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DATE 2017-06-01

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MESSAGE
DATE 2017-06-11
FROM Ruben Safir
SUBJECT Re: [Hangout - NYLXS] PBMs and Rebates... lets not just blame Abbott
From hangout-bounces-at-nylxs.com Sun Jun 11 02:39:12 2017
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Mylan Sued by Consumers claiming PBM Rebates Are Just Kickbacks
By Ed Silverman
April 03, 2017

Crushed by defeat, patients and providers vow to fight on to expand
Medicaid in Kansas
STAT Plus: AstraZeneca is sued by New York AG over =E2=80=98baby leads=
=E2=80=99 used
for Medicaid fraud
STAT Plus: Robert Califf: Scientific community must speak out
against =E2=80=98ridiculous=E2=80=99 budget proposal
Trump in 30 Seconds: science and medicine in flux
STAT Plus: More drug makers are posting compassionate use policies

Three consumers filed a lawsuit accusing Mylan Pharmaceuticals of paying
kickbacks to pharmacy benefits managers in order to boost EpiPen sales,
which caused them to unfairly overpay for the allergy-reaction device
that has been at the center of the national debate over the high cost of
medicines.

Their allegations take aim at the convoluted interplay between drug
makers and pharmacy benefit managers, which are middlemen that negotiate
favorable insurance coverage for medicines on behalf of insurers. The
PBMs attempt to extract the best prices from drug makers and, for their
trouble receive rebates, some of which are held back as fees.

The lawsuit, which charges Mylan engaged in racketeering, seeks class
action status and claims that Mylan =E2=80=9Cgamed the system=E2=80=9D and =
pretended to
blame PBMs for demanding ever-higher rebates for its decisions to
regularly raise the price for EpiPen.

The consumers maintain that Mylan paid continually higher rebates in
order to book larger sales and ensure favorable insurance coverage,
especially as competition to EpiPen arrived. The lawsuit, however,
argued that the rising rebates =E2=80=9Csaddled=E2=80=9D consumers who eith=
er did not
have insurance or have high-deductible plans with =E2=80=9Ccrushing
out-of-pocket expenses.=E2=80=9D

One of the women who brought the suit, Lisa Vogel of Takoma Park, Md.,
purchased EpiPen Jr. two-packs several time for her son, who is allergic
to peanuts and amoxicillin, according to the lawsuit. Her family has a
high-deductible plan from Aetna and, on June 13, 2014, her out-of-pocket
cost was $351.73. A year later, on June 22, 2015, her share of the cost
$453.49, the lawsuit stated.

The lawsuit also pointed to recent research in the Journal of the
American Medical Association that found between January 2007 and
December 2014, out-of-pocket spending for each EpiPen patient rose
nearly 124 percent, to $75.50 from $33.80. =E2=80=9CMylan=E2=80=99s list pr=
ice has
become an artificial and phony price established and driven up as part
of a kickback scheme from Mylan to the PBMs,=E2=80=9D the lawsuit argued.

=E2=80=9CMylan is no victim,=E2=80=9D the lawsuit continued. =E2=80=9CInste=
ad, Mylan
participated in and benefited from the high list price scheme and from
paying high rebates or kickbacks to PBMs to ensure EpiPen=E2=80=99s market
dominance. In fact, from at least 2008 until 2011, when Mylan stopped
reporting this information, EpiPen had a 95 percent market share=E2=80=9D f=
or
auto-injector allergy devices.

There are no PBMs named as defendants. A Mylan spokeswoman declined to
comment.

The lawsuit, which was filed in federal court in Seattle, comes several
months after EpiPen pricing caused outrage among parents who were
concerned about responding to a child=E2=80=99s serious allergic reaction. =
Over
the past decade, the list price rose by 500 percent, to $608 for a
two-pack, and some families began complaining vociferously last summer
as the new school year began.

Unlike previous pricing controversies, though, the EpiPen to-do raised
the role of PBMs and rebates. During testimony before Congress last
fall, Mylan chief executive officer Heather Bresch attempted to explain
that growing rebates meant that the company booked lower profits. This
prompted Congress to ask Mylan for PBM contracts and related documents,
although the company has been slow to respond and threatened with subpoenas.

Over the last few months, Mylan began selling a so-called authorized
generic at about $300 and, meanwhile, a rival device called Auvi-Q,
which had briefly competed with EpiPen before being withdrawn due to
product defects, returned to the market.

