<div dir="ltr"><div class="gmail_default" style="font-size:large"><br></div><br><div class="gmail_quote"><div dir="ltr" class="gmail_attr">---------- Forwarded message ---------<br>From: <span dir="auto"><<a href="mailto:dlegge@phmovement.org" target="_blank">dlegge@phmovement.org</a>></span><br>Date: Fri, Jan 19, 2024 at 1:56 PM<br></div><br><div><div bgcolor="#FAFAFA" link="blue" vlink="purple" style="word-wrap:break-word" lang="EN-AU"><div><div align="center"><table style="width:154.62%;background:#fafafa;border-collapse:collapse" width="154%" cellspacing="0" cellpadding="0" border="0"><tbody><tr><td style="width:100.0%;padding:7.5pt 7.5pt 7.5pt 7.5pt" width="100%" valign="top"><div align="center"><table style="width:450.0pt;border-collapse:collapse" width="600" cellspacing="0" cellpadding="0" border="0"><tbody><tr><td style="width:450.0pt;padding:0cm 0cm 0cm 0cm" width="600" valign="top"><div align="center"><table style="max-width:450.0pt;border-collapse:collapse" cellspacing="0" cellpadding="0" border="0"><tbody><tr><td style="background:#fafafa;padding:6.75pt 0cm 6.75pt 0cm" valign="top"><table style="width:100.0%;border-collapse:collapse" width="100%" cellspacing="0" cellpadding="0" border="0"><tbody><tr><td style="padding:6.75pt 0cm 0cm 0cm" valign="top"><table style="width:100.0%;border-collapse:collapse" width="100%" cellspacing="0" cellpadding="0" border="0" align="left"><tbody><tr><td style="width:450.0pt;padding:0cm 0cm 0cm 0cm" width="600" valign="top"><table style="width:100.0%;border-collapse:collapse" width="100%" cellspacing="0" cellpadding="0" border="0" align="left"><tbody><tr><td style="padding:0cm 13.5pt 6.75pt 13.5pt" valign="top"><p class="MsoNormal" style="text-align:center" align="center"><span style="font-size:9.0pt;font-family:"Tahoma",sans-serif;color:#656565"><a href="https://mailchi.mp/phmovement/eb15406uhc?e=5f3cea0f3e" target="_blank"><span style="color:#656565">View this email in your browser</span></a><u></u><u></u></span></p></td></tr></tbody></table></td></tr></tbody></table></td></tr></tbody></table></td></tr><tr><td style="background:white;padding:6.75pt 0cm 0cm 0cm;background:cover;background-size:cover" id="m_-9133275833024718837m_-7589253854573391588templateHeader" valign="top"><table style="width:100.0%;border-collapse:collapse;min-width:100%" width="100%" cellspacing="0" cellpadding="0" border="0"><tbody><tr><td style="padding:6.75pt 6.75pt 6.75pt 6.75pt;min-width:100%" valign="top"><table style="width:100.0%;border-collapse:collapse" width="100%" cellspacing="0" cellpadding="0" border="0" align="left"><tbody><tr><td style="padding:0cm 6.75pt 0cm 6.75pt;min-width:100%" valign="top"><p class="MsoNormal" style="text-align:center" align="center"><img style="width:5.875in;height:3.2083in" id="m_-9133275833024718837m_-7589253854573391588_x0000_i1030" src="https://mcusercontent.com/559d715f58f654accf3de987e/images/0b1bd6d2-85d4-c0fe-ef58-a4a1ab9cc235.jpg" width="564" height="308" border="0"><u></u><u></u></p></td></tr></tbody></table></td></tr></tbody></table></td></tr><tr><td style="border:none;border-bottom:solid #eaeaea 1.5pt;background:white;padding:0cm 0cm 6.75pt 0cm;background:cover;background-size:cover" id="m_-9133275833024718837m_-7589253854573391588templateBody" valign="top"><table style="width:100.0%;border-collapse:collapse;min-width:100%" width="100%" cellspacing="0" cellpadding="0" border="0"><tbody><tr><td style="padding:6.75pt 0cm 0cm 0cm;min-width:100%" valign="top"><table style="width:100.0%;border-collapse:collapse" width="100%" cellspacing="0" cellpadding="0" border="0" align="left"><tbody><tr><td style="width:450.0pt;padding:0cm 0cm 0cm 0cm;max-width:100%;min-width:100%" width="600" valign="top"><table style="width:100.0%;border-collapse:collapse;word-break:break-word" width="100%" cellspacing="0" cellpadding="0" border="0" align="left"><tbody><tr><td style="padding:0cm 13.5pt 6.75pt 13.5pt" valign="top"><h1 style="text-align:center" align="center">Universal health coverage stalls while financial protection goes backwards<u></u><u></u></h1><h2 style="text-align:center" align="center">Is WHO contributing to the reinvention of structural adjustment?