
A blueprint for transforming pediatric obesity care
Charting a healthy path for children and families on Medicaid.
Obesity exists at the complex intersection of a clinical condition and a cultural force. Clinically, it comes with a diagnosis and treatment plan. Culturally, it is influenced by beliefs, identity, and self-worth, making it deeply personal and often taboo. Families, healthcare providers, and experts tend to avoid the fraught “o-word,” opting for euphemisms instead. For families on Medicaid, these challenges are even more pronounced. Award-winning health-tech startup Clarity Pediatrics, together with designers from IDEO, IDEO.org, and with support from Rise Together Ventures, sought to uncover the obstacles to healthier lifestyles and create a free report for US pediatricians who want to bend the curve on the childhood obesity epidemic.
Research with kids and parents on Medicaid in Dallas, Texas, and California’s Bay Area, along with interviews with healthcare providers and experts across the country, uncovered stories of stigma and frustration. Parents spoke of the daily challenges of balancing multiple jobs, sourcing affordable healthy food, and finding time to make necessary lifestyle changes. They described rushed pediatric visits that left them with unclear next steps and feelings of blame. Provider conversations echoed these struggles, noting time constraints and limited follow-up options.

Ultimately, food had become a daily torment for these families. Eating was unavoidable and also one of the few affordable indulgences low-income parents were able to provide. Once kids left their own homes, they were surrounded by unhealthy temptations, making it feel impossible for parents to maintain control. The popularity of costly new weight-loss medications and surgical procedures added another layer of complexity for families who had been underserved by—and therefore distrustful of—America’s healthcare system. With so much of the responsibility placed on parents to self-direct care, inequities deepened, adding to the burden of families already at a breaking point.
To design a path forward, IDEO and IDEO.org mapped a family’s needs before, during, and after pediatric visits. This work revealed critical parts of the journey where families needed more support: recognizing early signs of obesity, navigating provider conversations, and sustaining healthier habits at home.

These insights informed a theory of change framework that provides actionable guidance for stakeholders involved in obesity care. Grounded in three opportunity areas along the patient journey—building awareness, confidence, and capacity—the framework highlights how trust, dignity, and systemic support can lead to lasting outcomes.

IDEO and IDEO.org also developed 10 user-centered concepts spanning digital, physical, and service offerings to reduce stigma and empower families to sustain healthier lives. These ideas address dignified diagnoses and structural inequities, among other pressing issues. Complementing these concepts, IDEO created a short documentary of a mother discussing her family’s experience navigating childhood obesity to help pediatric providers—many of whom have had very different lived experiences from the families and patients they serve—better understand the realities of the daily struggles of many families on Medicaid.
Designed for the public good, the interactive website and free downloadable report, Reimagining Childhood Obesity, contain research findings, design recommendations, and a theory of change framework. The goal: provide practical, actionable guidelines for pediatricians, educators, healthcare organizations, and innovators to meet families and kids where they are and support them as they move toward a healthier future.
21% of US children are obese. 40% of Latino youth are either overweight or obese.
26% of kids on Medicaid experience childhood obesity, compared with 11% on private insurance.
525,600 minutes: Total time per year parents spend caring for their children. 17 minutes: Average time a pediatrician spends with a child during their annual exam, a small window to address a complex chronic condition such as obesity.
10
user-centered ideas to help pediatricians reduce the stigma of childhood obesity in an accessible report
3
opportunity areas for building trust with young patients and providing family support


