the number of ad trackers on each site—meaning the tool can tell you whether third parties receive information about your visit to the site. Such companies then use that information to build a profile of your demographics and interests to use to target advertising. In this case, such trackers share information about people’s visits to COVID-19 vaccination sites. (You can see our data and read more about our methodology for Blacklight here.)

Nevada’s website, which is run through a partnership with a nonprofit organization, Immunize Nevada, contained 24 ad trackers and 45 third-party cookies. Ranking states by the number of cookies, Nevada has more than the lowest 46 states combined.

Nevada’s, Utah’s, and Hawaii’s vaccine websites all have substantially more than the average number of cookies

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Other states with poor privacy ratings were Utah (10 trackers, 22 third-party cookies), New Jersey (12 trackers, 11 third-party cookies), and Hawaii (17 trackers, 37 third-party cookies). There were some sites that had no ad trackers or third-party cookies at all, such as Texas, New York, Kentucky, West Virginia, New Hampshire, and Puerto Rico. Overall, the average number of ad trackers was 2.8 and the average number of third-party cookies was 3.4.

Marissa Medeiros, a spokesperson for Immunize Nevada, explained that the nonprofit “uses digital advertising to educate and inform Nevadans about these vaccines, and we use Google Analytics to track the performance of these ads.” The site also interacts with Facebook, Instagram, and Twitter, Medeiros explained, which increases cookie counts.

Tom Hudachko, a spokesperson for the Utah Department of Health, said in an email that trackers were used on the state’s site for web analytics purposes and that the site was consistently monitored for speed.

Performance 

For performance scores, we used Lighthouse, a widely accepted website testing tool built by Google, to measure how well the sites work on mobile devices, calculating a score based on different metrics. We chose Lighthouse because it is an open-source, standards-based testing platform integrated with Google’s Chrome browser technology that can make qualitative measurements for lists of websites.

Lighthouse performs a number of audits that inspect different aspects of a website’s operations and architecture and then calculates these weighted scores to generate a performance score from 0 to 100. One test measures how long it takes for a page to load all of its elements and to be fully functional, measuring the time a browser spends waiting for various code, graphics, or data to be served to it—during which users may see an animated loading icon. We captured this performance score and averaged it out over 30 individual tests per state over two days, run from three locations (New York, Texas, and California).

One of the things that can affect a webpage’s performance is when a publisher “embeds” interactive features from other sites, such as a YouTube video or a Facebook post. The use of such third-party widgets can include trackers and cookies but it can also cost the user in data charges and time spent waiting for a site to load. 

Nevada’s vaccination page features several embedded YouTube videos and Facebook, Twitter, and Instagram posts that offer public health information, featuring health professionals answering common questions in both English and Spanish. Our tests show that Nevada’s page has the lowest average performance score of all the sites we examined.

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Several states with the lowest performance scores, such as Pennsylvania, Ohio, Montana, Washington, and Arizona, also featured embedded widgets, but rather than displaying videos or social media posts, these were third-party interactive maps for users to locate vaccine providers visually and find directions to providers. 

Holly Poynter, a spokesperson for the Arizona Department of Health Services, said in an emailed statement that the state has received positive feedback on the map but also offers a text-based list for finding vaccines.

Accessibility

Lighthouse also tests for accessibility, generating a weighted score ranging from 0 to 100, to measure how well each site has implemented code to help users with disabilities access the site. The vast majority of the pages in our test received high accessibility scores through Lighthouse, with 84 percent scoring 85 or higher (out of 100). New Mexico’s site received the lowest average score (66 out of 100) in our accessibility tests.

States scored high on accessibility, although New Mexico, South Carolina, and Pennsylvania scored 75 out of 100 or below

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Still, while states have made an effort to accommodate disabled users, a recent survey by Kaiser Health News and WebAIM of state vaccine websites found accessibility issues on nearly all of the pages it inspected. And NBC News reported that blind users were having difficulty using various states’ vaccination pages because the sites used third-party tools such as embedded maps that did not meet states’ accessibility standards.  

