#theyre open to figuring out how to make mental health more accessible to low income folk and im all about that shit
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trendingnewsb · 7 years ago
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The Silicon Valley paradox: one in four people are at risk of hunger
Exclusive: study suggests that 26.8% of the population qualify as food insecure based on risk factors such as missing meals or relying on food banks
Karla Peralta is surrounded by food. As a line cook in Facebooks cafeteria, she spends her days preparing free meals for the tech firms staff. Shes worked in kitchens for most of her 30 years in the US, building a life in Silicon Valley as a single mother raising two daughters.
But at home, food is a different story. The regions soaring rents and high cost-of-living means that even with a full-time job, putting food on the table hasnt been simple. Over the years she has struggled to afford groceries at one point feeding her family of three with food stamps that amounted to $75 a week, about half what the government describes as a thrifty food budget. I was thinking, when am I going to get through this? she said.
outside in america
In a region famed for its foodie culture, where the well-heeled can dine on gold-flecked steaks, $500 tasting menus and $29 loaves of bread, hunger is alarmingly widespread, according to a new study shared exclusively with the Guardian.
One in four people in Silicon Valley are at risk of hunger, researchers at the Second Harvest food bank have found. Using hundreds of community interviews and data modeling, a new study suggests that 26.8% of the population almost 720,000 people qualify as food insecure based on risk factors such as missing meals, relying on food banks or food stamps, borrowing money for food, or neglecting bills and rent in order to buy groceries. Nearly a quarter are families with children.
We call it the Silicon Valley paradox, says Steve Brennan, the food banks marketing director. As the economy gets better we seem to be serving more people. Since the recession, Second Harvest has seen demand spike by 46%.
data
The bank is at the center of the Silicon Valley boom both literally and figuratively. It sits just half a mile from Ciscos headquarters and counts Facebooks Sheryl Sandberg among its major donors. But the need it serves is exacerbated by this industrys wealth; as high-paying tech firms move in, the cost of living rises for everyone else.
Food insecurity often accompanies other poverty indicators, such as homelessness. San Jose, Silicon Valleys largest city, had a homeless population of more than 4,000 people during a recent count. They are hungry, too: research conducted by the Health Trust, a local not-for-profit, found food resources available to them are scattered and inadequate.
These days Peralta earns too much to qualify for food stamps, but not enough not to worry. She pays $2,000 a month or three-quarters of her paycheck to rent the small apartment she shares with her youngest daughter. Even just the two of us, its still a struggle. So once a month, she picks up supplies at the food bank to supplement what she buys at the store.
She isnt one to complain, but acknowledges the vast gulf between the needs of Facebook employees and contract workers such as herself. The first thing they do [for Facebook employees] is buy you an iPhone and an Apple computer, and all these other benefits, she laughs. Its like, wow.
The scale of the problem becomes apparent on a visit to Second Harvest, the only food bank serving Silicon Valley and one of the largest in the country. In any given month it provides meals for 257,000 people 66m pounds of food last year. Inside its cavernous, 75,000 sq ft main warehouse space, boxes of produce stretched to the ceiling. Strip lights illuminated crates of cucumbers and pallets of sweet potatoes with a chilly glow. Volunteers in PayPal T-shirts packed cabbages and apples that arrived in boxes as big as paddling pools, while in the walk-in freezer turkeys waited to defrost.
Inside a warehouse belonging to Second Harvest food bank in San Jose, California, where PayPal staff volunteered for the day. Photography: Talia Herman
Because poverty is often shrouded in shame, their clients situations can come as a surprise. Often we think of somebody visibly hungry, the traditional homeless person, Brennan said. But this study is putting light on the non-traditional homeless: people living in their car or a garage, working people who have to choose between rent and food, people without access to a kitchen.
He added, Youre not thinking when you pick up your shirts from dry cleaning, or getting your landscaping done, or going to a restaurant, or getting your child cared for, is that person hungry? Its very easy to assume they are fine.
Matt Sciamanna is the sort of person you would assume is fine. Hes young, clever, and a recent graduate from San Jose State University. Yet here on campus, he says, food insecurity is a daily problem. Students, and even part-time professors, have been known to sleep in their cars or couch surf to save money. Sciamanna, who works on the Student Hunger Committee, says a survey of more than 4,000 students found about half have skipped meals due to the cost.
