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The ADI combines data on income, employment, education, and housing to determine an ADI score between 1 (lowest deprivation) and 10 (highest deprivation)

252 The optimal management of NET liver metastases remains controversial with many centers utilizing LT in this population

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Another issue making matters more complicated: the federal appropriations process requires this provision to be approved by congressional process annually, so introducing, lobbying on, and enacting these provisions has to reoccur every year