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Ryans ideas have been roundly criticized by some Democrats, and the Times columnist Paul Krugman called them leftovers from the 1990s, drenched in flimflam sauce. But President Obama voiced the view of many others when he called the plan a serious proposal. That sort of credibility means that Ryan will have a prominent say in whatever tough-medicine entitlement remedy Republicans and Democrats finally agree upon

In an analysis of ER visits involving cocaine-dependent patients, 56% presented with cardiovascular problems

doi: 10.1056/NEJM198811173192005 99 MillsCMHillSAMarksR

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