His investment in the issue is informed by his own experience. With his parents unable to finance all his living costs, Sciamanna worked in a restaurant while studying full time. But at 20 he was hit with a life-changing diagnosis: multiple sclerosis, a disease that left his grandmother bedridden. Unable to keep up with the pressures of restaurant work, he took a job on campus that paid just $400 a month.
Matt Sciamanna studying. Photo: Jeromy Cesea
My weekly food budget, after other expenses, was $25-$30, he says. Trips to the grocery store became a game of numbers: a bag of apples and bananas cost less than $5 and would last a week. A bag of frozen vegetables, another $5. Sometimes I would see a ripe peach, and I would want it, but then Id think, damn, theyre $1.50 each. Its not like Im asking for a car. Im just talking about a peach. That feeling leaves a scar.
While Sciamanna says his food situation has improved, another fear looms: healthcare costs. His father, a garbage man in San Francisco, has already postponed retirement so that his son can stay on the familys insurance. Without it, Sciamanna says he could face out-of-pocket costs of thousands of dollars a month for his medication. In that scenario, obtaining food would become even more difficult. His parents live in Clear Lake, three hours outside San Francisco, meaning a six-hour daily commute for his father. You feel like youre this dead weight, youre trying to advance yourself but you dont have the money. Its a shitty feeling.
Hunger and the housing crisis go hand-in-hand. In Santa Clara County, the median price of a family home has reached a new high of $1.125m, while the supply of homes continues to shrink. A family of four earning less than $85,000 is now considered low income. These realities mean food insecurity cuts across lines of race, age and employment status.
On a cold, bright afternoon at an elementary school in Menlo Park, kids trickled out of their classrooms and onto the playground. A food distribution was being arranged in the school gymnasium, and adults lined up outside with strollers and shopping carts, waiting for the doors to open. Most were women, many of them mothers whose children attend the school. Once inside they moved slowly and quietly around tables filled with bags of fresh produce, milk and bread, canned goods and beans.
A food distribution taking place at an elementary school in Menlo Park. Bottom right, Vicky Avila-Medrano, a food connection specialist with Second Harvest. Photography: Talia Herman
The Latino community is passing through a hard time, says Vicky Avila-Medrano, a food connection specialist. She runs a program that sends current and former food bank users out into the community, which has been disproportionately affected by the cost-of-living crisis.
Here in Silicon Valley, we have a big problem. This is a beautiful place to live for people in the tech industry, but we are not working in that industry.
Even people who have full-time jobs can find themselves with no way to put food on the table. Outside the gym, Martina Rivera, a 52-year-old mental health nurse, explained that her troubles began when her entire building was evicted last year. (Mass evictions have swept the area as landlords seek higher-paying tenants). Issues in her personal life, which she preferred not to detail, left her separated from her two children and their father. She thought about moving in with family, but worried about the burden. My brother was recovering from a stroke, and my mother is old, she says. I couldnt put more struggle on them. So what I found was my car.
Martina Rivera, 52, originally from Peru, lived in her car for six months while working as a nurse.
She told herself it was only temporary. I work night shifts at a veterans hospital, so I would go to my moms house to shower, and wait until it was time to work. I waited and waited for the storm to pass. Eventually she found a room without a private bathroom or kitchen. She shopped for food at 99 cent stores, ate mainly canned food, and cooked in a microwave. It took a toll on her health, she says; she gained weight.
I was having panic attacks. My body was like the walking dead. But I thought, I need to keep strong. And I never quit my job.
Rivera says that for many working people, pride is a barrier to admitting need. People dont have money to buy food, but they are shy to ask. But there is no reason to feel ashamed.
The day before Thanksgiving, Karla Peralta invited me to her home. She loves to cook, and prides herself on pulling together a healthy meal even when resources are scarce. I have to cook with what I have. Even if I only have a piece of chicken, a little bit of this and that, I am a cook. I make it work.
Karla Peralta, who works in the cafeteria at Facebook, demonstrates in her kitchen how she cooks with ingredients she picks up from the food bank. Photography: Charlotte Simmonds
That evening she worked with ingredients from the food bank: potatoes and chicken, cans of beans, corn and tomatoes. Dignified and good humored, Peralta says her current job is one of the best shes ever had, even though she still needs help.
