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France Weighs Its Love of Liberty in Fight Against Coronavirus | France Weighs Its Love of Liberty in Fight Against Coronavirus |
(3 days later) | |
PARIS — As France sought clues last month on how to tame the coronavirus, experts looked at one tool that has been central to the strategy of some Asian nations: digital tracking. Citing threats to “individual liberties,” the powerful interior minister dismissed it as alien to “French culture.” | PARIS — As France sought clues last month on how to tame the coronavirus, experts looked at one tool that has been central to the strategy of some Asian nations: digital tracking. Citing threats to “individual liberties,” the powerful interior minister dismissed it as alien to “French culture.” |
But three weeks — and a tenfold spike in deaths — later, French culture could be changing, along with those of other Western democracies as they struggle to adjust the balance between personal privacy and the public good while attempting to reopen their societies and economies without setting off another wave of coronavirus infections. | But three weeks — and a tenfold spike in deaths — later, French culture could be changing, along with those of other Western democracies as they struggle to adjust the balance between personal privacy and the public good while attempting to reopen their societies and economies without setting off another wave of coronavirus infections. |
In Italy, politicians have proposed blood tests to detect antibodies to the virus before licensing people to leave their lockdowns. President Trump may push for hiring hundreds of people to perform contact tracing as part of his effort to allow Americans to go back to work and school. | In Italy, politicians have proposed blood tests to detect antibodies to the virus before licensing people to leave their lockdowns. President Trump may push for hiring hundreds of people to perform contact tracing as part of his effort to allow Americans to go back to work and school. |
And in France, as President Emmanuel Macron extended a nationwide lockdown by at least another month this week, he said his government was considering using a smartphone tracking app that would inform people if they have come in contact with an infected person. | And in France, as President Emmanuel Macron extended a nationwide lockdown by at least another month this week, he said his government was considering using a smartphone tracking app that would inform people if they have come in contact with an infected person. |
Such steps are particularly fraught in Europe, the continent with the world’s toughest online privacy rules. | Such steps are particularly fraught in Europe, the continent with the world’s toughest online privacy rules. |
The fight against fascism and communism in the 20th century left societies wary of the intrusions of authoritarian power. That is true from Eastern Europe, through Germany and Italy. France, where the nation’s values sprang from revolution against monarchy, is particularly attached to notions of individual rights. | The fight against fascism and communism in the 20th century left societies wary of the intrusions of authoritarian power. That is true from Eastern Europe, through Germany and Italy. France, where the nation’s values sprang from revolution against monarchy, is particularly attached to notions of individual rights. |
“It has to do with French history and a sensitivity to freedom that is inherent to French culture,” Cédric O, who is spearheading the development of the app as France’s junior minister in charge of digital affairs, said in an interview. | “It has to do with French history and a sensitivity to freedom that is inherent to French culture,” Cédric O, who is spearheading the development of the app as France’s junior minister in charge of digital affairs, said in an interview. |
Even so, recent experience in Asia shows that comprehensive tracing of infection chains, along with aggressive testing, has proved critical to fighting the pandemic, which is calling into question a host of Western assumptions, whether the use of digital tracking or the wearing of face masks. | Even so, recent experience in Asia shows that comprehensive tracing of infection chains, along with aggressive testing, has proved critical to fighting the pandemic, which is calling into question a host of Western assumptions, whether the use of digital tracking or the wearing of face masks. |
With nearly 18,000 official deaths, France’s toll is surpassed only by that of Italy and Spain, which have also prolonged restrictions on their populations, and the United States. But the authorities are cautiously optimistic that the worst is over. | With nearly 18,000 official deaths, France’s toll is surpassed only by that of Italy and Spain, which have also prolonged restrictions on their populations, and the United States. But the authorities are cautiously optimistic that the worst is over. |
As the country, like others, struggles to find a way out of a lockdown that is now entering its second month and has kept a population of 67 million confined to their homes and paralyzed its economy, options that once seemed unfathomable have steadily become more palatable. | As the country, like others, struggles to find a way out of a lockdown that is now entering its second month and has kept a population of 67 million confined to their homes and paralyzed its economy, options that once seemed unfathomable have steadily become more palatable. |