<u></u><u></u></h2><p class="MsoNormal" style="margin-right:0cm;margin-bottom:7.5pt;margin-left:0cm"><span style="font-size:9.0pt;font-family:"Tahoma",sans-serif;color:#202020">The world is well off track in terms of achieving the 2030 global targets for 'universal health coverage'. Almost two billion people, or about one fourth of the world’s population, experienced catastrophic health spending or impoverishment due to healthcare costs according to the most recent data available (2019).  Financial protection has gone backwards since 2000. The (extremely basic) service coverage indicator has stagnated since 2015.<br><br>UH WHO's Executive Board will review the global failure to progress C at its meeting in Geneva from 22 January 2024.<br><br>The report which the Board will consider (<a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=fce8d40be2&e=5f3cea0f3e" target="_blank"><span style="color:#007c89">EB154/6</span></a>) does not explore the reasons for the failure of WHO’s UHC strategy. Instead, it calls for “re-doubling efforts to accelerate progress towards UHC” and repeats all the earlier policy mantras. It calls for redoubled effort from countries, from the big ‘development assistance’ funders and, now, from the international development banks.<br><br>The People’s Health Movement holds that this is not just a failure of implementation but a failure of strategy, as rolled out across most low- and-middle-income countries. What was required was the strengthening of publicly funded and publicly administered healthcare services, where the services are provided as public goods. Such a strategy finds little space in the UHC discourse. Instead ‘universal health coverage' has been used to promote publicly sponsored health insurance with strategic purchasing of a very limited package of essential services from a mix of service providers, complemented by a marketplace of private health insurance plans and private providers for services beyond the package.<br><br>This marketised, privatised model of UHC is completely consistent with neoliberal policy prescriptions for restricting the need for public spending on health and other public goods in order to limit taxation and free up revenues to service national debt.  The consequence of such policies includes the growth of an unregulated private sector.<br><br>In order to retain a semblance of legitimacy the neoliberal program endorses a series of vertical programs of disease control, which fragment health systems, overburden governments with application and reporting bureaucracy and involve the purchase of large quantities of increasingly expensive medicines, diagnostics and vaccines from big pharma. This leaves less and less funding for strengthening comprehensive primary healthcare. <br><br>In an apparent response to the lack of financing for PHC, the new report presents a new initiative called Health Impact Investment Platform which involves the African Development Bank, the European Investment Bank, Islamic Development Bank and the Inter-American Development Bank, joining hands to make an initial €1.5 billion available to LICs and LMICs in concessional loans and grants to extend the reach and scope of their PHC services.<br><br>WHO country offices are being incentivized with liberal project funds to write-up financing proposals that countries will then sign on to. While it comes with high sounding politically correct affirmations of the importance of primary health care, it overlooks the fact that most LMICs are already deeply indebted, and this will only add to their indebtedness. Most countries are paying more for debt servicing than on welfare.<br><br>Some of these banks are already supporting corporate investment in healthcare, through private sector arms – like IFC in the case of the World Bank. Meanwhile the inclusion of investor state dispute settlement clauses in many bilateral and plurilateral treaties can greatly reduce the policy space available to governments for promoting quality, efficiency and equitable resource allocation.