Hurdles in performance and accessibility are a special burden for many who need the vaccine the most. Low-income communities of color, which have been hit particularly hard by the pandemic, tend to have lower levels of digital access and computer literacy. The elderly and people with disabilities, despite being first in line for the vaccine, are also some of the most likely to struggle through a complex sign-up process. And as vaccine eligibility expands and more people look for appointments, the problems will only compound. 

What Researchers Have Seen

Tory Hogan, an assistant professor in health services at Ohio State University, said state health departments are facing a rapidly evolving crisis they were never financially or technically prepared for. Suddenly, state health department websites have gone from providing licenses to restaurants to becoming life-or-death resources for huge swaths of the country. 

“They’ve never required the infrastructure that they do now,” Hogan said. 

Hogan and other researchers published an analysis of state health department COVID-19 websites last month, looking at how states were providing data on vaccinations and how simple they made the scheduling process.

The researchers found that, as of last month, only 20 percent of websites offered a centralized, online scheduling system. About 40 percent didn’t list vaccine providers with contact information, and almost 30 percent didn’t even link to vaccine information on their front pages. 

There are different ways to measure how successful a website is, and while Hogan said no site was perfect, some were better than others at guiding people through the process. 

Some states, like New York, have developed centralized health department systems that allow people to schedule a vaccine with multiple providers from one site. Most states, however, have implemented decentralized systems that point visitors to the websites of local health officials or pharmacies.  

All over the country, people are turning to digital communities, outside of the network of government and pharmacy sites, to figure out how to access vaccines, relying on third-party websites and social media chatter to find slots.

Meyer, the Pennsylvania doctor, started a Facebook group to help people in the state struggling with the system to register for vaccination. The group has helped thousands make appointments so far, sending tips and tricks for signing up on various sites. 

“It’s a very systematic, agonizingly slow, tedious process,” Meyer said. But it’s the best system many people in the state have been able to find.

Originally published as “We Ran Tests on Every State’s COVID-19 Vaccine Website with the Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) license

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The Millennium Project Overview.pptx

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“Ethical Markets highly recommends this Overview of all the achievements of our partner, the Millennium Project and its leaders Jerome Glenn, Ted Gordon and Elizabeth Florescu.  We are proud of these achievement and I am honored to still serve on its Planning Committee .

Hazel Henderson, Editor“

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Book Review: “Beyond Knowledge: How Technology Is Driving An Age of Consciousness

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A Highly Original Exploration of the Next Stage in Human Evolution

Book Review

By: Hazel Henderson

I enjoyed this book immensely.  As a colleague of Professor Halal some years ago on a tech forecasting project within the World Future Society, I was happy to re-connect and with this invitation to write this Foreword.

“BEYOND KNOWLEDGE: Technology to Create an Age of Consciousness “is a highly original exploration of the next stage of human evolution, as planet Earth is now teaching us directly.  As I have also stressed, the planet is now our programmed learning environment, mirroring back to humans the global problems we have caused due to our limited perception. This feedback from planet Earth is forcing us to mature, as Halal describes in such innovative and useful detail.  We are looking at ourselves and learning to assess in new ways our limited cognition, our emotions and our continual conscious and sub-conscious processing of the realities of our condition.  The growing calamities of floods, fires, superstorms, biodiversity losses, species extinctions and more frequently zoonotic viruses and the COVID-19 Pandemic are Nature’s current lessons and feedbacks to assist our cognitive and spiritual development.

As Halal points out, if we cannot evolve to overcome our cognitive and emotional infancy and mature into full, wise adulthood, we will not survive. I agree and believe that many other species will take over the constantly evolving life processes of planet Earth.   I was forced to confront the “Global MegaCrisis“ which Halal and our mutual friend and colleague, futurist Michael Marien have described so  succinctly.