“We gave up an absolutely fundamental freedom, that of movement, while most of the Asian countries chose instead to be much more coercive on the individuals,” said Gilles Babinet, vice president of the French Digital Council, a commission that advises the French government. | “We gave up an absolutely fundamental freedom, that of movement, while most of the Asian countries chose instead to be much more coercive on the individuals,” said Gilles Babinet, vice president of the French Digital Council, a commission that advises the French government. |
Mr. Babinet said there was more to learn from Asian democracies, like South Korea, whose use of intrusive digital tracking has helped it avoid imposing the kind of strict lockdowns experienced in Europe. | Mr. Babinet said there was more to learn from Asian democracies, like South Korea, whose use of intrusive digital tracking has helped it avoid imposing the kind of strict lockdowns experienced in Europe. |
“You must have a device that is both coercive to those infected and as gentle as possible to the others,” Mr. Babinet said. | “You must have a device that is both coercive to those infected and as gentle as possible to the others,” Mr. Babinet said. |
So far, many Asian governments have handled the crisis by limiting deaths to a fraction of those suffered in the West. In most cases, that was done not by resorting to debilitating nationwide lockdowns, but rather in part by employing digital tracking, a practice embraced even by strong democracies like South Korea and Taiwan. | So far, many Asian governments have handled the crisis by limiting deaths to a fraction of those suffered in the West. In most cases, that was done not by resorting to debilitating nationwide lockdowns, but rather in part by employing digital tracking, a practice embraced even by strong democracies like South Korea and Taiwan. |
In Europe, the possibility conjures up images of China’s authoritarian rulers. An app created by the semi-authoritarian government of Singapore, the longtime proponent of Asian values, is the inspiration for versions being developed by the French, Germans and other Europeans. | In Europe, the possibility conjures up images of China’s authoritarian rulers. An app created by the semi-authoritarian government of Singapore, the longtime proponent of Asian values, is the inspiration for versions being developed by the French, Germans and other Europeans. |
Those who argue in favor of allowing its intrusiveness say that it is fair to infringe on people who are infected rather than inhibit the freedom of society as a whole. | Those who argue in favor of allowing its intrusiveness say that it is fair to infringe on people who are infected rather than inhibit the freedom of society as a whole. |
“We know the patient’s contacts, where the patient goes and stays, and so we don’t need to lock down everybody,” said Ki Mo-ran, an epidemiologist who is advising the South Korean government’s coronavirus response. | “We know the patient’s contacts, where the patient goes and stays, and so we don’t need to lock down everybody,” said Ki Mo-ran, an epidemiologist who is advising the South Korean government’s coronavirus response. |
Without digital tracking, governments cannot know precisely “which place is contaminated, which place is clean, so they need to lock down,” Ms. Ki said. “Everybody’s freedom is affected. We have to ask ourselves if one person’s privacy is more important than the lives of a family or other people.” | Without digital tracking, governments cannot know precisely “which place is contaminated, which place is clean, so they need to lock down,” Ms. Ki said. “Everybody’s freedom is affected. We have to ask ourselves if one person’s privacy is more important than the lives of a family or other people.” |
Thanks to multipronged digital tracking — of cellphones, credit card usage and security camera footage — the South Korean authorities are able to closely monitor the movements of infected people. Health officials can then carry out tests on people who are potentially infected. People ordered into self-quarantine are monitored through an app. | Thanks to multipronged digital tracking — of cellphones, credit card usage and security camera footage — the South Korean authorities are able to closely monitor the movements of infected people. Health officials can then carry out tests on people who are potentially infected. People ordered into self-quarantine are monitored through an app. |
Faced with a major outbreak, South Korea, with 52 million people, has managed to limit its official deaths to 230. | Faced with a major outbreak, South Korea, with 52 million people, has managed to limit its official deaths to 230. |
The South Korean government can make use of such intrusive tracking — though only during epidemics — because lawmakers changed privacy laws after an outbreak of MERS killed nearly 40 people in 2015. | The South Korean government can make use of such intrusive tracking — though only during epidemics — because lawmakers changed privacy laws after an outbreak of MERS killed nearly 40 people in 2015. |
