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Sally Pipes on why she helps Trump's healthcare guidelines over Biden's | HP0-626 test Questions and boot camp

Pipes may be part of Vator's Healthcare in Politics salon on Sept 9 and October 7

With the election appropriate across the corner Vator and HP can be hosting their existing salon on October 7, known as Healthcare in Politics (register for the experience right here!) where varied panels of specialists, policy makers and lawmakers who might be on hand to discuss subject matters related to healthcare coverage and choice making.

some of the panels will middle certainly around the healthcare guidelines of the two candidates, Donald Trump and Joe Biden, certainly how they will support underserved communities, who have been hit the hardest by means of the COVID-19 pandemic.

on hand may be Sally Pipes, President and CEO on the Pacific research Institute. I spoke to her about the healthcare guidelines of both Biden and Trump to be mindful which might advantage the country, primarily throughout this disaster.

VatorNews: inform me somewhat about your self and concerning the Pacific analysis Institute.

Sally Pipes: i am the President and CEO of the Pacific research Institute, and a Thomas W. Smith Fellow in fitness Care coverage. i've been operating the PRI considering that October 1, 1991, and my enviornment of forte is healthcare. I worked on the Fraser Institute in Vancouver, Canada; i was the assistant director of the Institute, and they begun a mission called waiting Your turn: A e-book To health facility waiting Lists lower back in the late 80s since the govt became slowly taking up the healthcare system and they noticed that people had been starting to need to watch for care. at present, I focus most of my time instructing the American americans on the dangers of single-payer fitness care, including giving speeches, debating, writing weekly columns for Fox news, Forbes, and the Washington Examiner and a few different newspapers across the nation together with the Wall highway Journal. I additionally am invited to be interviewed on country wide radio and tv indicates.

My passion in existence is attempting to hold the federal executive from absolutely taking on their healthcare system as Senator Bernie Sanders, Rep. Alexandria Ocasio-Cortez (ny), Rep. Pramila Jayapal (WA), and the Biden-Harris ticket wish to finally do. They want to attain that purpose but help a slower system of getting there—including constructing on Obamacare by adding a public option and cutting back the age of Medicare eligibility from sixty five to 60. Senator Kamala Harris, now the Democratic VP nominee, signed on to each of Senator Sanders’s single payer expenses in 2017 and 2019.

The Pacific research Institute, a free market think tank, is now 41 years old and their simple center of attention is constructing a society in line with own accountability and free markets. Their areas of research consist of healthcare, education, the environment, and tax reform issues. they have a middle for California Reform, where they are engaging in enormous work on the homeless situation in California, and on AB-5, the legislation that turned into signed via Governor Newsom earlier this 12 months that might drive establishments in the gig financial system like Uber and Lyft to circulation their drivers to be employees instead of independent contractors. Overturning this legislation might be on the November 3rd pollin the state.

VN: certainly the large query is: from a health policy standpoint, how would you grade this administration with regards to COVID? Biden and Trump seem to need to do identical issues going forward, like free COVID remedy and developing a vaccine, but how has he performed up to now?

SP: i would provide the administration a B+. Trump signed an executive Order in September 2019 that allowed for public-private partnerships between the federal govt and the drug business. This concept had been protected within the record prepared by the U.S. Council of financial Advisers’ below its former chairman, Tomas Philipson, school of Chicago professor of economics. This EO allows for drug organizations to acquire financial help from the federal govt to aid within the building of secure and useful vaccines and anti-virals below Operation Warp speed which are key within the search for a well timed treatment for the Covid-19 pandemic.

The economy changed into doing very, very neatly up until COVID—solid GDP boom, a booming stock market and low unemployment. Democratic presidential nominee Joe Biden is a staunch critic of President Trump and his dealing with of the virus. but, he became now not a success in his dealing with of the plenty smaller Ebola and H1NI viruses that took place under President Obama. it's my hope that they will have a vaccine by using the conclusion of the year that will show to be safe and beneficial. there are lots of vaccines now in medical trials and it is likely that there may be multiple vaccine this is approved to be used during this nation and all over. What they don’t comprehend at the moment is how long it should be beneficial. President Trump authorized FDA quickly tracking of the convalescent plasma because it is proving to be somewhat valuable with americans hospitalized with Covid-19. and that i was comfortable that the FDA gave emergency approval for Remdesivir, a drug developed by means of Gilead Sciences which is displaying excellent success with hospitalized Covid sufferers. I help a number of the other EOs that the President has signed: fee transparency, brief-time period restricted duration health plans, and fitness compensation debts, to name just a few.

