Organized crime has really branched out. Organized crime is intrinsic to U.S. healthcare industries.

"corruption is now estimated to consume a third of U.S. health care’s waste, the sum total of which is greater than the entire amount devoted to health care in 90 percent of countries globally.”

“The patient: Travis Warner, 36, is self-employed and bought his health plan from Molina Healthcare via HealthCare.gov.

Medical service: Two "COVID tests" for the coronavirus — a diagnostic PCR test, which typically takes a few days to process and is quite accurate, and a rapid antigen test, which is less accurate but produces results in minutes.

Total bill: $56,384, including $54,000 for the PCR test and the balance for the antigen test and an ER facility fee. Molina's negotiated rate for both tests and the facility fee totaled $16,915.20, which the insurer paid in full.

Service provider: SignatureCare Emergency Center in Lewisville, one of more than a dozen free-standing ERs the company owns across Texas.

What gives: Throughout the COVID-19 pandemic, stories of shockingly high prices for coronavirus tests have abounded. A recent report from an insurance trade association notes that "price gouging by certain providers continues to be a widespread problem." Warner's PCR bill of $54,000 was "astronomical" and "egregious," according to health policy researchers we talked to.

Yet it's perfectly legal. For coronavirus tests — like much else in American health care — there is no cap to what providers can charge, says Loren Adler, associate director of the USC-Brookings Schaeffer Initiative for Health Policy.”

MORE AT:

NPR

The Bill For His COVID Test In Texas Was A Whopping $54,000

September 30, 20215:00 AM ET

aneri pattani

“Organized crime and the U.S. health care industry have more in common than might be immediately apparent. Both provide goods and services for which there is high, mostly inelastic demand—conditions ripe for profiteering. Both market sectors have been subjected to tight regulatory controls, which likely provoked their matching supply-side consolidations to a few big players. And with such massive profits at stake, competition among the few remaining players escalated corruption in both sectors to previously unimaginable extremes — corruption is now estimated to consume a third of U.S. health care’s waste, the sum total of which is greater than the entire amount devoted to health care in 90 percent of countries globally.”

MORE AT:

Medpage today’s KevinMD

What do organized crime and health care have in common?

MAY 8, 2019

The aristocratic slave owners of America had no concerns their property would die of smallpox. African slaves came inoculated from smallpox. It would seem that vaccination against COVID would be a good business practice for modern day corporate aristocrats

 Slaves brought from Africa to work on the plantations of Southern aristocrats came vaccinated from smallpox. African slave’s knowledge of how to administer the vaccinations is why George Washington, himself an aristocratic slave owner, beat the British.

The variolation method of inoculation was long practiced in Africa among sub-Saharan people. The practice was widespread among enslaved colonial people from many regions of Africa and, throughout the slave trade in the Americas, slave communities continued the practice of inoculation despite regional origin.^[4]

“Enquiring of my Negro-man Onesimus, who is a pretty Intelligent Fellow, Whether he ever had the Small-Pox; he answered, both, Yes, and No; and then told me, that he had undergone an Operation, which had given him something of the Small-Pox, and would forever preserve him from it, adding that it was often used among the Guramantese, & whoever had the Courage to use it, was forever free from the Fear of the Contagion. He described the Operation to me, and showed me in his Arm the Scar.^[11][12]

Mather, in a 1716 letter to the Royal Society of London, on his introduction to inoculation from Onesimus'

MORE AT:

Onesimus (Bostonian)  (late 1600s–1700s^[1]) was an African man who was instrumental in the mitigation of the impact of a smallpox outbreak in Boston, Massachusetts.

***

The fully vaccinated aristocratic slave owners of the antebellum South made sure their human assets were vaccinated. The fully vaccinated corporate aristocrats of U.S. corporate sports teams do not require their human assets to be vaccinated:

“The NBA does not require players to be vaccinated against Covid-19 to play. However, referees and other staff who work closely with players are required to be fully vaccinated.”

MORE AT:

NBA legend Kareem Abdul-Jabbar calls for unvaccinated players to be removed from teams

***

The British would have won our Revolutionary War if George Washington had refused to inoculate the Continental Army against smallpox.