Back then, health officials practicing traditional contact-tracing found that infected people, including “super spreaders,” often failed to reveal all of the people with whom they had been in touch, or patients were too sick to be interviewed, Ms. Ki said. | Back then, health officials practicing traditional contact-tracing found that infected people, including “super spreaders,” often failed to reveal all of the people with whom they had been in touch, or patients were too sick to be interviewed, Ms. Ki said. |
Weakening privacy laws was a consequential step for South Korea, where people in their 50s and older remember snatching democracy from the country’s military rulers in 1987. | Weakening privacy laws was a consequential step for South Korea, where people in their 50s and older remember snatching democracy from the country’s military rulers in 1987. |
They included people like Ahn Byong-jin, a political scientist at Kyung Hee University in Seoul who was a student activist during the democratization era. He has come to regard Western liberal democracies, with their overriding emphasis on “personal liberty and privacy,” as being ill-equipped to respond to situations like terrorism or epidemics. | They included people like Ahn Byong-jin, a political scientist at Kyung Hee University in Seoul who was a student activist during the democratization era. He has come to regard Western liberal democracies, with their overriding emphasis on “personal liberty and privacy,” as being ill-equipped to respond to situations like terrorism or epidemics. |
“In these kinds of emergency situations, we need to adapt,” Mr. Ahn said. | “In these kinds of emergency situations, we need to adapt,” Mr. Ahn said. |
Early instances in which a large amount of personal information was released raised fears of a government overreach. But in what was regarded as a referendum on the handling of the crisis, voters handed South Korea’s governing party a landslide victory in parliamentary elections on Wednesday. | Early instances in which a large amount of personal information was released raised fears of a government overreach. But in what was regarded as a referendum on the handling of the crisis, voters handed South Korea’s governing party a landslide victory in parliamentary elections on Wednesday. |
“If you look at Korea compared with Europe or the United States, the critical difference seems to be tracking and testing,” said Kim Seok-hyeon, a researcher at the Science and Technology Policy Institute in Seoul. “In the West, they will have to think more about those measures.” | “If you look at Korea compared with Europe or the United States, the critical difference seems to be tracking and testing,” said Kim Seok-hyeon, a researcher at the Science and Technology Policy Institute in Seoul. “In the West, they will have to think more about those measures.” |
Updated June 12, 2020 | Updated June 12, 2020 |
So far, the evidence seems to show it does. A widely cited paper published in April suggests that people are most infectious about two days before the onset of coronavirus symptoms and estimated that 44 percent of new infections were a result of transmission from people who were not yet showing symptoms. Recently, a top expert at the World Health Organization stated that transmission of the coronavirus by people who did not have symptoms was “very rare,” but she later walked back that statement. | So far, the evidence seems to show it does. A widely cited paper published in April suggests that people are most infectious about two days before the onset of coronavirus symptoms and estimated that 44 percent of new infections were a result of transmission from people who were not yet showing symptoms. Recently, a top expert at the World Health Organization stated that transmission of the coronavirus by people who did not have symptoms was “very rare,” but she later walked back that statement. |
Touching contaminated objects and then infecting ourselves with the germs is not typically how the virus spreads. But it can happen. A number of studies of flu, rhinovirus, coronavirus and other microbes have shown that respiratory illnesses, including the new coronavirus, can spread by touching contaminated surfaces, particularly in places like day care centers, offices and hospitals. But a long chain of events has to happen for the disease to spread that way. The best way to protect yourself from coronavirus — whether it’s surface transmission or close human contact — is still social distancing, washing your hands, not touching your face and wearing masks. | |
A study by European scientists is the first to document a strong statistical link between genetic variations and Covid-19, the illness caused by the coronavirus. Having Type A blood was linked to a 50 percent increase in the likelihood that a patient would need to get oxygen or to go on a ventilator, according to the new study. | A study by European scientists is the first to document a strong statistical link between genetic variations and Covid-19, the illness caused by the coronavirus. Having Type A blood was linked to a 50 percent increase in the likelihood that a patient would need to get oxygen or to go on a ventilator, according to the new study. |
