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Government policy and regulation seems an inescapable issue. We have a taxation system that is incompatible with non-monetary exchanges. There will be tax reform legislation coming out eventually in congress, it seems stalled right now. Are there any particular taxation policies that could help grow coops?
I really enjoyed watching a recording of your talk on "What Then..." in Seattle and have become a fan. It's encouraging to hear some practical first steps.
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I have heard someone people placing a ping pong ball bandaged over the stoma. It apparently helps with the healing process ie it all heals evenly. This was maybe a decade ago and I couldn't find anything on Google. You could trying asking/searching on Care Cure Forums http://sci.rutgers.edu It's a great SCI specific resource if you aren't on there already.
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