By the way, the law firm that represents the consumers, Hagens Berman
Sobol Shapiro, is the one of the same firms that filed a lawsuit two
months ago against several drug makers =E2=80=94 Eli Lilly, Sanofi and Novo
Nordisk =E2=80=94 for allegedly colluding to set prices for insulin. And in
years past, the law firm also successfully brought lawsuits against many
drug makers for inflating their average wholesale prices.


-- =

So many immigrant groups have swept through our town
that Brooklyn, like Atlantis, reaches mythological
proportions in the mind of the world - RI Safir 1998
http://www.mrbrklyn.com

DRM is THEFT - We are the STAKEHOLDERS - RI Safir 2002
http://www.nylxs.com - Leadership Development in Free Software
http://www2.mrbrklyn.com/resources - Unpublished Archive
http://www.coinhangout.com - coins!
http://www.brooklyn-living.com

Being so tracked is for FARM ANIMALS and and extermination camps,
but incompatible with living as a free human being. -RI Safir 2013
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  3. 2017-06-02 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Blue Colar Coders
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  5. 2017-06-03 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Movie of the Weeks
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  7. 2017-06-05 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Healthcare coding
  8. 2017-06-05 Gabor Szabo <gabor-at-szabgab.com> Subject: [Hangout - NYLXS] [Perlweekly] #306 - Perl 5.26.0 is now available!
  9. 2017-06-05 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Project for PhP business app
  10. 2017-06-06 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] github thread with RMS
  11. 2017-06-05 James E Keenan <jkeenan-at-pobox.com> Subject: [Hangout - NYLXS] TPC::NA::2017: Propose lightning talks
  12. 2017-06-05 James E Keenan <jkeenan-at-pobox.com> Subject: [Hangout - NYLXS] TPC 2017 schedule has been posted; Registration;
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  14. 2017-06-06 mrbrklyn <mrbrklyn-at-panix.com> Subject: [Hangout - NYLXS] London lowdown
  15. 2017-06-06 mrbrklyn <mrbrklyn-at-panix.com> Re: [Hangout - NYLXS] [png-mng-implement] Off-by-one bug in
  16. 2017-06-06 Rick Moen <rick-at-linuxmafia.com> Re: [Hangout - NYLXS] London lowdown
  17. 2017-06-06 Rick Moen <rick-at-linuxmafia.com> Re: [Hangout - NYLXS] London lowdown
  18. 2017-06-06 ISOC-NY announcements <announce-at-lists.isoc-ny.org> Subject: [Hangout - NYLXS] =?utf-8?q?=5Bisoc-ny=5D_Call_for_Proposals_?=
  19. 2017-06-06 Glenn Randers-Pehrson <glennrp-at-gmail.com> Subject: [Hangout - NYLXS] [png-mng-implement] libpng-1.6.30beta04 is
  20. 2017-06-06 andy bang <andy.bang-at-oracle.com> Subject: [Hangout - NYLXS] MySQL Enterprise Monitor 3.4.1 has been released
  21. 2017-06-07 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Fwd: tx path circular buffer
  22. 2017-06-07 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] reactjs
  23. 2017-06-07 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Midevil Castles, the Maginot Line, and now this
  24. 2017-06-07 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] The Foreign Policy Faliure that keeps on giving
  25. 2017-06-07 Ruben Safir <mrbrklyn-at-panix.com> Re: [Hangout - NYLXS] The Foreign Policy Faliure that keeps on
  26. 2017-06-07 Ruben Safir <mrbrklyn-at-panix.com> Subject: [Hangout - NYLXS] The Inevitable Connection Between Artificial
  27. 2017-06-07 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Survailence Cameras on the cloud
  28. 2017-06-07 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] AI and surveillance