VN: What are one of the techniques you suppose he could have completed more suitable?

SP: i'm very concerned with President Trump’s July twenty fourth EOs that relate to his want to reduce drug costs under Medicare part B. They include importing drugs from Canada and constructing a global Pricing Index, which would tie costs of 250 typical medicine beneath Medicare part B to the typical cost in six countries including Canada, the uk, France, Germany, Australia, and Japan. These countries all have fee controls on prescribed drugs and that is why their fees are decrease. however the latest drugs and biologics that give beneficial treatments for a lot of ailments aren't developed in those countries as a result of there isn't any monetary incentive for doing so. many of the R&D takes area in the u.s.a.because they don’t currently have price controls on medication. These nations “free journey” off their innovation.

If these EOs are implemented, it is going to readily introduce fee controls within the U.S. pharmaceutical/biotech business thereby leading to the crumple of the business as they understand it. whether Sanofi in France, Roche in Switzerland, or GSK within the UK, these companies and others, whereas headquartered in these countries, undertake their R&D in the usa, precisely because they wouldn't have cost controls on pharmaceuticals. It fees $2.6 billion from an idea to getting a drug through all of the medical trials and to market and access by means of patients. simplest 12 percent of prospective new medication truly make it to market. setting up an IPI (foreign Pricing Index) on essentially the most usual medication below Medicare part B is in fact a stepping stone approach to introducing countrywide rate controls on all medication that make it to market. condominium Speaker Pelosi, vice president Biden, and Senator Kamala Harris, of direction, additionally help the concept of the federal executive being able to negotiate the rate of all drugs with the drug producers below Medicare part D, the federal drug programs for seniors. executive negotiating prices became not part of the Medicare half D law signed into legislations by means of then President Bush however they're campaigning on this concept and, if a success, would be a disaster for seniors and their entry to the latest cures.

VN: So how will they lessen drug fees?

SP: As I have pointed out, most pharmaceutical R&D is executed within the U.S. today, about 90 percent of medication consumed during this nation are regular—an specific replica of the company identify drug. Generics are a fraction of the rate of the customary drug. medication are covered under highbrow property legal guidelines for 12 years so that the builders can recoup their prices of construction. When the patent protection of a company identify drug expires, it is viable for corporations to Improve regularly occurring versions of the manufacturer medicine. If one looks at very expensive drugs and healing procedures beneath patent coverage like Remdesivir for hospitalized Covid sufferers and the existing immunotherapies for melanoma patients, the bulk of those treatments are developed within the U.S. youngsters, not each patient has to be on the latest and most high priced drug or remedy. docs can try older, much less expensive regular drugs to look in the event that they are beneficial. If no longer, then more moderen cures will also be tried unless a remedy is discovered. it might be a major mistake for the federal government to intervene during this very successful and resourceful industry. If cost controls are added, similar to in Canada, England, and France, it should be the ruination of this trade in the U.S.

U.S. drug agencies present the existing new medicine and treatments to countries with rate controls at discounted costs. In Canada, as an instance, in many situations the federal government’s Patented medicine prices evaluation Board will reject the drug as too high priced even on the discounted fee. due to this fact, Canadians do not have access to the latest remedy that those in the usa do.

VN: Healthcare is greater than simply going to the medical professional, and a lot of are not taking a greater holistic method, where the social determinants are just as vital. Do you see any guidelines from Joe Biden or Donald Trump that could aid circulation in that path?