George Washington contributed greatly to the progression of public health systems in America. During his time working with the Continental Army, Washington observed how smallpox and other diseases spread like wildfire through Army camps and gatherings. This was often due to the cramped and dirty living conditions of these places. Washington understood the destructive nature of smallpox and other diseases such as malaria, diphtheria, and scarlet fever. He was one of the first to introduce the idea of compulsory health initiatives such as widespread inoculation. Washington also had experience with disease outside the realm of combat and war. Having himself suffered from many illnesses and observing those of his family, George Washington was an integral part of the establishment of American public health programs.^[8]

Along with quarantine, another one of Washington's methods for keeping his men healthy was with the use of inoculation. Washington, like others of the time period, was not intimately familiar with the exact mechanisms of the virus. However, he and others were able to realize that men who had previously contracted and subsequently recovered from smallpox were unlikely to become ill a second time. Thus, early on Washington recognized the strategic advantage of these individuals. During an outbreak in Boston, Washington sent troops made up only of men who had previously been infected with smallpox. With this, he was able to both protect his soldiers and take advantage of the vulnerability of Boston and its British inhabitants during the smallpox outbreak of March 1776.^[7]

^{MORE AT:}

1775–1782 North American smallpox epidemic

Most police officers would have instantly shot Eric Watson Jr. dead. Not in Coatesville PA. “Even during the injuring of an officer, the rights of Eric were not breached,” Watson Sr. wrote.

 

"Davis saw Watson approach him in his rearview mirror before Davis pulled over after driving a short distance. With the violence demonstrated toward Davis, Laufer said the officer could have justifiably used deadly force, but instead he used his judgment and pulled out his Taser – which he did not use.

“Even during the injuring of an officer, the rights of Eric were not breached,” Watson Sr. wrote.

Davis was recently verbally threatened in an unrelated incident.

Police said that Gerome Darnell Gray Jr., 22, of West Chester, allegedly threatened Davis July 9 when he attempted to disperse a group and arrested someone for disorderly conduct. According to the police and the criminal complaint, Gray reportedly said, “Davis, I’m going to f— you up.” 

“It is with regret and admiration that I write to your department,” Eric Watson Sr. began his letter.

Police said Officer Jared T. Davis was on patrol in a marked police vehicle when Eric L. Watson, 29, of Coatesville, allegedly threw a large rock at Davis’ vehicle, cracking the front windshield.

Police said during the struggle to get Watson to the ground to take into custody, an officer who assisted was injured.

“The regret is that your Officer (Detective) Joseph Thompson was injured in a confrontation with my son Eric Watson,” said Watson Sr. “I would like to extend my sincere apology to the injured officer, his family and your department at this time.”

Thompson suffered from a fractured sternum. He was treated at Paoli Hospital.

“This apology I also extend to Officer Jared Davis who must have been traumatized by the experience of being attacked by Eric,” Watson Sr. said.

Coatesville police Chief Jack Laufer said when the police hear an apology, it is usually verbal.

“We don’t often get a personal apology from a family member,” Laufer said, including letters.

Both of Eric Watson’s parents apologized in person to police.

Watson Sr. thanked Davis, the Coatesville Police Department officers and the leadership by Laufer for their professionalism during the incident and their assistance afterward.

“In admiration, I want to commend the action taken by Officer Jared Davis by displaying professionalism beyond the norm in a time when madness seem to be the order of the day and the lives of the officers in blue are in danger,” Watson Sr. wrote in his letter.

This incident occurred in the midst of national protests after police shootings in July that killed Alton Sterling in Baton Rouge, La., and Philando Castile in St. Paul, Minn., both black men. The assault on the Coatesville officer also came after police were killed, three in Baton Rouge and five in Dallas, in addition to those injured.

Laufer said they learned that this incident did not occur as an act of hate toward police. He said the letter showed that. He said when the community read the letter they were reassured of that and it reinforced that it was not a direct attack on law enforcement or the Coatesville police.

“I think it makes the city feel better,” Laufer said. “Was it a violent crime? Yes and he’ll have to answer for his actions. Maybe this will help him to get the help he needs.”

The Watson family had been trying to find Eric for the past two years, according to Laufer. When they heard the news, they traveled to the police station and apologized for his conduct, Laufer said. He informed Thompson, who is home recovering for the next several weeks, about the letter. Thompson told him he appreciated the note.

“They’re a good, solid family with connections to law enforcement and the military,” Laufer said about the Watson family. “Being in law enforcement (the father) appreciated how bad it could have been.”