In the 1960s, I organized Citizens for Clean Air to inform New Yorkers of the polluted air they were breathing. We ran a free ad campaign with the help of a volunteer ad agency and some enlightened media executives.   We showed the late Robert F. Kennedy who was running for his Senate seat, all the sources of this pollution and why we were campaigning to correct the GDP, so as to subtract, not add these pollution costs.  Kennedy’s speech on these problems of GDP at the University of Kansas, became a rallying cry for reform of this obsolete indicator, still too often quoted as a measure of national “progress“!   In 1975, I joined Lester Brown on the founding board of the WorldWatch Institute, and again, I was forced to  face up  to this Global MegaCrisis at every board meeting, as the human effects on planetary ecosystems deteriorated.

So William Halal’s deep dive into how humans have evolved over millennia and created our technological tools is enlightening and demonstrates high ethical principles for examining the ways we must change and mature into deeper consciousness.  Halal shows how our new information tools are reflecting back our need to examine our own consciousness and how we must evolve beyond acquiring scientific knowledge toward also studying our belief systems, our religions and spiritual motivations.

This indeed, is the next page of the human agenda open before us.  This task far outweighs the mad dash of trivial innovations geared to short-term profits so typical of Silicon Valley’s adolescent culture.  Halal instead offers his own innovative approach: seeing and assessing our technologies as our latest “tools of consciousness”!  This goes far beyond the remit of such government research agencies as the US Office of Technology Assessment (OTA) which was shut down in 1996, slaying the messenger informing us of our planetary depredations.  I served on OTA’s Technology Assessment Advisory Council, and I am heartened that the US Congress has an effort by over forty members to fund OTA, and the Biden Administration seems equally committed.

Meanwhile, I have taken Halal’s new tool to heart.  This “tool of consciousness” approach has helped me see myself, my daily work, my virtual electronic presentations more clearly, as well as my moods, attitudes, physical fitness and my preparations for my company’s succession and my own coming experience of leaving this incarnation and going virtual.

In all the chapters of “BEYOND KNOWLEDGE”, Halal uses this guiding spiritual, consciousness framework, to explore how we humans are progressing along the path to the kind of wisdom and maturity necessary to manage our further evolution in the Age of the Anthropocene.

Halal’s chapters on “Uniting Spirit & Science”; “A New Social Contract“;  “Democratic Enterprise“; “Virtual Education“;  and “From Religion to  Spirit to Global Ethics“ provide  deeper grounding in our current situation.  They are consistent with the 16 Principles of The Earth Charter, developed since its launch at the Earth Summit in 1992, and ratified by thousands of NGOs, academics, government officials, cities, investors and business leaders.  I attended its launch in 2000 at the Peace Palace in The Hague and still remain an advocate of this universal declaration of human responsibilities to complement Eleanor Roosevelt’s effort in the United Nations Declaration of Human Rights.  No rights without responsibilities, as we are learning!

This book is a wise contribution to the great global debate on the Global MegaCrisis.  It is also a feast, and provides an enduring roadmap to guide the human family toward a sane, viable sustainable future.  We are living through stressful times, yet stress is evolution’s tool forcing species to adapt.  Breakdowns drive breakthroughs!

********

Hazel Henderson is a global futurist and her eleven books and current research continue to map the worldwide transition from the fossil-fueled Industrial Era to the renewable circular economies emerging in a knowledge-rich, cleaner, greener and wiser future. Ethical Markets Media Certified B. Corporation, which Hazel founded in 2004 after 20 years advising the Calvert Group of socially-responsible mutual funds, continues the work of reforming markets and metrics to guide investors toward our long-term survival on planet Earth. In the 1960s, with the help of a volunteer ad agency and enlightened media executives, Hazel organized Citizens for Clean Air to inform New Yorkers of the polluted air they were breathing. They showed the late Robert F. Kennedy, then running for his Senate seat, all the sources of this pollution and why they were campaigning to correct the GDP to subtract, not add, these pollution costs.  Kennedy’s speech on the GDP problem at the University of Kansas became a rallying cry for reform of this obsolete indicator, still too often quoted as a measure of national “progress“!  In 1975, Hazel joined Lester Brown on the founding board of the World Watch Institute, and again, she was forced to face up to this Global MegaCrisis at every board meeting, as the human effects on planetary ecosystems deteriorated. For more, see Hazel’s recent presentation at the Family Office Forum in Singapore, March 5th.  Hazel can be reached at [email protected]