SP: I have been advertising the theory of telehealth for a lot of, many years and, earlier, it in no way grew to become a truth. It took a virulent disease to change this. beneath the pandemic, telehealth changed into approved for emergency use and charge has been permitted by means of most insurers and those on Medicare. Many americans feared going to their medical professional’s workplace or a medical institution for analysis and remedy on account of the pandemic in order that they delayed care. President Trump signed an government Order so as to enable telehealth to continue after the pandemic is over. here's very superb news as a result of telehealth reduces the charge of healthcare. sufferers can contend with their doctor over the mobilephone or the internet. for a lot of scientific considerations, it's so handy. No trip to an office or medical institution is required, and no lengthy waits in a ready room the place one is uncovered to other sufferers. in many instances, it isn't critical to head to the medical professional’s workplace. it's principally first rate for older individuals specifically, as a result of many of them have a number of clinical considerations but frequently should not have entry to transportation. Telehealth also gives patients access to the top scientific consultants. And, their doctors can use the assistance to support in treating their sufferers. here's very good news, principally for sufferers who reside in rural communities where they shouldn't have entry to right specialists. beneath telehealth, they do.

I also like the incontrovertible fact that President Trump signed orders enabling nurse practitioners and health professional's assistants to do definite techniques that, during the past, needed to be done by using medical docs. there's also an effort in the U.S. to cut back the number of years of scientific faculty from four all the way down to three. Duke tuition is piloting this theory as has UNC Chapel Hill, and Ohio State. under the pandemic and lockdowns, even Harvard medical faculty allowed its clinical students to graduate early. So, these are one of the things that i am very enthusiastic about and are instrumental in reforming their healthcare gadget whereas bringing down fees.

Democratic presidential nominee Joe Biden is not helping Medicare for All however for constructing on Obamacare via introducing a “public alternative”, a govt coverage plan that would compete against deepest insurers. His conception is a stepping-stone approach to Medicare for All. the general public alternative can be priced more cost-effective than inner most plans. eventually, deepest insurers can be crowded out of the market and they might have a total govt takeover of their healthcare equipment. He also supports cutting back the Medicare eligibility age from sixty five right down to 60. one of these circulation, if he had been elected and it become adopted, would add 22 million individuals to Medicare at a cost of an extra $one hundred billion a year. The Medicare Trustees currently mentioned in their annual record that Medicare half A, the health facility part of Medicare, can be bankrupt within six years. And, it's earlier than decreasing the age of eligibility. So, it is an issue for sufferers and their well timed access to care.

As I mentioned past, Senator Kamala Harris signed onto both of Senator Sanders’ 2017 and 2019 single-payer expenses. in the early debates for the Democratic presidential nominee, she stated she was for Medicare for All and turned into probably the most two potential candidates to put up her hand in help. however the subsequent day she pointed out she did not bear in mind the query. As she had signed on to Sanders’s bills she really is familiar with Medicare for All and is supportive of the theory. be aware, she referred to, “Let's put off insurance businesses, let’s get rid of all of that”.

If Biden is elected, finally the U.S. will come to be identical to Canada with a single payer equipment—no inner most coverage allowed for the rest regarded “Medically quintessential”. The provincial govt in Saskatchewan began taking over the fitness care device in the 40s and the project changed into ultimately achieved by the federal government in 1984 beneath the Canada fitness Act. It may be a stepping-stone approach identical to in Canada. The U.S. will additionally face long ready lists, rationed care, and a doctor shortage. The typical wait in Canada final 12 months from seeing a frequent practitioner to medicine by a expert changed into just over five months. 323,000 Canadian went abroad ultimate yr to get well timed medication. under M4A within the U.S., medical doctors could be paid Medicare prices that are 40 percent beneath what they're paid for treating deepest sufferers. because of the controls placed on medical doctors by means of the federal executive, many will retire early and it is likely that the most fulfilling and brightest will no longer go into drugs as they are not in a position to apply as they see healthy.

Charles Blahous, Ph.D, an economist at the Mercatus middle at George Mason tuition, has stated that the boost in federal spending beneath Sanders’s plan would be between $30 and $forty trillion over 10 years. The liberal city Institute has come up with an analogous estimate. under Medicare for All there would ought to be new taxes and higher prices on current taxes. Senator Sanders has established this. His plan would consist of a brand new 7.5 % payroll tax, a new 4 percent income tax on anyone incomes over $29,000, new taxes on the prosperous, and on significant monetary institutions. although, as Blahous has brought up, you doubled all of the own income taxes and the corporate taxes, it wouldn't be enough to cover the cost of a single payer gadget. have came about in their healthcare device. they have the most desirable 5 year survival prices of melanoma of any of the main countries within the OECD, together with the united kingdom and Canada.