Davis saw Watson approach him in his rearview mirror before Davis pulled over after driving a short distance. With the violence demonstrated toward Davis, Laufer said the officer could have justifiably used deadly force, but instead he used his judgment and pulled out his Taser – which he did not use.

“Even during the injuring of an officer, the rights of Eric were not breached,” Watson Sr. wrote."

MORE AT:

The Times Herald

Father apologizes to Coatesville police for his son’s actions

Former Coatesville PA resident, John Birch Society Lancaster/Chester County PA Chapter Leader Pat Sellers didn’t think Hitler was so bad. I wonder what he thinks about Donald Trump?

There’s ample proof former Coatesville PA resident, Coatesville School board member, two times candidate for Congress in the Republican Party primary for Pennsylvania 6th Congressional District and orchestrator of the election of the infamous Coatesville City Council “Bloc of Four” is a raving white supremacist.  SEE:

American Renaissance Magazine 

Vol 11, No. 7 July 2000 

LETTERS FROM READERS 

"Sir — Jared Taylor missed the mark completely in his article on Elian Gonzalez in the June issue. One would think that since the liberal Washington Establishment was going against one of its usual constituencies (the Cuban community), Mr. Taylor would realize that racial consciousness had little if anything to do with what is happening. By narrowly focusing on what is at most a side issue, he fails to see the big picture. 

The globalists in Washington don’t give a hoot about Elian, and are probably delighted that conservatives like Mr. Taylor focus on the race issue...  

Mr. Taylor also fails to realize the dangers in letting Reno and company get away with the enormous abuse of federal power their early-morning raid represents. Just because it was a Cuban household the feds smashed their way into does not make it any more acceptable to true constitutionalists."

Pat Sellers, Coatesville, Pa. 

MORE FROM:

 American Renaissance archives

American Renaissance magazine 

Vol 11, No. 7   July 2000- The War on White Heritage

http://www.amren.com/ar/2000/07/index.html

MORE AT:

Tuesday, March 11, 2014

Poor Coatesville, the 1/2 Black Town that was Manipulated by a White Nationalist JBS Chapter Member

What makes me think he is also a fascist? 

When Dick Saha the “Save our Farm” Dick Saha yelled NAZI to the Jewish member of the Coatesville City Council Bill Chertok, Pat began to defend Dick Saha saying the Stalin was the really bad guy. Hitler wasn’t… He stopped himself from praising Hitler in public. But I got his message. 

Coatesville was for decades caught between a two pronged vice. John Birch Society billionaires on one side, Mafia controlled drug dealers on the other. Coatesville is finally beginning to take its natural place as the commerce and community recreation hub between Lancaster & Philadelphia. 

The PENNDOT  turtle has finally moved and the dogleg of First Avenue at Lincoln Highway is now straightened with an added left turn lane. First Avenue and Lincoln Highway reconstruction is nearly complete. Now the DePetris building can go up. 

The Mafia is out of the drug business in Pennsylvania. Motorcycle Clubs, Pagans right now, control drug distribution. And most importantly for citizens of Coatesville, MC drug distribution doesn’t need Coatesville as a drug distribution hub for Western Chester County & Lancaster County. 

SEE:

Friday, December 16, 2016

Coatesville's drug business is near dead. Long live redeveloping legal business in Coatesville.

Wealthy lawyers that took payment from the Coatesville drug dealers they defended and invested it in Coatesville homes now longer can rely on that income/investment flow. 

SEE:

I got the shotgun. You got the briefcase.

The money in Coatesville is now in real estate investment and small business growth. 

Like the street in West Mt Airy section of Philadelphia where Betsy and me bought our first home was about 1/2 Black 1/2 White.  Now the entire City of Coatesville is like that piano keyboard living sometimes a little off key but mostly in perfect harmony. 

SEE:

Friday, September 24, 2021

It’s happening. Families from all over the USA are moving to Coatesville PA. New "eyes on the street" can counteract the phenomena of, "A murder happening in front of eight people and no one saw it." - Joe Carroll Home values are rising from $90k to $300k.

I think the only thing that can now stop the revitalization of Coatesville is our national politics.

Will it become a swastika spangled banner?