As we sat down at her kitchen table to share a meal, we talk about her plans for tomorrows holiday meal. Shell be making ham with pineapples, her daughters favorite. There will be turkey and mashed potatoes, and her niece is bringing bread. And we got some rice from the food bank, she said. Ill probably make that, too.
Do you have an experience of homelessness to share with the Guardian? Get in touch
Sign up to Chronicling Homelessness, our monthly Outside in America newsletter
Read more: http://ift.tt/2AvII9h
from Viral News HQ http://ift.tt/2C9Fm9g via Viral News HQ
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viralhottopics · 8 years ago
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Mental Health Patients Worry They Won’t Survive Paul Ryan’s War On Medicaid
President Donald Trump indicated in hisfirst federal budgetthat his administration is committed to investing in programs that tackle mental illness, but the health care legislation he and Republican lawmakers are championing suggests otherwise.
House Republicans released the American Health Care Act earlier this month. It proposes slashing$880 billion to Medicaid, which is the largest payer of mental health services in the country, as well as removing the requirement that Medicaid plans cover mental health and phasing out the programs expansion under theAffordable Care Act. Health and Human Services Secretary Tom Pricehas previously advocated for reducingfederal funding of the program, too.
House Speaker Paul Ryan, the architect of AHCA, gushed this week about potentially cutting Medicaid funding.
Weve been dreaming of this since you and I were drinking out of a keg, he said to National Review editor Rich Lowry at a conferenced hosted by the publication.
There are a lot of people who have chronic mental health conditions who are dependent on Medicaid, both younger people and adults, said Victor Schwartz, the chief medical officer for a youth mental health nonprofit called theJed Foundation. The people at highest risk for the worst consequences are going to be put in jeopardy.
I have no doubt that this care keeps me alive.
States will undoubtedly have to make cuts to crucial services if they lose federal funding.
Kat H., a 36-year-old single mother from Minnesota who asked not to be identified by her full name because it could affect her employment,is one of the people who stands to lose the most if she cant keep her Medicaid coverage.
I have no doubt that this care keeps me alive, said Kat, who has borderline personality disorder.
Without psychiatric care, I sometimes cant even get out of bed for days, she said.With it, I hold down a fulfilling and rewarding job, parent effectively, and maintain relationships with family and friends.
Kat is a self-employed database contractor who estimates she makes around $20,000 a year.Shes able to afford treatment thanks to Obamacares Medicaid expansion, which the GOP bill aims to end in 2020.
Todd Crouch, 46, has bipolar disorder and benefited from Medicaid expansion in his home state of Michigan. He didnt have health insurance for years, and said the quality of his health care has great improved since he signed up for Medicaid when Michigan expanded the program.
Without Medicaid, Crouch said he would be right back where I was five or six years ago, where I was hopeless.
Im barely putting food on my table, he said.How am I going to afford health care?
Bloomberg via Getty Images
The American Health Care Act, which House Republicans released earlier this month, proposes slashing $880 million to Medicaid. House Speaker Paul Ryan has long supported cutting funding for the program. 
The consequences of untreated mental illness
Issues related to untreated mental illness tend to snowball.
If those people dont have access to care, you lose work days, families break apart, Schwartz said. By virtue of not being able to treat people who are mildly troubled, you wind up with people who are sicker.
A lack of treatment can even be deadly, said Paul Gionfriddo, CEO of the Mental Health America nonprofit.
You end up with people who lose their jobs, who lose their societal supports, lose their families, lose their access to education, lose their housing, he said. And then we see them on our streets and in our jails and prisons, and frankly in our morgues.
And research has shown that mental illness can be harmful to both individuals and society if left untreated.
A 2008 study funded by the National Institute of Mental Health before Obamacare took effect found that people with mental illness who werent able to work cost the U.S. economynearly $200 billioneach year. Incarcerations, homelessness and physical health problems connected to poor mental health only add to that cost.
Where do people think the people on the corners asking for money come from? said Gionfriddo. Where do they think people who are chronically homeless come from? he added. Where do the think people in county jails and state prions come from? All of those are visual representation real life, real time of what happens when you have an inadequate system for mental health services and supports.