<br><br>The structural adjustment regime from the 1980s is being reinvented, with WHO support, through unsustainable debt, and conditional bailouts.<br><br>The UHC Report is also remarkable for its silences. The most notable of these is the challenge of access to essential medicines at affordable rates within the current global policy structure.<br><br>PHM calls on WHO to bring forward alternatives to the UHC model based on a conceptualization of primary health care as a public good. This will require that the delivery of care is dominated by public providers with public accountability for the quality, efficiency, equitable resource allocation and population health-oriented health care. Financing must remain tax based or social insurance with a progressive movement towards single payer funding.<br><br>The policies that are called for include: (a) an increase in health funding, (b) the efficient and equitable use of such funding, (c) the strengthening of the health and care workforce, and (d) the expansion of primary health services and the orientation of health systems towards a primary health care approach. These have not been put in place or taken to the scale required.<u></u><u></u></span></p></td></tr></tbody></table></td></tr></tbody></table></td></tr></tbody></table><p class="MsoNormal"><u></u> <u></u></p><table style="width:100.0%;border-collapse:collapse;min-width:100%" width="100%" cellspacing="0" cellpadding="0" border="0"><tbody><tr><td style="padding:6.75pt 0cm 0cm 0cm" valign="top"><table style="width:100.0%;border-collapse:collapse" width="100%" cellspacing="0" cellpadding="0" border="0" align="left"><tbody><tr><td style="width:450.0pt;padding:0cm 0cm 0cm 0cm;max-width:100%;min-width:100%" width="600" valign="top"><table style="width:100.0%;border-collapse:collapse;word-break:break-word" width="100%" cellspacing="0" cellpadding="0" border="0" align="left"><tbody><tr><td style="padding:0cm 13.5pt 6.75pt 13.5pt" valign="top"><p class="MsoNormal" style="margin-right:0cm;margin-bottom:7.5pt;margin-left:0cm"><span style="font-size:9.0pt;font-family:"Tahoma",sans-serif;color:#202020">The full <a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=6301f1dae4&e=5f3cea0f3e" target="_blank"><span style="color:#007c89">PHM commentary on this item</span></a> provides a more detail and references.  See also Tracker links to <a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=49001a8a94&e=5f3cea0f3e" target="_blank"><span style="color:#007c89">previous discussions of UHC</span></a>.<u></u><u></u></span></p><p class="MsoNormal" style="margin-right:0cm;margin-bottom:7.5pt;margin-left:0cm"><span style="font-size:9.0pt;font-family:"Tahoma",sans-serif;color:#202020">The WHO Tracker and PHM item commentaries are produced as part of <b><span style="font-family:"Tahoma",sans-serif">WHO Watch</span></b> which is a project of the <a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=6f16b19913&e=5f3cea0f3e" target="_blank"><span style="color:#007c89">People's Health Movement</span></a> in association with <a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=d0b995317e&e=5f3cea0f3e" target="_blank"><span style="color:#007c89">Medicus Mundi International</span></a>, <a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=8acf0fafe4&e=5f3cea0f3e" target="_blank"><span style="color:#007c89">Third World Network</span></a> and a number of other civil society networks. WHO Watch contributes to democratising global health governance, through new alliances, new information flows and by broadening the policy discourse.