Building Acer’s Climate Lab
How a consumer electronics giant is turning sustainability into an engine for growth.
With its reach, Acer saw an opportunity to power positive choices in the billions.
But new products and services won’t succeed if consumers don’t want them, no matter how sustainable they are. A few years go, the Harvard Business Review’s report, "The Elusive Green Consumer," found that about two-thirds of those surveyed said they wanted to buy brands that advocated sustainability. But only a quarter actually did.
Meanwhile, the market for climate era products is only growing: In 2022, Forbes found that nearly 90 percent of the Gen X consumers they surveyed said they’d be willing to spend more on sustainable products, compared to just over a third two years before. The desire was only higher among Millennials and Gen Z; they just didn’t like what was on offer.
To drive sales and growth, and meet its sustainability commitments, Acer needed to capitalize on desirability, deepening the connection between Acer’s sustainable options and consumer needs, lowering the barrier to purchase. To that end, Acer and IDEO created the Acer Climate Lab, a cross-organizational team and initiative, to launch the company on a transformative journey to deepen the connection between Acer's conscious technology and the realities of people's lives and needs across four strategic areas.
Together, the combined team conducted extensive research to better understand consumer attitudes and behaviors toward sustainable products, and identified everyday areas where Acer’s conscious technology might be able to have the most significant impact: living, working, moving, and learning.
- Living: Envisions homes as hubs of energy efficiency and climate resilience, leveraging technology to optimize energy use, enhance air quality, and enable proactive climate management. These concepts include technologies like smart energy systems, adaptive air solutions, and integrated home management platforms explore how technology can support sustainable daily living.
- Working: Reimagines the workplace with flexible, sustainable technology solutions that prioritize resource optimization and circular practices. Concepts such as Acer Loop could provide a subscription-based model that ensures access to the latest technology, supports remote work, and reduces electronic waste through effective recycling and rehoming practices.
- Moving: Focuses on the transformation of urban mobility by integrating technology into systems that promote sustainable transportation. Concepts could include e-mobility hubs that highlight how urban spaces could offer seamless access to shared, low-emission travel options, reducing reliance on traditional carbon-heavy methods.
- Learning: Explores pathways to sustainable education by imagining environments where technology supports circularity and accessibility. This includes ideas like refurbished devices for students, repair and reuse programs, and educational spaces designed with climate-positive principles, nurturing eco-conscious habits in future generations.
Together with Red Peak and Sid Lee, the team launched the culmination of the work at COP28, the United Nations Climate Change Conference in Dubai, positioning Acer as a pioneer in climate positive technology. The exhibit included immersive experiences and interactive displays demonstrating how Acer's sustainable solutions seamlessly integrate into everyday life. Visitors could engage with scenarios depicting sustainable living, working, moving, and learning, emphasizing the practical benefits of Acer’s innovations.
Acer's journey through the Climate Lab project underscores a commitment to sustainability that goes beyond mere compliance. With this new cross-business team tackling the real-world barriers faced by consumers, Acer is paving the way for a more inclusive, sustainable future. This initiative not only aligns with global climate goals, but also sets a precedent for the tech industry, demonstrating that with the right approach, sustainability and innovation can go hand in hand.
In a survey, 65% of respondents said they want to buy brands that advocate sustainability, yet only about 26% actually do.
Nearly one in two consumers say they either don’t know what information to trust, or that nothing can influence how much they trust a business’s commitment to sustainability.
1 cohesive strategy
for climate era products across 6 different fields


A better way to teach writing, with AI
Ethiqly empowers time-strapped teachers to provide feedback at scale.
With the introduction of generative AI, Ethiqly and IDEO saw a unique opportunity to help teachers, by cutting down the time it takes to provide each student with feedback on their writing assignments. But to get there, they had to learn from the experts themselves. To kick off the project, the team headed into the classroom to co-design with students and teachers.
One of the first problems they discovered? Traditional methods of grading essays are laborious and inefficient for high school teachers, who are already notoriously busy and overworked. What teachers really wanted was to spend time giving each student the personalized feedback that helps them grow. Meanwhile, students really struggled to get started on their writing assignments, overwhelmed by looking at a blank page.

Together, the team started to think about how it could harness AI to make personalized instruction more accessible for all students, helping teachers provide better feedback at scale, and giving students the support they need to not only get started on their writing assignments, but improve their work.
With insights directly from students and teachers, the IDEO team built working prototypes, allowing them to beta test the product in schools, and demonstrate value to investors. They also developed a brand identity and style guide for launch, which came to life in a pitch deck, landing page, and other brand expressions.

The resulting product is a sophisticated blend of AI technology and user-friendly interfaces that empower teachers and inspire students. The goal isn’t just to get to a finished essay, but to assist students in developing critical thinking skills. Ethiqly's tools help students organize their thoughts and get writing by providing contextual prompts and suggestions—without doing the work for them. And the AI assistant supports teachers by suggesting comments based on evaluation criteria they have set, and teachers choose which feedback is relevant for their individual students. Students never see it without teacher approval.
As one teacher told the team, “With leveraging AI more in education, there’s this fear that it’s deprofessionalizing the field or it’s a direct replacement of a teacher in a classroom. I think it gives us meaningful data, so that we can actually teach the way that we want to in order to support our students.” Now, Ethiqly is in use in classrooms in 25 countries, positively impacting students across the globe.