The GOPs plan to replace Obamacare would end up making health care even less accessible to millions of Americans, particularly tolow-income people. Around one-third of Medicaid beneficiaries suffer from mental health issuesor addiction, according to the Department of Health and Human Services.And Trumps federal budget planonly makes things worse for the poor, with cuts tokey programssuch as affordable housing, job training and legal counseling.
If I dont have my mental health, Im not able to go to work — and then what would I do? Kat H.
Research indicates that there is a direct correlation between poverty and mental health issues. Low-income people are more likely to suffer from mental illness, according toa report from the New York Universitys McSilver Institute. This is partly because theyre less likely to be able to afford treatment and partly because the stress of poverty can exacerbate existing mental health problems.
Im barely making it happen financially with my situation right now, Kat said.There are some days where we have beans and rice for dinner because thats all I have enough for in my bank account. The stress about it makes me crazy, it makes me lose sleep. If I dont have my mental health,Im not able to go to work and then what would I do?
Gionfriddo said his 32-year-old son, Timothy, has a serious mental illness and relies on disability benefits and affordable housing to stay out of jail and off the streets.
He has been making a concentrated effort to come in off the streets, he said. But you make that impossible to happen if you cut these other programs.
The GOP has a history of cutting mental health services
The Affordable Care Act has been seen as a major win formental health care.The expansion of Medicaid, coupled with increased accessto private insurance,filled gaps widened over the years by state and federal cuts to mental health services.
People with mental illness are an easy target from a purely political perspective, said the Jed Foundations Schwartz. Theres not a strong lobby, theyre not giving political contributions or in many cases not even voting.
Mental health servicesare often among the first issueson the chopping block when budgets get slashed. The mental health care system lost around $4.35 billion after the 2008 financial crisis,according to the National Alliance on Mental Illness. Although much of that money found its way back into budgets, some systems never recovered. Several states, includingFlorida,NevadaandMichigan,are currently weighing cutting millions more.
Some Republican lawmakers, though, are fighting to keep the American mental health care system afloat.
In aletter to Senate Majority Leader Mitch McConnellthis month, Sens. Rob Portman (R-Ohio), Lisa Murkowski (R-Alaska), Shelley Capito (R-W.Va.) and Cory Gardner (R-Colo.) expressed serious concerns about the AHCAs effects on mental health.
Any poorly implemented or poorly timed change in the current funding structure in Medicaid could result in a reduction in access to life-saving health care services, the lawmakers said. We believe Medicaid needs to be reformed, but reform should not come at the cost of disruption in access to health care for our countrys most vulnerable and sickest individuals.
During the 2016 campaign, Trump pledged to protect Medicaid and Medicare. But he also said he would be open to funding the programs through block grants, which opponentssay could lead to reduced benefits. And it appears Trump has shifted further away from his campaign promises since taking office, supporting the Houses health care bill and hinting at dramatic changes for Medicaid recipients.
Although Trumps budget may claim to want to help people with mental illness, patients advocates arent so sure.
Until we see all the numbers,its really hard to understand just how much of a commitment is here beyond the words, Gionfriddo said.
While politicians tinker with budgets and weigh which cuts will hurt the least, patients are left without answers.
This is not some hypothetical, academic debate, Kat said. This is my real life.
CORRECTION:A previous version of this article stated that the Republicans health care plan involved $880 million in cuts to Medicaid. That figure is $880 billion.
How will Trumps first 100 days impact you? Sign up for our weekly newsletter and get breaking updates on Trumps presidency by messaging us here.
Read more: http://ift.tt/2ncdDPK
from Mental Health Patients Worry They Won’t Survive Paul Ryan’s War On Medicaid
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trendingnewsb · 7 years ago
Text
The Silicon Valley paradox: one in four people are at risk of hunger
Exclusive: study suggests that 26.8% of the population qualify as food insecure based on risk factors such as missing meals or relying on food banks
Karla Peralta is surrounded by food. As a line cook in Facebooks cafeteria, she spends her days preparing free meals for the tech firms staff. Shes worked in kitchens for most of her 30 years in the US, building a life in Silicon Valley as a single mother raising two daughters.