VN: with reference to uninsured individuals, what's Trump’s reply to that?

SP: it is pleasing as a result of, of these with company-backed coverage, according to the Commonwealth Fund, best three million out of a hundred and seventy million with service provider assurance have truly misplaced their insurance once they lost their job below the pandemic. And, if you lose your insurance which you can sign in for COBRA to proceed your insurance for a specific amount of time. it is expensive, because you ought to pay the equal top class as your service provider turned into paying for coverage for you and your household. Others can sign in for short time period-restricted duration plans that give coverage for one year and are renewable up to 3 years. the 10 basic fitness benefits mandated below Obamacare don't seem to be protected in a STLD plan. The normal plan is $113 a month. These plans are very proper to younger individuals. which you can additionally register for Obamacare insurance on one of the exchanges as a result of, in case you lose your job, that you can register immediately. You are not subject to purchasing coverage within the open enrollment period.

The whole conception of Obamacare, that became 10 on March twenty third, 2020, changed into to allow individuals and households who wouldn't have organisation coverage to buy insurance on the federal or state exchanges. however, only 10 million are enrolled on the exchanges because the premiums are very high: $457/month for someone and a deductible of over $5,000. if you earn between 138 and four hundred percent of the Federal Poverty level, you are eligible for a subsidy on a sliding scale in response to earnings. About 85 p.c of the ten million Obamacare enrollees get hold of subsidies to purchase insurance. As i discussed past, Joe Biden desires to build on Obamacare, but it surely is not an answer to removing the roughly 27 million who're uninsured within the U.S. as a result of charges associated with it. in response to the U.S. Census Bureau, 6.8 million had been eligible for Medicaid but did not join; 8.2 million have been eligible for Obamacare subsidies and didn't enroll on the exchanges; 3.eight million declined corporation-sponsored coverage; 1.9 million had been not eligible because their salary became above four hundred % of the FPL; and 4.1 had been ineligible because they were no longer lawful U.S. residents. within the U.S., they should put medical doctors and patients in can charge of their fitness care and give patients plenty of alternatives that fit their wants and those of their households. A one-size-fits-all isn't the American manner and it might be a disaster for all american citizens.

VN: Biden says he would institute necessary lockdown/shut down, but this might have terrible outcomes to their mental and fiscal fitness. If the scientists say they should lock down the complete country, may still they do it?

SP: smartly, i'm against that concept and that i suppose it doubtless will hurt Biden in the election. people are bored stiff with being locked down. Over eighty p.c of the deaths from Covid are people over sixty five and the bulk of them are in nursing buildings. Many had other scientific situations that make them prone to the virus. The young and match are a small percent of those infected and most get better very right away. Many younger americans who may additionally look at various effective for the virus didn't even recognize that they had it as a result of they'd no indicators. The economic system is in a disastrous state and it is time for americans to move back to work and get the nation back on track. Many companies, and small corporations like restaurants and small retail stores, in particular, are already out of business and greater are going to exit of company each day. They do not have an additional lockdown. things reminiscent of social distancing and donning masks have proved effective. Many public fitness officers preserve altering their mind on how to tackle the pandemic. The economists say that it's time to get the economic climate up and relocating. They can not continue to be in a long-time period lockdown. it's additionally no longer first rate for their personal fitness. The statistics on suicide, mental fitness issues, home violence, divorce are out of handle. I do not feel Biden’s statement was decent for his campaign. The idea of one more lockdown scared lots of people.

we now have also seen that, below the lockdown, there are a lot of people who haven't been capable of get timely cancer screenings, biopsies, or treatment for early warning indications concerning coronary heart and stroke issues. The number of people that have become treated for these conditions is way down because of the pandemic. Many individuals are afraid to head to the medical professional or go to the medical institution. here is going to have a extremely bad influence on cancer survival charges. The U.S. has the gold standard five-year cancer survival prices for the most usual cancers of any nation in the industrialized world.

VN: Do you consider that Trump could or should institute a countrywide policy round COVID? If there turned into one, what would or not it's?