Teachers know 1:1 interaction is key to student success, but an EdWeek survey found only 46% of teachers’ time is spent teaching, while 25 hours/week goes to other tasks like grading and making lesson plans.
25 countries…and growing
Ethiqly’s reach in classrooms around the world


Designing a park for generations to come
Frisco, Texas, imagines an ambitious city park for an evolving community.
Designing a piece of a city, like a park, doesn’t start with a blank slate. There are always traces of the past and the present, and the lived history of its residents.
To create a full picture of that story, the IDEO team built workshops for the community centered around questions about the unique experiences of living in Frisco. They invited them to reflect on the communities they grew up in, the city of today, and the public spaces that have played formative roles for them.
From their answers, a common value emerged: heritage. Frisco is a rapidly growing city, with residents whose families have lived there for centuries living side-by-side with more recent neighbors from diverse cultures and ethnic groups. Participants shared a vision of Grand Park as a unifying, shared space, a backdrop where many families can form foundational memories in Frisco.

Next, IDEO brought in multisensory design prompts to help participants further conceptualize the park. How did they want it to feel, sound, and smell? In the built-up, suburban city of Frisco, residents imagined a space that was less planned, enabling guided wandering and exploration. They also hoped that the park would inspire loved ones and descendants to feel a sense of curiosity and wonder.
At the end of workshops and sessions with community groups, the IDEO team took Polaroids of participants, asking, “What’s one word you want to describe Grand Park in the future?” Those words informed the collective vision that IDEO delivered to the city of Frisco, which included spatial concepts, user journeys, and branding for the park, all designed to showcase its unique landscapes. In January 2024, Frisco City Council approved the vision statement, and officials expect to break ground in the second half of 2025.
The population of Frisco is growing rapidly; its population is up 516% since the year 2000.
At more than 1,000 acres, Grand Park in Frisco is even larger than Central Park in New York City.
Less than 1% of Blackland Prairie soil remains in the region, and some of it is in Grand Park.
94
Frisco residents were engaged in the process, from City Council members to high school students
200+
respondents shared anonymous feedback on what they imagined the park should be


Designing for Public Services
Designing for Public Services is a toolkit for policymakers and those who deliver public services, developed in collaboration with Nesta, a U.K. innovation charity, and Design for Europe, a design and innovation program co-funded by the European Commission.
Designing for Public Services is a toolkit for policymakers and those who deliver public services, developed in collaboration with Nesta, a U.K. innovation charity, and Design for Europe, a design and innovation program co-funded by the European Commission. The tools and methods included allow users to get to the heart of the needs of citizens and civil servants.
The processes and supporting tools, which have been tried and tested in government agencies from Singapore to Qatar, the U.K. to the U.S., can be applied to designing policy and citizen-centered services.
Download the toolkit here.


Only in New York
Here’s where we’re headed this fall
Spying on Harriet the Spy, Kid Design Researcher
During design projects at IDEO, we often seek inspiration by looking at the world through someone else's eyes. One of our favorite children’s book characters is Harriet the Spy, and we asked ourselves, What if you could see New York through Harriet's eyes? She’s the original design researcher—setting out with her notebook to observe the subtle ways her neighbors behave.
As it turns out, a real estate site has already tracked down Harriet's address: 558 East 87th Street. If you pay a visit to her apartment, look up to the third floor, right under the eaves. According to the book, this is the perch from which she peered down at the street and recorded notes. We were curious to see if any of Harriet’s neighborhood hangouts still exist. Carl Schurz Park, where she lost her notebook, still sits on the East River at East 86th. Harriet reports that the Gregory School, where she was a student, is right nearby, so many people assume it is based on Chapin School, two blocks away. Harriet spies on delivery boy Little Joe Curry from an alley behind the Dei Santis’ grocery store on York Avenue at East 86th Street. Though that shop is now a restaurant—denying us the vicarious thrill of peeking through the window where Harriet did much of her spying—visiting her old haunts sent a spike of childlike joy through us, and transported us to a time when a book could open up an entirely new world.