But at home, food is a different story. The regions soaring rents and high cost-of-living means that even with a full-time job, putting food on the table hasnt been simple. Over the years she has struggled to afford groceries at one point feeding her family of three with food stamps that amounted to $75 a week, about half what the government describes as a thrifty food budget. I was thinking, when am I going to get through this? she said.
outside in america
In a region famed for its foodie culture, where the well-heeled can dine on gold-flecked steaks, $500 tasting menus and $29 loaves of bread, hunger is alarmingly widespread, according to a new study shared exclusively with the Guardian.
One in four people in Silicon Valley are at risk of hunger, researchers at the Second Harvest food bank have found. Using hundreds of community interviews and data modeling, a new study suggests that 26.8% of the population almost 720,000 people qualify as food insecure based on risk factors such as missing meals, relying on food banks or food stamps, borrowing money for food, or neglecting bills and rent in order to buy groceries. Nearly a quarter are families with children.
We call it the Silicon Valley paradox, says Steve Brennan, the food banks marketing director. As the economy gets better we seem to be serving more people. Since the recession, Second Harvest has seen demand spike by 46%.
data
The bank is at the center of the Silicon Valley boom both literally and figuratively. It sits just half a mile from Ciscos headquarters and counts Facebooks Sheryl Sandberg among its major donors. But the need it serves is exacerbated by this industrys wealth; as high-paying tech firms move in, the cost of living rises for everyone else.
Food insecurity often accompanies other poverty indicators, such as homelessness. San Jose, Silicon Valleys largest city, had a homeless population of more than 4,000 people during a recent count. They are hungry, too: research conducted by the Health Trust, a local not-for-profit, found food resources available to them are scattered and inadequate.
These days Peralta earns too much to qualify for food stamps, but not enough not to worry. She pays $2,000 a month or three-quarters of her paycheck to rent the small apartment she shares with her youngest daughter. Even just the two of us, its still a struggle. So once a month, she picks up supplies at the food bank to supplement what she buys at the store.
She isnt one to complain, but acknowledges the vast gulf between the needs of Facebook employees and contract workers such as herself. The first thing they do [for Facebook employees] is buy you an iPhone and an Apple computer, and all these other benefits, she laughs. Its like, wow.
The scale of the problem becomes apparent on a visit to Second Harvest, the only food bank serving Silicon Valley and one of the largest in the country. In any given month it provides meals for 257,000 people 66m pounds of food last year. Inside its cavernous, 75,000 sq ft main warehouse space, boxes of produce stretched to the ceiling. Strip lights illuminated crates of cucumbers and pallets of sweet potatoes with a chilly glow. Volunteers in PayPal T-shirts packed cabbages and apples that arrived in boxes as big as paddling pools, while in the walk-in freezer turkeys waited to defrost.
Inside a warehouse belonging to Second Harvest food bank in San Jose, California, where PayPal staff volunteered for the day. Photography: Talia Herman
Because poverty is often shrouded in shame, their clients situations can come as a surprise. Often we think of somebody visibly hungry, the traditional homeless person, Brennan said. But this study is putting light on the non-traditional homeless: people living in their car or a garage, working people who have to choose between rent and food, people without access to a kitchen.
He added, Youre not thinking when you pick up your shirts from dry cleaning, or getting your landscaping done, or going to a restaurant, or getting your child cared for, is that person hungry? Its very easy to assume they are fine.
Matt Sciamanna is the sort of person you would assume is fine. Hes young, clever, and a recent graduate from San Jose State University. Yet here on campus, he says, food insecurity is a daily problem. Students, and even part-time professors, have been known to sleep in their cars or couch surf to save money. Sciamanna, who works on the Student Hunger Committee, says a survey of more than 4,000 students found about half have skipped meals due to the cost.
His investment in the issue is informed by his own experience. With his parents unable to finance all his living costs, Sciamanna worked in a restaurant while studying full time. But at 20 he was hit with a life-changing diagnosis: multiple sclerosis, a disease that left his grandmother bedridden. Unable to keep up with the pressures of restaurant work, he took a job on campus that paid just $400 a month.
Matt Sciamanna studying. Photo: Jeromy Cesea
My weekly food budget, after other expenses, was $25-$30, he says. Trips to the grocery store became a game of numbers: a bag of apples and bananas cost less than $5 and would last a week. A bag of frozen vegetables, another $5. Sometimes I would see a ripe peach, and I would want it, but then Id think, damn, theyre $1.50 each. Its not like Im asking for a car. Im just talking about a peach. That feeling leaves a scar.