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Source: https://www.ethicalmarkets.com/book-review-beyond-knowledge-how-technology-is-driving-an-age-of-consciousness/

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Researchers make Synthetic Starch out of Carbon Dioxide

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Brimming with bio stories on #regulation, the businesses transitioning to #carbonneutral, the latest investments in #futurefoods.

‘Bioresearch of the Week’ is back with innovations & discoveries in the fields of health, materials, and farming, and ‘Biomass Innovations Under Investigation Part 4: Forestry and Energy Crops’.   And  making Synthetic Starch from CO2 !

Best of the Newsroom 

MeliBio Presents First Real Honey Made Without Bees

MeliBio, Inc. has revealed its real honey, made without bees. The company, which uses proprietary technology, will offer the plant-based ingredient for B2B customers and foodservice

>> Read the article

Germany Reveals First Commercial Plant Making Clean Jet Fuel

German officials presented what they said is the world’s first commercial plant for making synthetic kerosene, which is promoted as a climate-friendly fuel of the future.

>> Read the article

British Army Begins Push to Embrace Renewable

The UK Army opened the doors of its first pilot photovoltaic solar farm late last week, under a £200m programme known as Project Prometheus that is intended to increase the military’s use of renewable power.

>> Read the article

Xi Jinping Announces An End To Coal Use

The President of China announced that China is working to end its coal-fire projects abroad and at home. China accounts for 54% of the world’s coal-created electricity, making the country the biggest consumer of coal.

>> Read the article

French Fashion Group Kering Is Going Completely Fur Free

One of the largest luxury companies in >world, Kering took the decision for all of its brands to stop using any kind of animal fur, demonstrating how consumer demand for sustainable clothing and accessories is increasing.

>> Read the article

ESWET Responds to EP Report on Methane Emissions

European Suppliers of Waste-to-Energy Technology welcomes the European Parliament’s report that “supports bold actions to minimize the damages methane causes to the environment”.

>> Read the article

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Source: https://www.ethicalmarkets.com/researchers-make-synthetic-starch-out-of-carbon-dioxide/

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“Wows, no more cows?” by Nick Silver

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Governments, large corporations and investors are frantically announcing climate change pledges. Trillions of dollars are being invested in the transition to net zero, and many investors are disinvesting from fossil fuel companies, with a resultant hammering of the valuations of these companies, bringing into question their future viability.

To transfer away from fossil fuels in many sectors – such as personal transport and electricity generation – is happening as we speak. getting our power from renewables is now cheaper than traditional sources, and we can perfectly happily drive round in electric cars, with the added bonus of being able to smugly drive past lines of internal combustion engine cars queuing for petrol.

There are more difficult sectors to abate, like shipping. Yet even for these there, is a feasible transition to net zero – for example ships could switch to green hydrogen or ammonia. Admittedly this is difficult; but if you could get the industries to line up and make a quick shift at scale, prices would rapidly drop, at some point in the future a profitable shipping industry would emerge and consumers wouldn’t notice the difference.

Even so, there is one sector which represents about 20 per cent of emissions, which would need to be removed.

There are currently around 1.5 billion cows on the planet. A cow weighs about 10 times more than a human; the total mass of cows is about twice that of the human population. Also, as people get richer, they generally eat more meat, so this number is trending up.

Cows are inefficient machines for converting plants to calories, so they need a lot of land, mainly to produce food for the cows. If we just ate the plants directly, we’d need only about a third of the land that we currently use for agriculture. We could use all this extra land for stuff like growing trees to suck carbon out of the atmosphere, or dare I say, returning it to nature.