SP: Trump signed the govt Order remaining year permitting for personal-public partnerships between drug companies and federal government’s businesses like the NIH as they search for a vaccine to eradicate Covid-19. It changed into President Trump who early on within the pandemic stopped americans traveling to and from China. most of the exact public fitness officers went in opposition t him but he become correct to have completed that. He has completed and continues to do what he can and what he thinks is the right path for the nation.

I don't think they need a country wide coverage on COVID. States should still have the correct to make decisions particular to their state. They deserve to encourage individuals to socially distance and to wear their masks. lots of younger individuals don't want to do both, but it is the right aspect to do if we're going to get the pandemic below control and their society again on track. They don’t need a country wide policy, however they do should continue the controversy and discussion about most beneficial practices for the economic climate, their health, and for the future growth of their country.

VN: should attaining herd immunity be a policy aim? might that be a national goal?

SP: there may be so much that they need to study concerning the virus, but what they do be aware of is that in big apple Cuomo made a mistake in inserting all these individuals into nursing buildings, as a result of 80 p.c of the deaths from COVID around the nation, above all in new york and New Jersey, are americans over the age of 65. They should center of attention on the population of individuals who are more likely to get COVID and who usually tend to now not or who will recover from it directly. So many young people either had it and didn’t comprehend they had it or they had it and they got over it very right now, within per week or so, like they had a gentle type of the flu. So, I have no idea. The true difficulty is how you take care of the aged, who are so liable to pandemics. in case you put them into, say, nursing homes or assisted dwelling facilities, it really is the place the real difficulty became.

VN: schooling is an additional a part of the social determinants of fitness. What are your concepts on charter colleges? Do they aid bridge inequality?

SP: fully. Economist and creator Thomas Sowell at Stanford’s Hoover institution, who I completely adore, has a good new ebook out charter colleges and Their Enemies. Sowell, an African-American, explains how constitution faculties have helped so many young americans get a top quality schooling—one that suits their needs. Yet, the teachers’ unions try to destroy charter faculties. The legislature in California, backed by way of the effective teachers’ union in the state is doing every thing it could actually to destroy constitution colleges. The union participants don't like parents having the option as to what form of faculty their children attend and what kind of schooling they will get. I have been a huge supporter of charter faculties and faculty alternative for a long time. And the President and his family have spoken out in want of faculty choice. It could be a big part of his agenda on the campaign path.

VN: training ties into COVID as well, with many states battling the idea of even if or no longer to reopen schools. If colleges stay closed, does that disproportionately hurt underserved communities? Which candidate is most fulfilling addressing that challenge?

SP: I’m very a whole lot in favor of colleges reopening and the President has made that very clear. We’ve bought examples of faculties that reopened in Denmark and in Germany and that they have had no problems. As they now have seen in the COVID stats, the cost of getting COVID amongst young individuals, in ok-12, is terribly low. In loads of the underserved communities, fogeys work in jobs the place they have to go to work, they can not telecommute, they can't afford daycare, and that they don't have the form of WiFi and machine at domestic that is required for their toddlers’s schooling. they have a problem with the nice of their okay-12 education gadget. The U.S. should have smartly proficient students to fill their jobs and to compete with students in different nations like China and India the place their check scores are a good deal improved, notably in the STEM topics. They desire faculties to be specializing in the considerations which are going to prepare them for the 21st century labor force.

The one dimension matches all mannequin has not labored and it will now not work. They noticed within the 2018 gubernatorial election in Florida Republican Ron DeSantis, a supporter of faculty choice, won against Andrew Gillum, the Democratic mayor of Tallahassee who became against school option and charters. Many African American and Latino voters supported DeSantis as a result of he became providing more suitable education alternatives.

VN: Which of both candidates do you see as being enhanced for underserved communities, certainly those hardest hit by means of the pandemic?

SP: Trump has noted in many speeches, and Betsy De Vos, his Secretary of education, is terribly much in favor of charter colleges and college alternative. They need to provide parents the possibility to provide their babies the premiere schooling that meets their needs. Joe Biden desires to provide into the trainer unions and dispose of choice options. we've seen in California, under the pandemic, that the unions are very plenty towards opening up the schools, when the scientific evidence assisting persevered faculty closures is not there. Many European nations spread out the schools and the outcomes have been very tremendous. They need to get their kids in k-12 and in college to get a good training to be organized for this 21st century personnel.

