„Aber die elektronische Patientenakte ist doch für Versicherte freiwillig“

Das hören wir häufig als Argument gegen unsere kritischen Positionen. Zeit, sich dem einmal zu widmen. Stein des Anstoßes ist ein kürzlich veröffentlichtes Gutachten des Sachverständigenrates (SVR) Gesundheit zur Digitalisierung des Gesundheitswesens.

Aber eins nach dem anderen und zunächst zu unserer Skepsis gegenüber der vielzitierten Freiwilligkeit:

(1) Die Erhebung (sensibler) personenbezogener Daten erfordert nach der europäischen Datenschutz-Grundverordnung (DSGVO) die ausdrückliche und informierte Einwilligung der betroffenen Person. „Informiert“ bedeutet, dass ich vor meiner Einwilligung darüber aufgeklärt wurde, wer welche Daten für genau welche Zwecke von mir erhebt, wer alles die Daten übermittelt bekommt, wer mich bei Datenschäden informiert, welcher Datenschutzbeauftragte zuständig ist, wie ich nachträglich widersprechen kann… und das in klarer, einfacher und leicht verständlicher Sprache (siehe insb. Art. 7, 9, 13 und 14 der DSGVO). Werden Versicherte von ihren Krankenkassen hierüber aufgeklärt, bevor sie der Anlegung einer elektronischen Patientenakte (ePA) zustimmen? Bislang nicht. Genauso wenig gibt es eine Aufklärung über die Risiken der ePA. Damit werden die Kriterien für eine informierte Einwilligung nicht erfüllt.

(2) Eine echte Freiwilligkeit setzt weiter voraus, dass ich keine Nachteile zu erwarten habe, wenn ich mich dagegen entscheide. Die Krankenkassen müssen für die Bereitstellung der ePA unfassbar hohe Summen ausgeben. Wir können erwarten, dass die Krankenkassen die ePA dann auch verbreiten wollen. Zum Beispiel, indem sie Beitragsermäßigungen in Aussicht stellen, wenn der ePA zugestimmt und sie fleißig befüllt wird (siehe Bonusprogramme). Oder indem zusätzliche „Bearbeitungsgebühren“ erhoben werden, wenn die ePA nicht genutzt wird. In dem Moment, in dem Nutzer der ePA Vorteile erhalten, sind alle anderen (relativ) benachteiligt. Dass es so kommen wird, ist Spekulation. Aber keine so realitätsferne, wie wir meinen.

(3) Eine andere Möglichkeit, die ePA unter die Leute zu bekommen, ist die sogenannte passive Widerspruchslösung, auch genannt Opt-Out-Lösung. Bislang müssen Versicherte ihre ePA aktiv bei ihrer Krankenkasse beantragen (Opt-In-Lösung). Wenn das aber Wenige tun, kommt schnell die Idee, dass jeder (gesetzlich) Versicherte automatisch eine ePA angelegt bekommt, und zwar ab seiner Geburt, solange er bzw. seine Bevormundeten nicht aktiv widersprechen (Opt-Out-Lösung). Diese Entwicklung haben wir bereits in Frankreich. Da haben sich, nach Meinung des Gesetzgebers und der Betreiber, viel zu wenige Versicherte die dortige Version der elektronischen Patientenakte (Dossier médicale partagé, DMP) anlegen lassen. Ab 2022 soll dort nun die Opt-Out-Lösung gelten, mit der Zielsetzung, auf diesem Weg 40 Millionen elektronische Patientenakten aktiv zu bekommen (Quelle: Ärztenachrichtendienst).

Und in Deutschland? Hier kommt nun der eingangs erwähnte Sachverständigenrat ins Spiel. In seinem 360 Seiten umfassenden Gutachten fordert er für die elektronische Patientenakte jetzt auch hierzulande genau die Opt-Out-Lösung. Wie ist das – und der SVR – zu bewerten? Der SVR-Gesundheit ist an das Bundesgesundheitsministerium (BMG) angebunden; wer ihm eine E-Mail schreiben möchte, landet beim BMG. Und wir können noch etwas weiter forschen: Ein Mitglied des SVR, Dr. Jonas Schreyögg, ist Mitglied des Hamburger Center for Health Economics: „Ein wichtiger Aspekt des Gutachtens ist, dass der Zugang zu Versorgungsdaten für die Forschung verbessert werden muss, um den Wissenschafts- und Innovationsstandort Deutschland wettbewerbsfähig zu halten“, so Schreyögg (Quelle). Ökonomie und Wettbewerbsfähigkeit also. Gesundheitswirtschaft ist auch dem BMG sehr wichtig.