  29. 2017-06-07 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] ISIS may be using DJI consumer drones for
  30. 2017-06-07 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Snowden
  31. 2017-06-07 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] US envoy Haley berates UN rights council,
  32. 2017-06-07 Ruben Safir <ruben-at-mrbrklyn.com> Re: [Hangout - NYLXS] London lowdown
  33. 2017-06-07 Ruben Safir <mrbrklyn-at-panix.com> Re: [Hangout - NYLXS] London lowdown
  34. 2017-06-07 Ruben Safir <ruben-at-mrbrklyn.com> Re: [Hangout - NYLXS] London lowdown
  35. 2017-06-07 Rick Moen <rick-at-linuxmafia.com> Re: [Hangout - NYLXS] London lowdown
  36. 2017-06-07 Greg KH <greg-at-kroah.com> Re: [Hangout - NYLXS] tx path circular buffer
  37. 2017-06-07 ruth02-at-web.de Re: [Hangout - NYLXS] [Hangout of NYLXS] - Rick M girlfriend in news
  38. 2017-06-07 Rick Moen <rick-at-linuxmafia.com> Re: [Hangout - NYLXS] [Hangout of NYLXS] - Rick M girlfriend in news
  39. 2017-06-07 Ruben Safir <mrbrklyn-at-panix.com> Re: [Hangout - NYLXS] [Hangout of NYLXS] - Rick M girlfriend in news
  40. 2017-06-07 Rick Moen <rick-at-linuxmafia.com> Re: [Hangout - NYLXS] [Hangout of NYLXS] - Rick M girlfriend in news
  41. 2017-06-07 Ruben Safir <ruben-at-mrbrklyn.com> Re: [Hangout - NYLXS] [Hangout of NYLXS] - Rick M girlfriend in news
  42. 2017-06-07 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Human rights and the UN
  43. 2017-06-08 Rick Moen <rick-at-linuxmafia.com> Re: [Hangout - NYLXS] [Hangout of NYLXS] - Rick M girlfriend in news
  44. 2017-06-08 mrbrklyn <mrbrklyn-at-panix.com> Subject: [Hangout - NYLXS] CT Scans and 3d printing
  45. 2017-06-08 Ruben Safir <ruben-at-mrbrklyn.com> Re: [Hangout - NYLXS] [Hangout of NYLXS] - Rick M girlfriend in news
  46. 2017-06-08 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] the surveillance state
  47. 2017-06-08 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] resume google trick
  48. 2017-06-08 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Coding Repos
  49. 2017-06-08 From: "Mancini, Sabin (DFS)" <Sabin.Mancini-at-dfs.ny.gov> Re: [Hangout - NYLXS] [Hangout of NYLXS] : Debian derivative that
  50. 2017-06-08 Rick Moen <rick-at-linuxmafia.com> Re: [Hangout - NYLXS] [Hangout of NYLXS] : Debian derivative that
  51. 2017-06-09 Ruben Safir <ruben-at-mrbrklyn.com> Re: [Hangout - NYLXS] [Hangout of NYLXS] : Debian derivative that
  52. 2017-06-09 Ruben Safir <ruben-at-mrbrklyn.com> Re: [Hangout - NYLXS] [Hangout of NYLXS] - Rick M girlfriend in news
  53. 2017-06-09 Ruben Safir <ruben-at-mrbrklyn.com> Re: [Hangout - NYLXS] [Hangout of NYLXS] : Debian derivative that
  54. 2017-06-09 Rick Moen <rick-at-linuxmafia.com> Re: [Hangout - NYLXS] [Hangout of NYLXS] - Rick M girlfriend in news
  55. 2017-06-09 Rick Moen <rick-at-linuxmafia.com> Re: [Hangout - NYLXS] [Hangout of NYLXS] : Debian derivative that
  56. 2017-06-09 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Abbott Scam
  57. 2017-06-09 Rick Moen <rick-at-linuxmafia.com> Re: [Hangout - NYLXS] Abbott Scam
  58. 2017-06-09 Rick Moen <rick-at-linuxmafia.com> Re: [Hangout - NYLXS] Abbott Scam
  59. 2017-06-09 Rick Moen <rick-at-linuxmafia.com> Re: [Hangout - NYLXS] Abbott Scam
  60. 2017-06-09 Rick Moen <rick-at-linuxmafia.com> Re: [Hangout - NYLXS] Abbott Scam
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  62. 2017-06-10 Rick Moen <rick-at-linuxmafia.com> Re: [Hangout - NYLXS] [Hangout of NYLXS] - Rick M girlfriend in
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  64. 2017-06-10 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Abbott Scam
  65. 2017-06-10 Rick Moen <rick-at-linuxmafia.com> Re: [Hangout - NYLXS] Abbott Scam
