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89 Cards in this Set
- Front
- Back
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What year was WIC enacted
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1972
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WIC is a _____ grant program
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Federal
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WIc Opearates through how many local agencies?
in how many clinic sites? and in how many state health departments? |
2000 local agencies
10,000 local sites 50 state health departments |
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The state is responisble for what?
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developing, implementing, and monitoring WIC
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Congress appropriated how much money for WIC in 2002
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4.5 billion
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to be elgible on the basis of income applicants must fall at what percent at or below the poverty line?
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185
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A person can automatically qualify if....
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he particpates in certain other benefit programs or has a family member who does
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To be elgible...
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preganant women, breast feeding women, non breast feeding postpartum women, infants up to one year, children up to 5
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how many new mothers participate
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one in four
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how many children does WIC help
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45 percent
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A downfall of WIC is..
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it can serve as many people as its budget allows. resulting that only 46 percent of those elgible receive it...long waiting lines
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more than how many welfare recipients had problem paying for food despite a high incidence of employment
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one third
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what percent of families intervied did not have enough food or the right kinds of food after being off welfare for one years
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forty percent
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working poor families may cut their food budget or turn to
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local charity for aid
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the average length of a FS application is
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12 pages...difficult to read...excessive questions
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in 2001 how much did health care spending increase?
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115 billion...to reach 1.4 trillion
8.7 percent |
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growth was becasue...
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payments increases to medicare providers ....medicare financed one-sixth of overall health care costs
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national health expenditure are projected to reach....in 2012, growing an average of ....percent anually
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3.1 trillion
7.3 percent annually |
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how many americans have no health insurance
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44 million
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HMO (Health maintenance organizations) are....
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profit driven and the most common type of managed care
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HMO is for people who
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wat to hold down premiums, dont travel, want insurance that fully pays for routine visits, depend on their doctor entirley to recommend a specialist, are willing to give up choices
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a PPO (Preferred Provider Organization) is for people who...
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want to go to a specialist regardless of their doctors opinion, want freedom to choose, travel a lot, dont mind paying a percentag of office visits
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losing or changing a job often means
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losing insurance.
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more and more americans have to give up insurance altogether because
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premiums have become expensive
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Problems with health care
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quality threated (reliable information not available, cant get treated when needed), growing complexity(trying to compare policies is confusing and objective information on quality and service is hard to find), declining choices(have few choices for affordable policies tht provide real protection)
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MEDICARE is for people who are...
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65 years and older and worked for at least 10 years in medicare covered employment, and some people with disabilities under age 65, people with end stage renal disease (kidney failure)
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Medicare has two parts..
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part A- hospitals
part b- medical insurance |
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most people get part A....
they dont have to.... if people didnt pay medicare taxes while they worked and they are 65 and older... |
automatically when they turn 65
pay a premium they may still be able to buy part A |
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Part B people pay...
enrolling is your... helps pay for... premium of...a month in 2003 |
monthly
choice doctor services 58 |
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Reasons to buy medigap insurance
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w/out it you pay 840 for one night in a hospital
pay 100 percent if you are sick and traveling abroad no prescription drug benefit doesnt cover many medical service...routine eye exams. |
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If you dont buy medigap coverage within six months of enrolling in part B...
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you may be declined later or charged higher premiums for pre-existing conditions
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in 1965 Medicare was
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enacted to cover the elderly
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in 1966 medicare was
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implemented and more then 19 million individuals enrolled in july
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in 1972
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medicare coverage was extended to the disabled and to those with permant kidney failure
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in 1977
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the health care financing adminstration was established to adminster medicare/caid programs
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1997
2000 2003 2030 |
the balanced budget act
medicare served 39 million ppl medicare prescription drug and modernization act serve 77 million |
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Medicare part C
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medicare plus choice...
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medicare prescrtipn druge and modernization act will begin
it will cost |
jan 2006....
35 a month and a 250 deductable... |
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insurance plan will pay what percent of drug costs up to what amount?
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75
2250 |
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The good of part D....
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very low income older person with low assets will receive significant help with the cost of Rx drugs
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the bad of part D
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a major 2850 gap in coverage where beneficiares receive no assitance with the cost of drugs...asset testing for very low income persons...not effective until 2006
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medicaid is the...
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largest source of fudnding for medical and helath related services for americas poorest people
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what year did medicaid start an effort to provide health care for low income persons who were 65 and over, the blind, disabled, or members of families with dependent chilfren
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1965
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each state must offer mandatory service dfined by...
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the federal government
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along with the federal protion of the program each state deicdes what....