While Sciamanna says his food situation has improved, another fear looms: healthcare costs. His father, a garbage man in San Francisco, has already postponed retirement so that his son can stay on the familys insurance. Without it, Sciamanna says he could face out-of-pocket costs of thousands of dollars a month for his medication. In that scenario, obtaining food would become even more difficult. His parents live in Clear Lake, three hours outside San Francisco, meaning a six-hour daily commute for his father. You feel like youre this dead weight, youre trying to advance yourself but you dont have the money. Its a shitty feeling.
Hunger and the housing crisis go hand-in-hand. In Santa Clara County, the median price of a family home has reached a new high of $1.125m, while the supply of homes continues to shrink. A family of four earning less than $85,000 is now considered low income. These realities mean food insecurity cuts across lines of race, age and employment status.
On a cold, bright afternoon at an elementary school in Menlo Park, kids trickled out of their classrooms and onto the playground. A food distribution was being arranged in the school gymnasium, and adults lined up outside with strollers and shopping carts, waiting for the doors to open. Most were women, many of them mothers whose children attend the school. Once inside they moved slowly and quietly around tables filled with bags of fresh produce, milk and bread, canned goods and beans.
A food distribution taking place at an elementary school in Menlo Park. Bottom right, Vicky Avila-Medrano, a food connection specialist with Second Harvest. Photography: Talia Herman
The Latino community is passing through a hard time, says Vicky Avila-Medrano, a food connection specialist. She runs a program that sends current and former food bank users out into the community, which has been disproportionately affected by the cost-of-living crisis.
Here in Silicon Valley, we have a big problem. This is a beautiful place to live for people in the tech industry, but we are not working in that industry.
Even people who have full-time jobs can find themselves with no way to put food on the table. Outside the gym, Martina Rivera, a 52-year-old mental health nurse, explained that her troubles began when her entire building was evicted last year. (Mass evictions have swept the area as landlords seek higher-paying tenants). Issues in her personal life, which she preferred not to detail, left her separated from her two children and their father. She thought about moving in with family, but worried about the burden. My brother was recovering from a stroke, and my mother is old, she says. I couldnt put more struggle on them. So what I found was my car.
Martina Rivera, 52, originally from Peru, lived in her car for six months while working as a nurse.
She told herself it was only temporary. I work night shifts at a veterans hospital, so I would go to my moms house to shower, and wait until it was time to work. I waited and waited for the storm to pass. Eventually she found a room without a private bathroom or kitchen. She shopped for food at 99 cent stores, ate mainly canned food, and cooked in a microwave. It took a toll on her health, she says; she gained weight.
I was having panic attacks. My body was like the walking dead. But I thought, I need to keep strong. And I never quit my job.
Rivera says that for many working people, pride is a barrier to admitting need. People dont have money to buy food, but they are shy to ask. But there is no reason to feel ashamed.
The day before Thanksgiving, Karla Peralta invited me to her home. She loves to cook, and prides herself on pulling together a healthy meal even when resources are scarce. I have to cook with what I have. Even if I only have a piece of chicken, a little bit of this and that, I am a cook. I make it work.
Karla Peralta, who works in the cafeteria at Facebook, demonstrates in her kitchen how she cooks with ingredients she picks up from the food bank. Photography: Charlotte Simmonds
That evening she worked with ingredients from the food bank: potatoes and chicken, cans of beans, corn and tomatoes. Dignified and good humored, Peralta says her current job is one of the best shes ever had, even though she still needs help.
As we sat down at her kitchen table to share a meal, we talk about her plans for tomorrows holiday meal. Shell be making ham with pineapples, her daughters favorite. There will be turkey and mashed potatoes, and her niece is bringing bread. And we got some rice from the food bank, she said. Ill probably make that, too.
Do you have an experience of homelessness to share with the Guardian? Get in touch
Sign up to Chronicling Homelessness, our monthly Outside in America newsletter
Read more: http://ift.tt/2AvII9h
from Viral News HQ http://ift.tt/2C9Fm9g via Viral News HQ
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