The Chester County Republican Committee that once had the JBS dogs nipping at it’s heels is now in the control of people more radical than the billionaires of the John Birch Society. In fact the entire Republican Party is controlled by Donald Trump. And Donald Trump is leading the GOP and the United States to abandon democracy and establish Fascist USA.

I wonder, does Pat Sellers approve of Fascist USA? 

It’s happening. Families from all over the USA are moving to Coatesville PA. New "eyes on the street" can counteract the phenomena of, "A murder happening in front of eight people and no one saw it." - Joe Carroll Home values are rising from $90k to $300k.

" Check through my blog posts. You will see several posts concerning Coatesville as a drug depot for Chester County. There are two basic reasons for this:

• We have a population of several thousand people here that are easy to intimidate. That is the families that have lived here for 100 years of more. Criminals can know every immediate family member and every extended family member, just like in Sicily.
• The same transportation links that make Coatesville an ideal place for commerce between the City of Lancaster and the City of Philadelphia make it easy to bring drugs in to Coatesville and distribute "packages" to the surrounding area.

Just the revitalization of Coatesville's shopping area can make the downtown safer by putting more people on the streets, more "eyes on the street”.

Bringing new residents to Coatesville,  people not born and raised in Coatesville and therefore not easily intimidated,  can put "eyes on the street" that aren't easily intimidated. New "eyes on the street" can counteract the phenomena of, "A murder happening in front of eight people and no one saw it." Joe Carroll"

FROM:

Wednesday, January 8, 2014

Today Chief Laufer and Tom Hogan said things that I have written about for many years

We’re protecting Middle East oil fields that power commerce & wealth. Problem is burning that oil continues destructive storms & will eventually put port cities underwater. Switching to solar, wind & wave power solves defending oil fields & climate change.

 “An internal dispute within the ranks of the Democratic Party led on Tuesday to the removal of a provision granting $1 billion for Israel's Iron Dome missile defense system from a key funding bill. The removal came after behind-the-scenes pressure from several progressive Democratic lawmakers.

The development led to sensational headlines about Democrats rejecting U.S. support for the Iron Dome, but in practice, Israel will still very likely receive the promised $1 billion emergency aid it requested earlier this year. That money, according to Democratic sources on Capitol Hill, will now be attached to a different piece of legislation, the 2022 Defense Appropriations bill. 

The decision on Tuesday means more for Democratic politics surrounding Israel than the Iron Dome funding itself. It came about after lawmakers including Reps. Alexandria Ocasio-Cortez, Ilhan Omar, Rashida Tlaib, Ayanna Pressley and Pramila Jayapal threatened to vote against the funding bill, sources familiar with the matter tell Haaretz. 

If that were to happen, given the razor-thin Democratic majority in the House of Representatives, it would have led to a government shutdown or debt default on September 30. 

The $1 billion in aid, which the Biden administration publicly committed to following May's Gaza war, will now be attached to the final fiscal year 2022 Defense Appropriations bill. 

The impetus behind the progressive pushback wasn't the funding itself, but rather its addition as a provision to the spending bill. The U.S. provides Israel with $3.8 billion in military aid every year, $500 million of which is for the Iron Dome. Progressives are not necessarily arguing against the necessity of that aid, and no lawmaker has publicly come out against it - although some may do that later on.”

MORE AT:

HAARETZ

Progressive Democrats succeed in removing $1 billion Iron Dome funding from bill

Ben Samuels Sep. 21, 2021

I grew up in  1950s Coatesville PA surrounded by wealthy Main Line Chester County Republicans that hated Jews. 

Walter Annenberg  went out of his way to be accepted into the wealthy Main Line society of Philadelphia. Even becoming the Walter Annenberg the U.S. Ambassador to Britain wasn't enough. They wouldn’t let him in because he was a Jew.

“When Walter Annenberg was publishing The Philadelphia Inquirer there was a bronze plaque on his desk. It read: Cause My Works on Earth to Reflect Honor on My Father's Memory. Annenberg remembers. His paper scorched his enemies. From the bastion of his power, he championed men who nursed their grudges -- Frank Rizzo, Richard Nixon -- and he holds grudges, too. People he perceived as questioning his honor -- the Main Line Philadelphians who banned him from their clubs, the diplomats who scorned him as overrich and gauche, the Britishers who laughed at the ripeness of his syntax, the publishers whose papers called attention to his father -- were not soon forgiven.”