<u></u><u></u></span></p><p class="MsoNormal" style="margin-right:0cm;margin-bottom:7.5pt;margin-left:0cm"><span style="font-size:9.0pt;font-family:"Tahoma",sans-serif;color:#202020">See the WHO Tracker page for this EB154 session (<a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=10b3c94718&e=5f3cea0f3e" target="_blank"><span style="color:#007c89">here</span></a>). See PHM’s <a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=ca56980439&e=5f3cea0f3e" target="_blank"><span style="color:#007c89">integrated commentary</span></a> on the full agenda of EB154 or read the <a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=dbbb1f2a2d&e=5f3cea0f3e" target="_blank"><span style="color:#007c89">flipbook version</span></a>. To ensure that you receive Update Alerts <a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=a7ddb73e96&e=5f3cea0f3e" target="_blank"><span style="color:#007c89">subscribe</span></a> to the Updater. <br><br>You can support WHO Watch by forwarding this Item Alert, by publicising the <a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=4bfd2667ab&e=5f3cea0f3e" target="_blank"><span style="color:#007c89">Tracker</span></a>, by inviting others to <a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=87c2d66929&e=5f3cea0f3e" target="_blank"><span style="color:#007c89">subscribe to GHG Reports</span></a>; and by following us on social media via @PHMglobal and @WorldHealthWatch.<u></u><u></u></span></p><p class="MsoNormal" style="margin-right:0cm;margin-bottom:7.5pt;margin-left:0cm"><span style="font-size:9.0pt;font-family:"Tahoma",sans-serif;color:#202020">To provide feedback on this newsletter please write to <a href="mailto:editor@phmovement.org" target="_blank"><span style="color:#007c89">editor@phmovement.org</span></a>.<u></u><u></u></span></p></td></tr></tbody></table></td></tr></tbody></table></td></tr></tbody></table></td></tr><tr><td style="background:#fafafa;padding:6.75pt 0cm 6.75pt 0cm;background:cover;background-size:cover" id="m_-9133275833024718837m_-7589253854573391588templateFooter" valign="top"><table style="width:100.0%;border-collapse:collapse;min-width:100%" width="100%" cellspacing="0" cellpadding="0" border="0"><tbody><tr><td style="padding:6.75pt 6.75pt 6.75pt 6.75pt;min-width:100%" valign="top"><div align="center"><table style="width:100.0%;border-collapse:collapse" width="100%" cellspacing="0" cellpadding="0" border="0"><tbody><tr><td style="padding:0cm 6.75pt 0cm 6.75pt;min-width:100%"><div align="center"><table style="width:100.0%;border-collapse:collapse" width="100%" cellspacing="0" cellpadding="0" border="0"><tbody><tr><td style="padding:6.75pt 6.75pt 0cm 6.75pt;min-width:100%" valign="top"><div align="center"><table style="border-collapse:collapse" cellspacing="0" cellpadding="0" border="0"><tbody><tr><td style="padding:0cm 0cm 0cm 0cm" valign="top"><div align="center"><table style="border-collapse:collapse" cellspacing="0" cellpadding="0" border="0"><tbody><tr><td style="padding:0cm 0cm 0cm 0cm" valign="top"><table style="border-collapse:collapse" cellspacing="0" cellpadding="0" border="0" align="left"><tbody><tr><td style="padding:0cm 7.5pt 6.75pt 0cm" valign="top"><table style="width:100.0%;border-collapse:collapse" width="100%" cellspacing="0" cellpadding="0" border="0"><tbody><tr><td style="padding:3.75pt 7.5pt 3.75pt 6.75pt"><table style="border-collapse:collapse" width="0" cellspacing="0" cellpadding="0" border="0" align="left"><tbody><tr><td style="width:18.0pt;padding:0cm 0cm 0cm 0cm" width="24"><p class="MsoNormal" style="text-align:center" align="center"><a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=908e3e6f57&e=5f3cea0f3e" target="_blank"><span style="text-decoration:none"><img style="width:.25in;height:.25in" id="m_-9133275833024718837m_-7589253854573391588_x0000_i1029" src="https://cdn-images.mailchimp.com/icons/social-block-v2/color-link-48.png" alt="WHO Tracker" width="24" height="24" border="0"></span></a><u></u><u></u></p></td></tr></tbody></table></td></tr></tbody></table></td></tr></tbody></table></td><td style="padding:0cm 0cm 0cm 0cm" valign="top"><table style="border-collapse:collapse" cellspacing="0" cellpadding="0" border="0" align="left"><tbody><tr><td style="padding:0cm 7.5pt 6.75pt 0cm" valign="top"><table