  66. 2017-06-11 Ruben Safir <ruben-at-mrbrklyn.com> Re: [Hangout - NYLXS] Abbott Scam
  67. 2017-06-11 Ruben Safir <mrbrklyn-at-panix.com> Re: [Hangout - NYLXS] Abbott Scam
  68. 2017-06-11 Ruben Safir <mrbrklyn-at-panix.com> Re: [Hangout - NYLXS] Abbott Scam
  69. 2017-06-11 Ruben Safir <mrbrklyn-at-panix.com> Re: [Hangout - NYLXS] Abbott Scam
  70. 2017-06-11 Ruben Safir <mrbrklyn-at-panix.com> Re: [Hangout - NYLXS] Abbott Scam
  71. 2017-06-11 Ruben Safir <mrbrklyn-at-panix.com> Re: [Hangout - NYLXS] Abbott Scam
  72. 2017-06-11 Ruben Safir <mrbrklyn-at-panix.com> Re: [Hangout - NYLXS] Abbott Scam - tightening the nose on the
  73. 2017-06-11 Ruben Safir <mrbrklyn-at-panix.com> Subject: [Hangout - NYLXS] PBMs and Rebates... lets not just blame Abbott
  74. 2017-06-11 Ruben Safir <mrbrklyn-at-panix.com> Re: [Hangout - NYLXS] PBMs and Rebates... lets not just blame Abbott
  75. 2017-06-11 Ruben Safir <mrbrklyn-at-panix.com> Re: [Hangout - NYLXS] PBMs and Rebates... lets not just blame Abbott
  76. 2017-06-11 Ruben Safir <mrbrklyn-at-panix.com> Re: [Hangout - NYLXS] PBMs and Rebates... lets not just blame Abbott
  77. 2017-06-11 Ruben Safir <mrbrklyn-at-panix.com> Re: [Hangout - NYLXS] PBMs and Rebates... lets not just blame Abbott
  78. 2017-06-11 Ruben Safir <mrbrklyn-at-panix.com> Re: [Hangout - NYLXS] PBMs and Rebates... lets not just blame Abbott
  79. 2017-06-11 Ruben Safir <mrbrklyn-at-panix.com> Subject: [Hangout - NYLXS] Abbotts lies in its markets
  80. 2017-06-11 Rick Moen <rick-at-linuxmafia.com> Re: [Hangout - NYLXS] Abbott Scam
  81. 2017-06-11 Ruben Safir <mrbrklyn-at-panix.com> Subject: [Hangout - NYLXS] Time to end the kickbacks and the control
  82. 2017-06-11 Ruben Safir <mrbrklyn-at-panix.com> Re: [Hangout - NYLXS] Time to end the kickbacks and the control
  83. 2017-06-11 Ruben Safir <ruben-at-mrbrklyn.com> Re: [Hangout - NYLXS] Abbott Scam
  84. 2017-06-11 Ruben Safir <ruben-at-mrbrklyn.com> Re: [Hangout - NYLXS] Abbott Scam
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  87. 2017-06-11 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Suplementry IT training
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  89. 2017-06-12 From: "Mancini, Sabin (DFS)" <Sabin.Mancini-at-dfs.ny.gov> Re: [Hangout - NYLXS] Abbott Scam: Wow. Ruben is pretty hot on this
  90. 2017-06-11 Gabor Szabo <gabor-at-szabgab.com> Subject: [Hangout - NYLXS] [Perlweekly] #307 - The Perl Conference is nearly
  91. 2017-06-12 From: "APhA's Pharmacy Today" <PTdaily-at-aphanet.org> Subject: [Hangout - NYLXS] =?utf-8?q?June_12=2C_2017=3A_Opioid_Crisis_Comp?=
  92. 2017-06-12 From: "soledad.esteban" <soledad.esteban-at-icp.cat> Subject: [Hangout - NYLXS] [dinosaur] International course on Scientific
  93. 2017-06-13 From: "Chaim Desser" <career-at-poelgroup.com> Subject: [Hangout - NYLXS] position to review
  94. 2017-06-13 James E Keenan <jkeenan-at-pobox.com> Subject: [Hangout - NYLXS] TPC here and there
  95. 2017-06-14 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] busy today with corruption on linkedin
  96. 2017-06-15 From: "Yi Qian, IEEE ICC'18 TPC Chair" <noreply-at-comsoc.org> Subject: [Hangout - NYLXS] IEEE ICC'18 Call for Workshop Proposals &
  97. 2017-06-17 ruth02-at-web.de Re: [Hangout - NYLXS] [Hangout of NYLXS] - Guarantee- I am not in
  98. 2017-06-19 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] MTA extortion
  99. 2017-06-19 Mark Halegua <phantom21-at-mindspring.com> Re: [Hangout - NYLXS] MTA extortion
  100. 2017-06-19 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Jobs
  101. 2017-06-20 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Jobs