Koneko Cat Cafe
Koneko Cat Cafe is a relatively new spot on the Lower East Side where customers nibble on Japanese pastries while lounging with an adoptable clowder from Anjellicle Cats Rescue. The cats roam free between rooms on two different levels, lazing on designer cat furniture or swatting at the many cat toys provided for visitors. Everyone can engage in a different way: playing directly with the cats, doing other work with the bonus of being surrounded by felines, or striking up a conversation with humans who have the same affinity for cats. Koneko’s founder toured 25 cat cafes in Japan to get inspiration for her own place. Koneko is similar to Japanese cat cafes, but has a more sophisticated interior design with curated art on the walls. As one visitor told the New York Times, “I have a cat, so I feel a little dirty coming here. It’s like going to a strip club if you’re married.”

Tiny Doll House
We know many designers who find pleasure in miniature things: miniature spoons, miniature post-its, you name it. Hidden in the middle of a long residential block on the Upper East Side is a miniature heaven: Tiny Doll House. It’s a store that sells dollhouses, as well as dollhouse furniture and supplies: miniature nightstands, candelabras, and even equipment to electrify a dollhouse. The store sources miniatures from Europe and South America. Immediately after stepping inside, your imagination is fired up. Peek inside an English Cotswold Cottage—next door to a Riverside Townhouse. The attention to detail and passion that goes into each one is simply astounding. Even if you’re not passionate about decorating dollhouses, you can use these supplies for making terrariums, architectural models, or prototyping small versions of design projects. You can buy tiny Thanksgiving dinner sets, caskets, Starbucks coffee mugs, garlic presses, bunk beds, broken eggs, beaux arts desks, and everything in between.

Header image courtesy of Koneko Cat Cafe.
Our designers, anthropologists, and architects are professional wanderers. And we don't have to wander far in NYC to find inspiration—it's right outside our door. Here’s where we’re headed this fall.


The Art of Disruption
How the design process can be stimulated by art
One way to achieve this is with art. I love the phrase “design is art with rules.” If that is true, can we then assume that “art is design without rules?” If design requires restraint, art requires exploring ideas with abandon. I believe that tapping into that abandon can positively affect our design work.
Here are three ways to use art to shake up your design process.

1. Gallery Immersion
Take a break from your project and visit an art gallery. As you walk around and look at the pieces, consider the questions the artist is asking, or solutions they are proposing. What new rules of gravity or physics have they created? What rules have they broken, and what laws have they upended? Now consider how your project would exist in this world. How would things change, what would be possible? What would you create?

2. Image Provocation
Draw inspiration from art without ever leaving work. Curate a slideshow of images, then present them to your team as a prompt for idea generation. While not as experiential and serendipity-friendly as roaming a sculpture park or an art gallery, the right selection can still provide valuable fuel to a design team. Try using Visual Thinking Strategies to get coworkers to engage in a deeper way.

3. Create your own artwork.
Just as we can find inspiration by making insights tangible, making art in line with the project theme can also be valuable. Pull out the watercolors, pastels, or even the prototyping materials. Grab some old shirts from secondhand stores to use as smocks and transform the team from designers to artists. Have a team spend an hour of quiet, focused time creating a work of art that explores the project content. The goal is not to create a solution, but an expression. Then have the team share their works. Create a “gallery walk.” The resulting art may fall short of masterpiece status, but the head space that was explored will create new considerations and possibly new directions for the project.


Sometimes, the design thinking process can become a little too linear and predictable. Most great innovation involves a shift in perspective, a moment when our everyday point of view is turned upside down, and the team finds a new way to approach a challenge. Getting to that shift requires some disruption of the predictable flow of a project.


We Built a Bot to Assign Parking Spots. It Fought Back.
It takes a village to raise a bot
It’s an AI that listens to a designated Slack channel (more or less a chatroom) to keep tabs on who is WFH, who has a dentist appointment, and who needs a spot only for 90 minutes next Wednesday. Report your parking needs in Slack, and the bot assigns (or de-assigns) a parking spot. We named it Lotbot.

We also mounted cameras — we named them cargoyles — to visually detect open spots that the chatroom would inevitably miss. The Lotbot and the cargoyles communicate directly in the chatroom like two people.