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other service will be offered and provided at the states discretion
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medicaid policies for elgibility, services, and payments are...
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complex and vary considerably
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individuals are generally eligible for medicaid if they meet the requirements for
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TANF
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categorical needy is considered...
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preg. women whose family is below 133 percent of FPF
children under age 6 whose family is at or below 133 percent of FPL indv. who receive tanf SSI recipients in most states recipients of adoption of foster care assitance all children under 19 in families with incomes at or below FPL |
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funding medicaid
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medicaid is jointly funded by fed. and state government..
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fed government contributes to the ......services delivered
states fund those considered to be... |
mandatory
optional |
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federal government pays about
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57 percent of medicaid costs from gen tax reventues....
states also use their own general tax revenues to fund medicaid and under pressure to raise more |
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an important provision of medicaid is
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long term care
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medicaid program paid for over what percent of the toal cost of care for persons using nursing facility or home helath services for 2000
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forty percent
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medicaid is currently the federal governments....
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most expensive public assitance program
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total medicaid spending rose...what percent between 2000 AND 2002
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25
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pros of medicaid
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making a substanial effort to insure some of the poor populations
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cons of medicad
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all poor people arent elgible
phsyicians prefer not to accept medicaid bc the reimbursement percentage is so low poor quality of services not require to provide all services for adults (eye care) |
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SCHIP was initated by the BBA (balance budget act) of 1997 to include...
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a greater number of children who are currently uninsured
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the ticket to work incentives improvement act of 1999....
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continues medicaid coverage to disbabled beneficiares who work despite their disability
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1965....
1972.... 1986 1996.. 1997... |
low income children deprived of parental support, elderly, blind, disablities
SSI elderly, blind, disabled pregannt women and infants whose family income was at or below 100 percent of FPL (state option) AFCD replaced by TANF block grants BBA created SCHIP |
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NCLB is the reauthorization of the ....
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elementary and secondary education act of 1965
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as part of pres. johnson's war on povery he signed...
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ESEA into law
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the law has been reauthorized every..
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4-6 years
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reagans response to a nation at risk
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first time in american history making schools accountable in return for fed funding
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america 2000...
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held in educaitnal summit of governors whcih continued the fed focus on accountablity
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clintions improving americas school act of 94
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ushered in the idea of adequate yearly progress (AYP)
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NCLB for the first time...
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fed. government is holding states responsible for closing the achievement gap
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4 main themes of NCLB
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stronger accountability
freedom for states scientically researched teaching methods choices for parents |
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accountability
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AYP...teachers highly qualified...state report cards
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freedom for states
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states have increased flexibility on how they choose to spend title one money...districts may consolidate funds
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choices for parents
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parents may choose another school if their childs school is failing or persistently dangerous
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title one is the main component of...
title 2 is for... |
ESEA now NCLB
improving teacher quality |
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NCLB had an increase of what percent for fudning by fed government
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49 percent
13.3 billion for title one 11.1 billion for special edu. |
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NCLB targets edu. programs that have been demonstrated...
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to be effective through rigorous scientific research
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NCLB is an extension of...
reagan first brought... bush 41 had... clinton brought.... bush brought |
pres. johnson war on poverty
accountability to the forefront governors summit AYP NCLB...accountability, flexibilty, scientifally based research, choice |
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JTPA 1983 job training partnership act replaced...
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CETA...comprehensive employment training act.
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ceta weknesses
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inefficeint, competive employment
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pupose of JTPA
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promote public and private business commitment to hire targeted groups and disadvantaged workers, decrease government spending
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funding is monitored by...
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the states with oversight provied from federal government
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conclusion of JTPA
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modest assitance to diabled and handicapped
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WIA...workforce investment act...was signed in
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1998 by bill clinton
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WIA replaces....
1917 vocational education program, 1920 vocational rehab act, 1933 wagner peyser act, 1963 vocatinal edu act...1971 emergency employment act.. |
1973 comprehensive employment and training act...job training and partnership act
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WIA designed to adress the issue of the...
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quality of the workforce
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unemployemnt rate in the US to be how many people or how many percent
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8.1 million or 5.5 percent
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one stops
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training
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overall costs and benefits to society is ....
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accessible training and employment services, assistance overcoming barriers, skills needed determined by local bus, more accountability of govt agencies, save taxpayer money
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what needs to be considered?
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numbers of those trained under JTPA are higher the WIA
number of states not meeting negotiated performance standards |
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overal WIA is a step in the...
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right direction
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however allowing businesses to control WIA can be left for....
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self serving interestes
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