  102. 2017-06-20 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Movie of the Week
  103. 2017-06-23 Kevin Zheng <kevinz5000-at-gmail.com> Subject: [Hangout - NYLXS] [crossfire] Release proposal
  104. 2017-06-23 Mark Wedel <mwedel-at-sonic.net> Re: [Hangout - NYLXS] [crossfire] Release proposal
  105. 2017-06-23 Rick Tanner <leaf-at-real-time.com> Re: [Hangout - NYLXS] [crossfire] Release proposal
  106. 2017-06-23 Kevin Zheng <kevinz5000-at-gmail.com> Re: [Hangout - NYLXS] [crossfire] Release proposal
  107. 2017-06-23 Kevin Zheng <kevinz5000-at-gmail.com> Re: [Hangout - NYLXS] [crossfire] Release proposal
  108. 2017-06-23 Matthew Giassa <matthew-at-giassa.net> Re: [Hangout - NYLXS] [crossfire] Release proposal
  109. 2017-06-23 Preston Crow <pc-crossfire06-at-crowcastle.net> Subject: [Hangout - NYLXS] [crossfire] Crossfire maps idea
  110. 2017-06-23 David Hurst <davidnicholashurst-at-gmail.com> Re: [Hangout - NYLXS] [crossfire] Release proposal
  111. 2017-06-23 Rick Tanner <leaf-at-real-time.com> Re: [Hangout - NYLXS] [crossfire] Release proposal
  112. 2017-06-23 Ruben Safir <ruben-at-mrbrklyn.com> Re: [Hangout - NYLXS] [crossfire] Release proposal
  113. 2017-06-23 From: "Meaningful Beauty" <MeaningfulBeauty-at-islerpatto.stream> Subject: [Hangout - NYLXS] Youthful looking Skin + Free-Shipping
  114. 2017-06-23 David Hurst <davidnicholashurst-at-gmail.com> Re: [Hangout - NYLXS] [crossfire] Release proposal
  115. 2017-06-25 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] TED on the threat of AI in the Military
  116. 2017-06-26 Gabor Szabo <gabor-at-szabgab.com> Subject: [Hangout - NYLXS] [Perlweekly] #309 - csvgrep and the recipe for
  117. 2017-06-26 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Fishing images
  118. 2017-06-26 opensuse-security-at-opensuse.org Subject: [Hangout - NYLXS] [security-announce] SUSE-SU-2017:1669-1:
  119. 2017-06-26 opensuse-security-at-opensuse.org Subject: [Hangout - NYLXS] [security-announce] openSUSE-SU-2017:1685-1:
  120. 2017-06-26 Ruben Safir <ruben-at-mrbrklyn.com> Re: [Hangout - NYLXS] Fishing images
  121. 2017-06-26 Rick Tanner <leaf-at-real-time.com> Re: [Hangout - NYLXS] [crossfire] Release proposal
  122. 2017-06-26 Rick Tanner <leaf-at-real-time.com> Subject: [Hangout - NYLXS] [crossfire] Expanded World Map (was: Release
  123. 2017-06-26 Rick Tanner <leaf-at-real-time.com> Re: [Hangout - NYLXS] [crossfire] Crossfire maps idea
  124. 2017-06-27 From: "S." <sman356-at-yahoo.com> Subject: [Hangout - NYLXS] Score: 9 - 0 ! WIN ! on SCOTUS
  125. 2017-06-23 From: "NYU Langone Careers" <nyumccareers-at-symphonytalent.com> Subject: [Hangout - NYLXS] Follow up from NYU Langone Medical Center
  126. 2017-06-28 Ruben Safir <mrbrklyn-at-panix.com> Subject: [Hangout - NYLXS] family in need
  127. 2017-06-28 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] A train derailment
  128. 2017-06-28 Ruben Safir <ruben-at-mrbrklyn.com> Re: [Hangout - NYLXS] A train derailment
  129. 2017-06-28 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Must See website
  130. 2017-06-28 Ruben Safir <ruben-at-mrbrklyn.com> Re: [Hangout - NYLXS] A train derailment
  131. 2017-06-28 Ruben Safir <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] Fwd: [manjaro-general] Manjaro-Architect ISO
  132. 2017-06-29 ruben <ruben-at-mrbrklyn.com> Subject: [Hangout - NYLXS] time to put down the phone
  133. 2017-06-29 From: "Mancini, Sabin (DFS)" <Sabin.Mancini-at-dfs.ny.gov> Re: [Hangout - NYLXS] Lottery programmer rigs systems in 4 states,
  134. 2017-06-30 Ruben Safir <mrbrklyn-at-panix.com> Subject: [Hangout - NYLXS] Dinosaur found in Amber

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