We even built a little website that visualizes our parking lot (and the current weather). We keep a screen near the front desk so that the community can sense the demand on the lot in real time. It was perfect.
Except, it wasn’t. When we first built Lotbot, we expected that the humans in our studio were going to tease and bully it to test its limits, much like people do with Siri and Alexa. We had to make it clear that Lotbot was in charge. Too many misunderstandings, and we could end up in chaos. People with nowhere to park. Spaces that are empty all day. Dogs and cats living together.

So we decided to train Lotbot, and make it tough. We started with an isolated chatroom, so that we could gradually prepare it for the real world. We copied over all the chatter from our parking channel, and helped it categorize and understand each post. Over time, it made very few mistakes. Eventually it made none.
We then tried to anticipate ne’er-do-wells in the channel. We had a list of the usual suspects and guessed at their meddling. We predicted (accurately) that one person I won’t name (Gian) was going to throw fake spot numbers at Lotbot. Another (Lopper) would demand lengthy conversation. One particular individual (Paul) held the potentially troublesome opinion that our parking chatter was a form of performance art. We worked to specifically prepare Lotbot to handle these provocateurs, as well as anyone who tried to make backdoor deals in the Slack channel. There would be no trading of spots without Lotbot’s approval. So we gave it a rogue personality, with a take-no-prisoners approach to parking spot assignment.

To our surprise, when we first introduced Lotbot to the Slack channel, it was feted with many emoji. Rather than tease and poke at Lotbot, people said, “I love you.” But love them back, it did not. Lotbot must have reamed out half the people in the channel within a day. Rather than a passive AI assistant, Lotbot was a force to be reckoned with.

I rushed to lobotomize Lotbot’s aggression, but the damage had been done. Lotbot was now the strongest character in the channel. And it was putting the smack down.
It was then that I realized I had made some fundamental mistakes in building our AI. For one, I shouldn’t have isolated Lotbot as it was learning. Since “it takes a village to raise a child,” I should have introduced the bot to its village at a much younger state. It would have helped us feel the shift in interpersonal dynamics early on. We should have iterated on the dynamic, rather than trying to predict it.

We also underestimated how well our colleagues would treat Lotbot—its misdirected temper actually endeared it to the team. When it made mistakes, people wanted to help it out. But Lotbot, the spoiled child that it was, didn’t know how to accept. One morning, Lotbot went completely off the rails. Someone tested its French, which wasn’t very good. Then, another “helpful” person tried to help resolve things, at which point Lotbot lost it. It told her to cease at once, and then started throwing spot assignments at her. It was such a dramatic scene that two fans of the parking channel turned it into a play that they performed in front of the entire studio.

I should have realized that Lotbot would need to continue to adapt and learn. Our invention is still our responsibility, and we’re often checking in to see what it’s saying and doing. But at least that’s a lot easier than checking up on the parking lot.
Over the last few months, the drivers and Lotbot have managed to work together smoothly. But winter is coming. Here in snowy, slushy Cambridge, demand for parking is going to get intense. For better or worse, Lotbot is about to have more power than ever.

Illustrations by Carlos Ruiz
The chaos began the day we moved into our new building. A little plot of land outside was the scene of the terror. Not only was our Cambridge parking lot too small for the number of people in our office—21 spots for about 60 employees—getting spaces for clients was a pain, there was a pile of poop in spot 16 that even a car couldn’t clear, and a neighborhood transient liked to sleep in spot 20. Instead of managing the workings inside the office, our employee experience team was suddenly tasked with assigning parking spots. It got so bad they were often working as a valet service in addition to their day jobs.
So we built a bot to do it for us.


Lindsey Turner
I’m passionate about building brands, products, and experiences that help organizations show up with meaning and momentum.
I help organizations cut through complexity by shaping how they show up, through brand strategy, identity, and storytelling.
Working at the intersection of brand and business, I bring an editorial eye and a bias toward making—turning ideas into tangible experiences that people can understand, trust, and believe in.
My work spans government, healthcare, financial services, media, and consumer goods, from launching Gen Z-focused ventures to building innovation labs and reimagining legacy brands. I relish moments of ambiguity and enjoy translating across teams, perspectives, and priorities to move ideas forward.
I started my career in editorial and digital design, shaping cross-platform experiences and identity systems in publishing and agency environments. That foundation still shapes how I work today: I’m detail-oriented, collaborative, and overreliant on the Oxford comma. I hold a BFA in Visual Communication from the School of the Art Institute of Chicago.