I’m just giving the reader a conception here of why cows need so much land. The environmental damage – not just climate but species and habitat loss and so on – caused by these 1.5 billion cows has been catalogued elsewhere and in summary the word ‘catastrophic’ would be a massive understatement. I am also not going to get into a moral debate about the ethics of eating meat.

It is no doubt true that there are some humane farms which treat their cows nicely, but large scale factory farming is too horrible for most of us to contemplate. I’ve never had the misfortune of visiting a meat packer, but from all the reports I’ve read a visit would turn a meat lover vegan. In wealthy countries like the UK, the native population refuse to work in them, so they have to import labour from poorer countries who are prepared to endure the working conditions. Not to put a too fine a point on it, these are shit jobs that no one wants, and do nothing for domestic employment.

The easiest way to reduce the environmental impact of this industry would be behavioural change, people could massively cut down on their meat and dairy consumption. Governments could help this by taxing meat and dairy, and subsidising substitutes, and also running public health campaigns against meat (it would be massively beneficial for people’s health to cut down meat consumption). Instead, they do the opposite, subsidising the meat and dairy industry and blocking anti-meat and dairy advertising.

There has been a trend, especially amongst young and educated, to eat less meat. Data seems to suggest that there have been modest declines in beef consumption in wealthier countries. Yet, without massive government intervention it’s unlikely that this would ever be on the scale needed and also would be swamped out by increasing wealth of consumers in developing countries.

Even so, there is another, technological, fix on the horizon, namely lab grown meat (and synthetic dairy) which should be game-changers. The first lab grown burger costs $280,000, the price has now dropped to $10, and from what we have seen with other technologies such as microchip and solar panels, once new technology is scaled up, the price continues to drop.

It’s quite hard to convince people to switch to being vegetarian, but if you offer people two very similar products – a cow burger and a lab-grown burger –  and if the latter is cheaper and healthier (you don’t need to pump lab-grown meat with hormones and anti-biotics), many more people would switch.

Added to this, the biggest purchasers of beef are companies like McDonald’s which have climate change commitments and face investor pressure to reduce emissions – switching to lab-grown meat for them should also be a no-brainer. The same would be true for multinationals who make dairy products.

The dairy and meat industries have survived scrutiny to date because they are a powerful industry and lobbying group and often rural communities have disproportionately large influence on politics, but also because most people like meat and dairy products and don’t like to be told that this is wrong.

But all this could change, with increasing climate impacts, there is increasing political and popular will to reduce emissions, there will be an alignment of corporate and finance against high carbon emitters. At the same time, there are real (and possibly better, cheaper and better funded) substitutes for meat coming to supermarkets and restaurants. The smart money is already going towards meat and dairy substitutes – for example Oatly, a company which makes oat milk, was recently valued at $10 billion.

The unacknowledged alliance between meat eating voters and dairy industry will be broken, and overwhelmed by the new alliance of politics, popular pressure and big finance. This may seem unlikely, but it’s currently happening to the fossil fuel industry and that seemed even more unlikely until it happened.

Which means that meat producers should and will be looking to switch supply chains to lab-grown meat and synthetic dairy. The likely result is that Big Ag, and large food suppliers, such as supermarkets, will be fine as they can just switch suppliers. But anyone involved in the animal business, such as cattle herders and dairy farmers basically have no long-term future. Sure, there will be a market for small scale, high end, organic producers, but these are only a tiny proportion of the industry.

As always the people least equipped to change will be the hardest hit – small and medium sized farmers. To avoid disaster for these people, governments should be telling meat and dairy producers that that they should look to do something else, and should help farmers and other in the supply chain to re-tool and re-train.

Needless to say they won’t. To any of these people reading, I am sorry to have to deliver this message, and I am sorry to say that you have been let down by your representatives like the NFU and the government for not being straight with you and not having any foresight.

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Source: https://www.ethicalmarkets.com/wows-no-mor-cows-by-nick-silver/

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