The unemployment rate fell to 13.3 percent in May, the Labor Department said on June 5, an unexpected improvement in the nation’s job market as hiring rebounded faster than economists expected. Economists had forecast the unemployment rate to increase to as much as 20 percent, after it hit 14.7 percent in April, which was the highest since the government began keeping official statistics after World War II. But the unemployment rate dipped instead, with employers adding 2.5 million jobs, after more than 20 million jobs were lost in April. | The unemployment rate fell to 13.3 percent in May, the Labor Department said on June 5, an unexpected improvement in the nation’s job market as hiring rebounded faster than economists expected. Economists had forecast the unemployment rate to increase to as much as 20 percent, after it hit 14.7 percent in April, which was the highest since the government began keeping official statistics after World War II. But the unemployment rate dipped instead, with employers adding 2.5 million jobs, after more than 20 million jobs were lost in April. |
Mass protests against police brutality that have brought thousands of people onto the streets in cities across America are raising the specter of new coronavirus outbreaks, prompting political leaders, physicians and public health experts to warn that the crowds could cause a surge in cases. While many political leaders affirmed the right of protesters to express themselves, they urged the demonstrators to wear face masks and maintain social distancing, both to protect themselves and to prevent further community spread of the virus. Some infectious disease experts were reassured by the fact that the protests were held outdoors, saying the open air settings could mitigate the risk of transmission. | Mass protests against police brutality that have brought thousands of people onto the streets in cities across America are raising the specter of new coronavirus outbreaks, prompting political leaders, physicians and public health experts to warn that the crowds could cause a surge in cases. While many political leaders affirmed the right of protesters to express themselves, they urged the demonstrators to wear face masks and maintain social distancing, both to protect themselves and to prevent further community spread of the virus. Some infectious disease experts were reassured by the fact that the protests were held outdoors, saying the open air settings could mitigate the risk of transmission. |
Exercise researchers and physicians have some blunt advice for those of us aiming to return to regular exercise now: Start slowly and then rev up your workouts, also slowly. American adults tended to be about 12 percent less active after the stay-at-home mandates began in March than they were in January. But there are steps you can take to ease your way back into regular exercise safely. First, “start at no more than 50 percent of the exercise you were doing before Covid,” says Dr. Monica Rho, the chief of musculoskeletal medicine at the Shirley Ryan AbilityLab in Chicago. Thread in some preparatory squats, too, she advises. “When you haven’t been exercising, you lose muscle mass.” Expect some muscle twinges after these preliminary, post-lockdown sessions, especially a day or two later. But sudden or increasing pain during exercise is a clarion call to stop and return home. | Exercise researchers and physicians have some blunt advice for those of us aiming to return to regular exercise now: Start slowly and then rev up your workouts, also slowly. American adults tended to be about 12 percent less active after the stay-at-home mandates began in March than they were in January. But there are steps you can take to ease your way back into regular exercise safely. First, “start at no more than 50 percent of the exercise you were doing before Covid,” says Dr. Monica Rho, the chief of musculoskeletal medicine at the Shirley Ryan AbilityLab in Chicago. Thread in some preparatory squats, too, she advises. “When you haven’t been exercising, you lose muscle mass.” Expect some muscle twinges after these preliminary, post-lockdown sessions, especially a day or two later. But sudden or increasing pain during exercise is a clarion call to stop and return home. |
States are reopening bit by bit. This means that more public spaces are available for use and more and more businesses are being allowed to open again. The federal government is largely leaving the decision up to states, and some state leaders are leaving the decision up to local authorities. Even if you aren’t being told to stay at home, it’s still a good idea to limit trips outside and your interaction with other people. | States are reopening bit by bit. This means that more public spaces are available for use and more and more businesses are being allowed to open again. The federal government is largely leaving the decision up to states, and some state leaders are leaving the decision up to local authorities. Even if you aren’t being told to stay at home, it’s still a good idea to limit trips outside and your interaction with other people. |
