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When people seek medical care for BP at an emergency department or primary care facility, they may see providers with little or no experience with this uncommon condition

Even though it avoids overt commentary RR alludes to the economic and political history of railroads

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Ethics declarations Conflict of interest The Authors declare that they have no conflict of interest

[15] For an interesting discussion of how preservationist forces have actually worsened the damaging effects of air pollution stemming from power plants on several national parks, due to their efforts to keep hydroelectric plants out of the canyons, see Runte 1979, 184-85

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