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We were also concerned about the ability of MCI/WorldCom to thwart the development of an effective competitor in the local service market, and over the long-term threat to competition posed by the emergence of a dominant market player in the long-haul market. The merger would have combined MCI's and WorldCom's high-speed access networks, thus allowing MCI/WorldCom to continue to be a dominant local provider. In addition, it would have maintained the status quo with regard to the interconnection arrangements between local service carriers and MCI/WorldCom. The merger would have allowed the new company to provide both local service access and long distance telephone service, including Internet access, in the same markets. Because the combined entity would have been the dominant local service provider, it would have been able to extract higher fees, or to provide inferior services, than the new competitor. MCI/WorldCom's high-speed access network covered about 30% of the United States, with WorldCom owning about 40% of that market. There was no reason to believe that MCI/WorldCom would allow the new competitor to enter the market and gain a foothold. In addition, we were concerned about the threat posed by MCI/WorldCom to the development of a new competitor in the long-haul market.

The implementation of IMCI is quite a challenge, especially in the developing countries. A main reason for that is that it is time-consuming, especially in the countries that have large number of patients with sickle cell anemia. Good support for these children is needed. This is crucial as they are living long lives and need many healthcare services. The best way to help this is to educate the people on how to help themselves and how to protect them. The educators can help the people to help themselves and protect themselves. WHO has developed many manuals. There is also an online form to help the people to learn more about how to protect themselves. The manuals and form will be available on the World Health Organization website. The people can learn from these manuals and do their own research. This will help them to protect themselves.

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