Common symptoms include fever, a dry cough, fatigue and difficulty breathing or shortness of breath. Some of these symptoms overlap with those of the flu, making detection difficult, but runny noses and stuffy sinuses are less common. The C.D.C. has also added chills, muscle pain, sore throat, headache and a new loss of the sense of taste or smell as symptoms to look out for. Most people fall ill five to seven days after exposure, but symptoms may appear in as few as two days or as many as 14 days. | Common symptoms include fever, a dry cough, fatigue and difficulty breathing or shortness of breath. Some of these symptoms overlap with those of the flu, making detection difficult, but runny noses and stuffy sinuses are less common. The C.D.C. has also added chills, muscle pain, sore throat, headache and a new loss of the sense of taste or smell as symptoms to look out for. Most people fall ill five to seven days after exposure, but symptoms may appear in as few as two days or as many as 14 days. |
If air travel is unavoidable, there are some steps you can take to protect yourself. Most important: Wash your hands often, and stop touching your face. If possible, choose a window seat. A study from Emory University found that during flu season, the safest place to sit on a plane is by a window, as people sitting in window seats had less contact with potentially sick people. Disinfect hard surfaces. When you get to your seat and your hands are clean, use disinfecting wipes to clean the hard surfaces at your seat like the head and arm rest, the seatbelt buckle, the remote, screen, seat back pocket and the tray table. If the seat is hard and nonporous or leather or pleather, you can wipe that down, too. (Using wipes on upholstered seats could lead to a wet seat and spreading of germs rather than killing them.) | If air travel is unavoidable, there are some steps you can take to protect yourself. Most important: Wash your hands often, and stop touching your face. If possible, choose a window seat. A study from Emory University found that during flu season, the safest place to sit on a plane is by a window, as people sitting in window seats had less contact with potentially sick people. Disinfect hard surfaces. When you get to your seat and your hands are clean, use disinfecting wipes to clean the hard surfaces at your seat like the head and arm rest, the seatbelt buckle, the remote, screen, seat back pocket and the tray table. If the seat is hard and nonporous or leather or pleather, you can wipe that down, too. (Using wipes on upholstered seats could lead to a wet seat and spreading of germs rather than killing them.) |
Taking one’s temperature to look for signs of fever is not as easy as it sounds, as “normal” temperature numbers can vary, but generally, keep an eye out for a temperature of 100.5 degrees Fahrenheit or higher. If you don’t have a thermometer (they can be pricey these days), there are other ways to figure out if you have a fever, or are at risk of Covid-19 complications. | Taking one’s temperature to look for signs of fever is not as easy as it sounds, as “normal” temperature numbers can vary, but generally, keep an eye out for a temperature of 100.5 degrees Fahrenheit or higher. If you don’t have a thermometer (they can be pricey these days), there are other ways to figure out if you have a fever, or are at risk of Covid-19 complications. |
The C.D.C. has recommended that all Americans wear cloth masks if they go out in public. This is a shift in federal guidance reflecting new concerns that the coronavirus is being spread by infected people who have no symptoms. Until now, the C.D.C., like the W.H.O., has advised that ordinary people don’t need to wear masks unless they are sick and coughing. Part of the reason was to preserve medical-grade masks for health care workers who desperately need them at a time when they are in continuously short supply. Masks don’t replace hand washing and social distancing. | The C.D.C. has recommended that all Americans wear cloth masks if they go out in public. This is a shift in federal guidance reflecting new concerns that the coronavirus is being spread by infected people who have no symptoms. Until now, the C.D.C., like the W.H.O., has advised that ordinary people don’t need to wear masks unless they are sick and coughing. Part of the reason was to preserve medical-grade masks for health care workers who desperately need them at a time when they are in continuously short supply. Masks don’t replace hand washing and social distancing. |
If you’ve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others. | If you’ve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others. |
If you’re sick and you think you’ve been exposed to the new coronavirus, the C.D.C. recommends that you call your healthcare provider and explain your symptoms and fears. They will decide if you need to be tested. Keep in mind that there’s a chance — because of a lack of testing kits or because you’re asymptomatic, for instance — you won’t be able to get tested. | If you’re sick and you think you’ve been exposed to the new coronavirus, the C.D.C. recommends that you call your healthcare provider and explain your symptoms and fears. They will decide if you need to be tested. Keep in mind that there’s a chance — because of a lack of testing kits or because you’re asymptomatic, for instance — you won’t be able to get tested. |
But for some French, the idea of giving up personal liberties is a non-starter. | But for some French, the idea of giving up personal liberties is a non-starter. |