Now Jew haters control the GOP.  If Israel was not in the middle of oil fields GOP Christofascist evangelicals would ignore my friends in Israel or worse.

“Tom Faw Driver, the Paul Tillich Professor Emeritus at Union Theological Seminary, expressed concern "that the worship of God in Christ not divide Christian from Jew, man from woman, clergy from laity, white from black, or rich from poor". To him, Christianity is in constant danger of Christofascism, stating that "[w]e fear christofascism, which we see as the political direction of all attempts to place Christ at the center of social life and history" and that "[m]uch of the churches' teaching about Christ has turned into something that is dictatorial in its heart and is preparing society for an American fascism”.^[4][5]”

^{MORE AT:}

Christian fascism

That billion dollars for the Raytheon Corporation Iron Dome plus many trillions of dollars more needs go towards creating green power to defend not only my friends in Israel but all of us.

The DMV (DC, Maryland & Virginia) is the wealthiest area in the United States

Viewing the wealth of war materials & war intelligence surrounding Washington DC you would think that wealth revolves around building a massive military. 

War industries do not create wealth. Commerce creates wealth.  

The biggest prize in global wealth is the Eurasian Continent 

China is part of the Eurasian Continent.

As Zbigniew Brzezinski observed on Eurasia:

https://en.wikipedia.org/wiki/Eurasia

“... how America "manages" Eurasia is critical. A power that dominates “Eurasia” would control two of the world’s three most advanced and economically productive regions. A mere glance at the map also suggests that control over “Eurasia” would almost automatically entail Africa’s subordination, rendering the Western Hemisphere and Oceania geopolitically peripheral to the world’s central continent. About 75 per cent of the world’s people live in “Eurasia”, and most of the world’s physical wealth is there as well, both in its enterprises and underneath its soil. “Eurasia” accounts for about three-fourths of the world’s known energy resources.”^[10]

^{MORE AT:}

EURASIA

https://en.wikipedia.org/wiki/Belt
_and_Road_Initiative

“The initial focus has been infrastructure investment, education, construction materials, railway and highway, automobile, real estate, power grid, and iron and steel.^[21] Already, some estimates list the Belt and Road Initiative as one of the largest infrastructure and investment projects in history, covering more than 68 countries, including 65% of the world's population and 40% of the global gross domestic product as of 2017.^[22][23] The project builds on the old trade routes that once connected China to the west, Marco Polo and Ibn Battuta's routes in the north and the maritime expedition routes of Ming dynasty admiral Zheng He in the south. The Belt and Road Initiative now refers to the entire geographical area of the historic "Silk Road" trade route, which has been continuously used in antiquity.^[24] Development of the Renminbi as a currency of international transactions, development of the infrastructures of Asian countries, strengthening diplomatic relations whilst reducing dependency on the US and creating new markets for Chinese products, exporting surplus industrial capacity, and integrating commodities-rich countries more closely into the Chinese economy are all objectives of the BRI.^[25]”

MORE AT:

Belt and Road Initiative

ALSO SEE:

“In a completely original analysis, prize-winning historian Alfred W. McCoy explores America’s rise as a world power—from the 1890s through the Cold War—and its bid to extend its hegemony deep into the twenty-first century through a fusion of cyberwar, space warfare, trade pacts, and military alliances. McCoy then analyzes the marquee instruments of US hegemony—covert intervention, client elites, psychological torture, and worldwide surveillance.

Peeling back layers of secrecy, McCoy exposes a military and economic battle for global domination fought in the shadows, largely unknown to those outside the highest rungs of power. Can the United States extend the “American Century” or will China guide the globe for the next hundred years? McCoy devotes his final chapter to these questions, boldly laying out a series of scenarios that could lead to the end of Washington’s world domination by 2030.”

In the Shadows of the American Century: The Rise and Decline of US Global Power (Dispatch Books) Paperback – September 12, 2017

by Alfred W. McCoy (Author)

RACE DAY! City of Coatesville PA Coatesville Invitational Vintage Grand Prix. If you live in Coatesville walk on over. If not good luck finding a place to park.

