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Most important things in the US are really like this.
se·que·la; /sēˈkwelə/; noun; plural noun: sequelae
a condition which is the consequence of a previous disease or injury. "the long-term sequelae of infection"
In reality, I live in bluer-than-blue oregon with a literacy rate of 89%, which is lower than many state-level jurisdictions in 3rd world countries.