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Good morning. Vitals will be off tomorrow and Friday for Thanksgiving. I hope you all enjoy the holiday with your family, friends and food, and I am grateful for this newsletter community.

Situational awareness: Health and Human Services Secretary Alex Azar and CMS administrator Seema Verma are feuding, Politico reports, and it's impacting major policy initiatives.

Today's word count is 925, or <4 minutes.