(graphic supply: therealdeal.com)


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3COM [8 Certification Exam(s) ]
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ACFE [1 Certification Exam(s) ]
ACI [3 Certification Exam(s) ]
Acme-Packet [1 Certification Exam(s) ]
ACSM [4 Certification Exam(s) ]
ACT [1 Certification Exam(s) ]
Admission-Tests [19 Certification Exam(s) ]
ADOBE [102 Certification Exam(s) ]
AFP [1 Certification Exam(s) ]
AICPA [5 Certification Exam(s) ]
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Alcatel-Lucent [16 Certification Exam(s) ]
Alfresco [3 Certification Exam(s) ]
Alibaba [1 Certification Exam(s) ]
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AMA [1 Certification Exam(s) ]
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American-College [2 Certification Exam(s) ]
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APA [1 Certification Exam(s) ]
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Apple [72 Certification Exam(s) ]
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ASTQB [11 Certification Exam(s) ]
Atlassian [2 Certification Exam(s) ]
Autodesk [2 Certification Exam(s) ]
Avaya [107 Certification Exam(s) ]
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Axis [2 Certification Exam(s) ]
Banking [1 Certification Exam(s) ]
BEA [6 Certification Exam(s) ]
BICSI [2 Certification Exam(s) ]
BlackBerry [17 Certification Exam(s) ]
BlockChain [4 Certification Exam(s) ]
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Certification-Board [20 Certification Exam(s) ]
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Magento [4 Certification Exam(s) ]
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McAfee [9 Certification Exam(s) ]
McData [3 Certification Exam(s) ]
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Microsoft [419 Certification Exam(s) ]
Mile2 [3 Certification Exam(s) ]
Military [10 Certification Exam(s) ]
Misc [2 Certification Exam(s) ]
Motorola [7 Certification Exam(s) ]
MuleSoft [3 Certification Exam(s) ]
mySQL [4 Certification Exam(s) ]
NBSTSA [1 Certification Exam(s) ]
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NCIDQ [1 Certification Exam(s) ]
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Network-General [12 Certification Exam(s) ]
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NIELIT [1 Certification Exam(s) ]
Nokia [8 Certification Exam(s) ]
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OMG [10 Certification Exam(s) ]
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PayPal [1 Certification Exam(s) ]
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Polycom [2 Certification Exam(s) ]
PostgreSQL-CE [1 Certification Exam(s) ]
Prince2 [7 Certification Exam(s) ]
PRMIA [2 Certification Exam(s) ]
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PTCB [2 Certification Exam(s) ]
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Qlik [2 Certification Exam(s) ]
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RES [5 Certification Exam(s) ]
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Sair [8 Certification Exam(s) ]
Salesforce [20 Certification Exam(s) ]
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SAP [98 Certification Exam(s) ]
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See-Beyond [1 Certification Exam(s) ]
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Siemens [1 Certification Exam(s) ]
Snia [7 Certification Exam(s) ]
SOA [15 Certification Exam(s) ]
Social-Work-Board [4 Certification Exam(s) ]
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SUN [63 Certification Exam(s) ]
SUSE [1 Certification Exam(s) ]
Sybase [17 Certification Exam(s) ]
Symantec [137 Certification Exam(s) ]
Teacher-Certification [4 Certification Exam(s) ]
The-Open-Group [8 Certification Exam(s) ]
TIA [3 Certification Exam(s) ]
Tibco [19 Certification Exam(s) ]
Trainers [3 Certification Exam(s) ]
Trend [1 Certification Exam(s) ]
TruSecure [1 Certification Exam(s) ]
USMLE [1 Certification Exam(s) ]
VCE [7 Certification Exam(s) ]
Veeam [2 Certification Exam(s) ]
Veritas [34 Certification Exam(s) ]
Vmware [77 Certification Exam(s) ]
Watchguard [1 Certification Exam(s) ]
Wonderlic [2 Certification Exam(s) ]
Worldatwork [3 Certification Exam(s) ]
XML-Master [3 Certification Exam(s) ]
Zend [6 Certification Exam(s) ]

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