 

COATESVILLE GRAND PRIX

https://img1.wsimg.com/blobby/go/536156d6-900a-4540-b4b8-aedcc6634704/downloads/2021%20CIVGP-FINAL.pdf?ver=1631926683668

Betsy and me read Diet for a Small Planet in 1971. We’ve been minimal meat eaters (MME?) since then. "Priciest Food Since 1970s Is a Big Challenge for Governments." In a few decades starvation will be ordinary across the earth. And wars for food.

 Diet for a Small Planet

There’s no mention in the Bloomberg Article below that major food producing areas might not produce much food soon. The “Breadbasket of America” in the middle of the USA relies on the Ogallala. 

“Without Ogallala water, significant portions of the High Plain’s agriculture and related businesses are entirely unsustainable, which could threaten the existence of entire towns whose economies are dependent on water drawn from the aquifer. There are global implications as well, as the region produces one-sixth of the world’s grain produce."

SEE: 

Crisis on the High Plains: The Loss of America’s Largest Aquifer – the Ogallala

Jeremy Frankel  ·  May 17, 2018

Siberia is another major food production area in trouble:

Siberian farmers lose $11.9 million due to fires — Russia’s agriculture ministry

FOR A SHORT TIME MY UNCLE NICK RAISED CHICKENS See video below

"(Bloomberg) -- Whether for bread, rice or tortillas, governments across the world know that rising food costs can come with a political price. The dilemma is whether they can do enough to prevent having to pay it.

Global food prices were up 33% in August from a year earlier with vegetable oil, grains and meat on the rise, data from the United Nations Food and Agriculture Organization show. And it’s not likely to get better as extreme weather, soaring freight and fertilizer costs, shipping bottlenecks and labor shortages compound the problem. Dwindling foreign currency reserves are also hampering the ability of some nations to import food.

From Europe to Turkey and India, politicians are now handing out more aid, ordering sellers to cut prices and tinkering with trade rules to mitigate the impact on consumers.

MORE AT:

Priciest Food Since 1970s Is a Big Challenge for Governments

Sep 15 2021, 9:31 AM

WAR AND CLIMATE CHANGE

 The Arab Spring and Climate Change A Climate and Security Correlations Series

Edited by Caitlin E. Werrell and Francesco Femia 

February 2013 Preface by Anne-Marie Slaughter

ONE MORE THING:

As a child my Dad spent his summers on a farm. At my Mom's dinner table there was a certain respect when eating meat. An animal died so you could eat this meat. Leftovers have always been a huge part of our home cooked meals.

FOR A SHORT TIME MY UNCLE NICK RAISED CHICKENS

Gov. Greg Abbott, Gov. Ron DeSantis mass murderers of children? My Grandma cried “the baby.” My Dad’s baby sister died from the “Spanish Flu” when he was 10. The Republican Party’s has created a Petri dish of children for COVID mutations to play in.

The Spanish Flu mostly killed younger people. My grandmother had antibodies for the Spanish Flu. Her first daughter did not. 

I think my father and Betsy's father were healthy enough to survive the Spanish Flu.

Why Did the 1918 Flu Kill So Many Otherwise Healthy Young Adults?

Uncovering a World War I veteran’s story provided a genealogist and pharmacologist with some clues

smithsonianmag.com 

November 10, 2017

Republicans are accelerating the deaths of children. When enough children die there will be a demand for vaccinations for all school age children.

"Viruses mutate all the time, including the one, SARS-CoV-2, that’s caused the Covid-19 pandemic. Although most genetic changes are innocuous, some can make the mutant more adept at infecting cells, for example, or evading antibodies. Such “fitter” variants can outcompete other strains, so that they become the predominant source of infections. A succession of more-transmissible variants has emerged over the past year, each harboring a constellation of mutations. The most worrisome so far is the so-called delta variant. It’s become dominant in much of the world since its discovery in India in October, leading to surges in cases and hospitalizations, especially in places where less than half the adult population has been fully immunized. 

During replication, a virus often undergoes genetic changes that may create what are called variants. Some mutations weaken the virus; others may yield an advantage that enables it to proliferate. If changes produce a version with distinctly different physical characteristics, the variant may be co-termed a strain. A variant that deviates significantly from its viral ancestors may be identified as a new lineage, or branch on the evolutionary tree. In general discourse, however, the terms are often used interchangeably."

FROM:

Bloomberg 

Alpha, Delta and More: Why Virus Variants Are Causing Alarm

Jason Gale August 31, 2021, 10:36 PM EDT