Rachel Young
My work helps organizations see who their products aren't working for—and build the will and the tools to do something about it
For 25 years, I've asked the same question: Who does this design exclude—and what are we going to do about it?
My work spans human-centered strategy, inclusive design, and qualitative research, with clients ranging from Microsoft, Google, and Verizon to the National Science Foundation, and San Francisco Unified School District.
Before IDEO, I taught elementary school in East Palo Alto and spent a decade doing design work with social service organizations—where I learned firsthand what it costs people when systems are built without them in mind.
I am currently writing User Error, a nonfiction book about digital access and the design decisions behind it. I live in Oakland, California.


Brian Pelsoh
I lead with craft, ensuring our work is creatively excellent: rooted in deep human insight and imagination, while also grounded in the realities of business and technology.
My expertise spans brand, communication, and product design across tech, education, the arts, and social impact.
I believe great work demands both high-level vision and obsessive attention to detail, and only happens through collaboration.
I bring an inclusive, hands-on approach and a deep understanding of business, which enables me to consistently deliver excellence while always asking why.
Before joining IDEO, I worked at the brand firms Pentagram and VSA Partners. I began my career as a designer, leading teams at the School of the Art Institute of Chicago and the Milwaukee Art Museum. I hold an MFA in graphic design from Maryland Institute College of Art and a BFA in communication design from the Milwaukee Institute of Art & Design, and have taught at some of the best design schools in the US.


Tony Wong
I am responsible for IDEO’s long-term success in China and working with clients to use design as a tool to enable growth.
I am responsible for IDEO’s long-term success in China and working with clients to use design as a tool to enable growth. Specifically, I have helped Chinese companies design holistic brand solutions through the development of their products, communication, services, and innovation teams, and I have helped multinationals expand their presence and influence in China.
I advise global leaders on developing China-led innovation and capabilities.
In over 15 years in IDEO Shanghai, I have worked on projects that use design to elevate the quality of the experience of healthcare products and services, streamline processes that increase productivity, create spaces and programs that promote and enable inclusive communities, and build next generation mobility solutions that are planet-positive.
Before joining IDEO, I worked at Philips Electronics and the Electrolux Group in Italy, the Netherlands, and Singapore on a number of breakthrough commercial products. I am a member of the Young President Organization in Shanghai.
Building a personal AI for the messiness of life: Sida Li
Most AI products today are built for work—a space with clear problems and established systems. One founder noticed a gap: personal life is messier, harder to systematize, and mostly left behind by the AI boom. So she built Cue, a personal AI that lives inside iMessage and group chats, to go where the other tools haven't.
In this episode, Becca Carroll, IDEO's Chief Strategy Officer, talks with Sida Li, co-founder and CEO of Shared Context Lab, about staying anchored to a human need while the technology around her keeps changing shape, why she treats her business model with the same rigor she'd bring to a product, and what it feels like to build a company at this particular, disorienting moment in AI.
The conversation also gets into how Sida makes design decisions: the language Cue uses to describe itself, the tradeoffs behind building inside iMessage instead of a new app, and a real story about a business idea that didn’t pan out.
This is the second in a two-part series profiling founders from IDEO's Startups-in-Residence program. The first conversation is with Johannes Seemann, founder of Sooner, on designing GenAI for the emotional side of money.
Designing GenAI for the emotional side of money: Johannes Seemann
Most personal financial tools are built to run the numbers and optimize towards a budget. While that works for some, most people experience money as a lived relationship that does not neatly fit into a spreadsheet. Johannes Seemann and Becca Carroll discuss why money is emotional before it is mathematical, and what a human-centered approach to building a generative AI financial product looks like in practice.
The curious leader's edge in uncertainty: Scott Shigeoka
Mina Seetharaman talks with Scott Shigeoka, author of Seek and Head of Curiosity Cultivation at the Eames Institute, about what distinguishes genuinely curious leadership from performative curiosity, how power dynamics shape curiosity, and why practicing curiosity can restore energy rather than drain it.
How constraints make us more creative: David Epstein
Mina Seetharaman talks with David Epstein, author of Inside the Box and Range, about why total freedom often produces average work, how leaders can design useful limits on purpose, and what organizations such as General Magic and Pixar reveal about the relationship between boundaries and creativity.
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