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This Report provides another missed opportunity , and the accompanying structural changes to the Schools and Libraries Corporation that are required by it provide another reason , for the Commission to put on hold its plans to implement a far-reaching schools and libraries program until after it has finished implementing the rural , high-cost fund issues . These are warning signs that have to be heeded . While mutation of the p53 gene is the most common known genetic mutation in head and neck cancer , it is suspected that eight to 10 different mutations in this gene are required to develop this disease , Koch says . Many independent mutations in different genes are required for a cell to become a cancer cell . Last year , I concluded that rural , high-cost issues should not be deferred while other aspects of universal service move forward . " In conjunction with researchers from Cornell University 's Center for Reproductive Medicine , the study was repeated with information from eight-celled embryos that were generated for other clinical indications , but were no longer viable for artificial implantation . To supplement the record in the ongoing companion access charge reform proceeding , in the Further Notice the Commission also sought comment on how interstate access charges should be adjusted to account for implicit high-cost universal service support that may , in the future , be identified in interstate access rates .