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http://www.mrt.gov.gh/about-us/ ">cheap tramadol online But the paper applications are no panacea. That's because information from paper applications must be entered into the same dysfunctional federal data hub used by online applicants. Notes from an Oct. 3 meeting of officials from the Centers for Medicare and Medicaid Services state that "The same portal is used to determine eligibility no matter how the application is submitted (paper, online)." Notes from an Oct. 11 meeting among the same officials read: "At the end of the day, we are all stuck in the same queue." I ask Mr. Correa if he turned to paper applications just to give people a sense that they are moving forward. "They are moving forward," he insists.