style="width:100.0%;border-collapse:collapse" width="100%" cellspacing="0" cellpadding="0" border="0"><tbody><tr><td style="padding:3.75pt 7.5pt 3.75pt 6.75pt"><table style="border-collapse:collapse" width="0" cellspacing="0" cellpadding="0" border="0" align="left"><tbody><tr><td style="width:18.0pt;padding:0cm 0cm 0cm 0cm" width="24"><p class="MsoNormal" style="text-align:center" align="center"><a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=5c8acaf8e9&e=5f3cea0f3e" target="_blank"><span style="text-decoration:none"><img style="width:.25in;height:.25in" id="m_-9133275833024718837m_-7589253854573391588_x0000_i1028" src="https://cdn-images.mailchimp.com/icons/social-block-v2/color-twitter-48.png" alt="PHM Global" width="24" height="24" border="0"></span></a><u></u><u></u></p></td></tr></tbody></table></td></tr></tbody></table></td></tr></tbody></table></td><td style="padding:0cm 0cm 0cm 0cm" valign="top"><table style="border-collapse:collapse" cellspacing="0" cellpadding="0" border="0" align="left"><tbody><tr><td style="padding:0cm 7.5pt 6.75pt 0cm" valign="top"><table style="width:100.0%;border-collapse:collapse" width="100%" cellspacing="0" cellpadding="0" border="0"><tbody><tr><td style="padding:3.75pt 7.5pt 3.75pt 6.75pt"><table style="border-collapse:collapse" width="0" cellspacing="0" cellpadding="0" border="0" align="left"><tbody><tr><td style="width:18.0pt;padding:0cm 0cm 0cm 0cm" width="24"><p class="MsoNormal" style="text-align:center" align="center"><a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=05cd3a48e8&e=5f3cea0f3e" target="_blank"><span style="text-decoration:none"><img style="width:.25in;height:.25in" id="m_-9133275833024718837m_-7589253854573391588_x0000_i1027" src="https://cdn-images.mailchimp.com/icons/social-block-v2/color-facebook-48.png" alt="PHM Global" width="24" height="24" border="0"></span></a><u></u><u></u></p></td></tr></tbody></table></td></tr></tbody></table></td></tr></tbody></table></td><td style="padding:0cm 0cm 0cm 0cm" valign="top"><table style="border-collapse:collapse" cellspacing="0" cellpadding="0" border="0" align="left"><tbody><tr><td style="padding:0cm 0cm 6.75pt 0cm" valign="top"><table style="width:100.0%;border-collapse:collapse" width="100%" cellspacing="0" cellpadding="0" border="0"><tbody><tr><td style="padding:3.75pt 7.5pt 3.75pt 6.75pt"><table style="border-collapse:collapse" width="0" cellspacing="0" cellpadding="0" border="0" align="left"><tbody><tr><td style="width:18.0pt;padding:0cm 0cm 0cm 0cm" width="24"><p class="MsoNormal" style="text-align:center" align="center"><a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=4336ee88ff&e=5f3cea0f3e" target="_blank"><span style="text-decoration:none"><img style="width:.25in;height:.25in" id="m_-9133275833024718837m_-7589253854573391588_x0000_i1026" src="https://cdn-images.mailchimp.com/icons/social-block-v2/color-link-48.png" alt="PHM" width="24" height="24" border="0"></span></a><u></u><u></u></p></td></tr></tbody></table></td></tr></tbody></table></td></tr></tbody></table></td></tr></tbody></table></div></td></tr></tbody></table></div></td></tr></tbody></table></div></td></tr></tbody></table></div></td></tr></tbody></table><p class="MsoNormal"><u></u> <u></u></p><table style="width:100.0%;border-collapse:collapse;min-width:100%" width="100%" cellspacing="0" cellpadding="0" border="0"><tbody><tr><td style="padding:7.5pt 13.5pt 18.75pt 13.5pt;min-width:100%"><table style="width:100.0%;border-collapse:collapse;border:none;min-width:100%" width="100%" cellspacing="0" cellpadding="0" border="1"><tbody><tr><td style="border:none;border-top:solid #eeeeee 1.5pt;padding:0cm 0cm 0cm 0cm;min-width:100%"></td></tr></tbody></table></td></tr></tbody></table><p class="MsoNormal"><u></u> <u></u></p><table style="width:100.0%;border-collapse:collapse;min-width:100%" width="100%" cellspacing="0" cellpadding="0" border="0"><tbody><tr><td style="padding:6.75pt 0cm 0cm 0cm" valign="top"><table