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" That could be why they appear to be doing better for the first couple of years of dialysis , " says Josef Coresh , M.D ., Ph.D ., a Hopkins epidemiologist and author of the small study , which followed 44 patients . But otherwise , you are throwing away two years of development . It would not condemn us to a world of haves and have nots . Today , the Commission adopted many of the Joint Board 's recommendations . Telecommunications Act , Congress should be phasing out , rather than expanding , cross-subsidies and universal service requirements . The highest acceptable normal temperature of 98.6 degrees has been reexamined in recent years and put at 99.9 degrees by a 1992 study in the Journal of the American Medical Association . Consistent with the Joint Board 's recommendations , the Commission adopted a new federal high-cost mechanism , which consists of a two-step process that considers both the costs of providing supported services and the states ' ability to support those costs using their own resources . Turcot 's Syndrome patients in this study lived at least three years , and one is a 14-year survivor . And some of the ideas announced today , like the one-click , automatic access , actually came up , first of all , in this room , around a table here in the Roosevelt Room two years ago . An acceptable use policy should , while being sensitive to local needs and concerns , offer reasonable assurances to parents that safeguards will be in place in the school and library setting that permit users to be empowered to have educational experiences consistent with their values . Consistent with the Joint Board 's recommendations , the Commission concluded that the amount of support provided by the new forward-looking mechanism will be no less than the amount of support provided under the present mechanism . Portable support is consistent with the Joint Board 's recommendations and the principle of competitive neutrality , and will encourage competitive entry in high-cost areas .