While tracking technology has been used by Asian democracies, they are “democracies where the rule of law is not as strong as it is here,” said Gaspard Koenig, a philosopher who has written about the relationship between technology and freedom, including in Asia. | While tracking technology has been used by Asian democracies, they are “democracies where the rule of law is not as strong as it is here,” said Gaspard Koenig, a philosopher who has written about the relationship between technology and freedom, including in Asia. |
When Mr. Macron said that France’s lockdown would be extended until May 11, he immediately framed the debate that lawmakers are expected to have on tracking technology. | When Mr. Macron said that France’s lockdown would be extended until May 11, he immediately framed the debate that lawmakers are expected to have on tracking technology. |
“This epidemic cannot weaken our democracy, nor impinge on liberties,” he said. | “This epidemic cannot weaken our democracy, nor impinge on liberties,” he said. |
Mr. O, the official leading the development of France’s technology, said that after studying the tracking technology used in Asia, France had settled on the least intrusive form — the Singaporean app, called “TraceTogether.” | Mr. O, the official leading the development of France’s technology, said that after studying the tracking technology used in Asia, France had settled on the least intrusive form — the Singaporean app, called “TraceTogether.” |
But there are concerns that the app, relying mainly on a sense of civic duty, will be so watered down in France that it will prove ineffective. | But there are concerns that the app, relying mainly on a sense of civic duty, will be so watered down in France that it will prove ineffective. |
The app — called “StopCovid” in France — would be installed voluntarily on people’s smartphones, would not track their locations or movements, and would use only Bluetooth technology to help trace a person’s recent contacts. | The app — called “StopCovid” in France — would be installed voluntarily on people’s smartphones, would not track their locations or movements, and would use only Bluetooth technology to help trace a person’s recent contacts. |
If users tested positive for the coronavirus and indicate their status on the app, their recent contacts would be automatically alerted, and it would be up to them to take the appropriate steps by getting tested, seeking treatment or self-quarantining. | If users tested positive for the coronavirus and indicate their status on the app, their recent contacts would be automatically alerted, and it would be up to them to take the appropriate steps by getting tested, seeking treatment or self-quarantining. |
The French version would be different from Singapore’s in at least one fundamental way, Mr. O said. In France, the list of recent contacts would never be made available to the government. | The French version would be different from Singapore’s in at least one fundamental way, Mr. O said. In France, the list of recent contacts would never be made available to the government. |
“To be honest, people are asking whether it’s enough and whether we need to take it up a notch,” Mr. Babinet said. | “To be honest, people are asking whether it’s enough and whether we need to take it up a notch,” Mr. Babinet said. |
Mr. O acknowledged that one of his main worries was whether enough people in France would install the app on their smartphones to work as a broad contact-tracing tool. The French, he said, are “by nature cautious toward technology and even progress,” especially compared with Asians. | Mr. O acknowledged that one of his main worries was whether enough people in France would install the app on their smartphones to work as a broad contact-tracing tool. The French, he said, are “by nature cautious toward technology and even progress,” especially compared with Asians. |
Even in Singapore, only about 20 percent of people have downloaded the app, and the authorities recently introduced stricter confinement measures to curb a jump in infections. Singapore — which has officially suffered only 10 deaths out of a population of 5.6 million — has said that three-quarters of the population needs to use the app in order for it to be effective. | Even in Singapore, only about 20 percent of people have downloaded the app, and the authorities recently introduced stricter confinement measures to curb a jump in infections. Singapore — which has officially suffered only 10 deaths out of a population of 5.6 million — has said that three-quarters of the population needs to use the app in order for it to be effective. |
Despite being a weakened version of the least intrusive tracking technology used in Asia, the app has already drawn fierce opposition from Mr. Macron’s party in Parliament, La République En Marche. | Despite being a weakened version of the least intrusive tracking technology used in Asia, the app has already drawn fierce opposition from Mr. Macron’s party in Parliament, La République En Marche. |
Sacha Houlié, a lawmaker, said that using the app would signify a “profound cultural shift” in France. | Sacha Houlié, a lawmaker, said that using the app would signify a “profound cultural shift” in France. |
“We are France,” Mr. Houlié said. “In terms of civil liberties, being France means something. It means that, in a sense, the world is watching what we do.” | “We are France,” Mr. Houlié said. “In terms of civil liberties, being France means something. It means that, in a sense, the world is watching what we do.” |