style="width:100.0%;border-collapse:collapse" width="100%" cellspacing="0" cellpadding="0" border="0" align="left"><tbody><tr><td style="width:450.0pt;padding:0cm 0cm 0cm 0cm;max-width:100%;min-width:100%" width="600" valign="top"><table style="width:100.0%;border-collapse:collapse;word-break:break-word" width="100%" cellspacing="0" cellpadding="0" border="0" align="left"><tbody><tr><td style="padding:0cm 13.5pt 6.75pt 13.5pt" valign="top"><p class="MsoNormal" style="text-align:center;line-height:150%" align="center"><i><span style="font-size:9.0pt;line-height:150%;font-family:"Helvetica",sans-serif;color:#656565">Copyright © 2020 People's Health Movement, All rights reserved.</span></i><span style="font-size:9.0pt;line-height:150%;font-family:"Helvetica",sans-serif;color:#656565"><br>You are receiving this email because you subscribed to the WHO Watch Newsletter.<br>Not subscribed? Sign up <a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=22c580b3d6&e=5f3cea0f3e" target="_blank">here</a>.<br><br><b><span style="font-family:"Helvetica",sans-serif">Our mailing address is:</span></b><u></u><u></u></span></p><div><p class="MsoNormal" style="text-align:center;line-height:150%" align="center"><span><span style="font-size:9.0pt;line-height:150%;font-family:"Helvetica",sans-serif;color:#656565">WHO Tracker / People's Health Movement</span></span><span style="font-size:9.0pt;line-height:150%;font-family:"Helvetica",sans-serif;color:#656565"><u></u><u></u></span></p><div><div><p class="MsoNormal" style="text-align:center;line-height:150%" align="center"><span style="font-size:9.0pt;line-height:150%;font-family:"Helvetica",sans-serif;color:#656565">PHM c/- Viva Salud<u></u><u></u></span></p></div><div><p class="MsoNormal" style="text-align:center;line-height:150%" align="center"><span style="font-size:9.0pt;line-height:150%;font-family:"Helvetica",sans-serif;color:#656565">Chaussee de Haecht 53<u></u><u></u></span></p></div><p class="MsoNormal" style="text-align:center;line-height:150%" align="center"><span><span style="font-size:9.0pt;line-height:150%;font-family:"Helvetica",sans-serif;color:#656565">Brussels</span></span><span style="font-size:9.0pt;line-height:150%;font-family:"Helvetica",sans-serif;color:#656565"> <span>B-1210</span> <u></u><u></u></span></p><div><p class="MsoNormal" style="text-align:center;line-height:150%" align="center"><span style="font-size:9.0pt;line-height:150%;font-family:"Helvetica",sans-serif;color:#656565">Belgium<u></u><u></u></span></p></div></div><p class="MsoNormal" style="text-align:center;line-height:150%" align="center"><span style="font-size:9.0pt;line-height:150%;font-family:"Helvetica",sans-serif;color:#656565"><br><a href="https://phmovement.us20.list-manage.com/vcard?u=559d715f58f654accf3de987e&id=8f92c15adf" target="_blank"><span style="color:#656565">Add us to your address book</span></a><u></u><u></u></span></p></div><p class="MsoNormal" style="text-align:center;line-height:150%" align="center"><span style="font-size:9.0pt;line-height:150%;font-family:"Helvetica",sans-serif;color:#656565"><br><br>Want to change how you receive these emails?<br><a href="https://phmovement.us20.list-manage.com/profile?u=559d715f58f654accf3de987e&id=8f92c15adf&e=5f3cea0f3e&c=4bf6eb49c9" target="_blank"><span style="color:#656565">Update your preferences</span></a> or <a href="https://phmovement.us20.list-manage.com/unsubscribe?u=559d715f58f654accf3de987e&id=8f92c15adf&e=5f3cea0f3e&c=4bf6eb49c9" target="_blank"><span style="color:#656565">unsubscribe from this list</span></a>. <u></u><u></u></span></p></td></tr></tbody></table></td></tr></tbody></table></td></tr></tbody></table></td></tr></tbody></table></div></td></tr></tbody></table></div></td></tr></tbody></table></div><p class="MsoNormal"><img style="width:.0104in;height:.0104in" id="m_-9133275833024718837m_-7589253854573391588_x0000_i1025" src="https://phmovement.us20.list-manage.com/track/open.php?u=559d715f58f654accf3de987e&id=4bf6eb49c9&e=5f3cea0f3e" width="1" height="1" border="0">
</p></div></div></div></div></div>