Nun ist Ökonomie nicht gleich schlecht. Auch unsere Therapieangebote müssen nicht zuletzt ökonomisch angemessen sein, einer Abwägung zwischen Kosten, Nutzen und Risiken standhalten. Aber wenn die Berücksichtigung der Ökonomie zu einem Fokus auf (Gesundheits-)Wirtschaft wird und den Blick für wissenschaftliche Evidenz verstellt, wird es problematisch. Der SVR empfiehlt die Opt-Out-Lösung, obwohl eine von ihm selbst konzipierte Online-Umfrage zu dem Ergebnis kommt, dass sich die Mehrheit der Befragten eine dauerhaft freiwillige Nutzung der ePA wünscht und 65 % der Befragten Angst vor Datenmissbrauch haben. Wie passt das offensichtliche Ignorieren dieser Umfrageergebnisse mit dem Argument der Befürworter zusammen, dass die ePA die Patientenhoheit stärke? (Und dabei hat sich der SVR doch schon solche Mühe gegeben, indem er durch die Online-Umfrage technikfreundliche Menschen zu erreichen versuchte)

Schlussfolgerung – wie es unser Mitstreiter Lothar Seite einmal formulierte: Die Freiwilligkeit der ePA für Versicherte ist das zur politischen Durchsetzung notwendige Feigenblatt.

H. Heck

 

 

 

 

 

Dieser Beitrag hat 8.336 Kommentare

  1. Hildegard Fischer 20 Apr 2021 Antworten

    Sehr guter Text, danke! Ihre nüchterne, klare Argumentation gefällt mir, der Inhalt erschreckt immer wieder. Hildegard Fischer

  2. Lothar Seite 17 Jul 2021 Antworten

    Recht umtriebig in der „Gesundheitswirtschaft“ ist Dr. Chima Abuba (Hartmann AG, DIG GmbH, Alloheim Seniorenresidenzen). Und ab und zu veröffentlicht er auch Artikel in der „Welt“ https://www.welt.de/wirtschaft/bilanz/article184471032/Elektronische-Gesundheitsakte-Angst-vor-Datenmissbrauch-hemmt-Fortschritt-im-Gesundheitswesen.html :
    „Wer sich der eGA bei erfolgreicher Implementierung trotz jeglicher Sicherheitsvorkehrungen verweigert, sollte zwar zunächst keinen spürbaren Qualitätsverlust der Behandlung per se erleiden, käme aber auch nicht in den Genuss eines schnelleren und bequemeren Behandlungsablaufs. Längerfristig muss man allerdings damit rechnen, dass mangelndes Vertrauen mit Einbußen in der Behandlungsqualität vergolten wird.“
    Die Nutzung der ePA ist natürlich freiwillig, aber ihr werdet schon sehen, was passiert, wenn ihr weiter so mißtrauisch seid.

  3. 출장안마 13 Okt 2023 Antworten

    Your unique approach to addressing challenging subjects is like a breath of fresh air. Your articles stand out with their clarity and grace, making them a pure joy to read. Your blog has now become my go-to source for insightful content.

  4. dreamingporn.com 13 Okt 2023 Antworten

    I’m curious to find out what blog system you have been using?
    I’m experiencing some minor security issues with my latest site and I would like
    to find something more secure. Do you have any solutions?

  5. https://euroua.net/ 13 Okt 2023 Antworten

    First off I would like to say fantastic blog! I had a quick question in which I’d like to ask if you don’t mind. I was interested to find out how you center yourself and clear your thoughts before writing. I’ve had a hard time clearing my thoughts in getting my ideas out there. I do take pleasure in writing but it just seems like the first 10 to 15 minutes are wasted just trying to figure out how to begin. Any ideas or hints? Thanks!

  6. 창원출장마사지 13 Okt 2023 Antworten

    Your enthusiasm for the subject matter shines through every word of this article; it’s contagious! Your commitment to delivering valuable insights is greatly valued, and I eagerly anticipate more of your captivating content. Keep up the exceptional work!

  7. pornpen.ai 14 Okt 2023 Antworten

    Hello, Neat post. There is a problem along with your website in internet explorer, may test this?
    IE nonetheless is the market chief and a huge portion of people will leave out your excellent writing due to this problem.

  8. Niqab AI Porn Generated 14 Okt 2023 Antworten

    If you would like to get a good deal from this post then you have to apply these techniques to your won web
    site.

  9. 출장안마 14 Okt 2023 Antworten

    I couldn’t agree more with the insightful points you’ve articulated in this article. Your profound knowledge on the subject is evident, and your unique perspective adds an invaluable dimension to the discourse. This is a must-read for anyone interested in this topic.

  10. 출장마사지 14 Okt 2023 Antworten

    Your blog is a true gem in the vast expanse of the online world. Your consistent delivery of high-quality content is truly commendable. Thank you for consistently going above and beyond in providing valuable insights. Keep up the fantastic work!

  11. ai porn 14 Okt 2023 Antworten

    Hello, this weekend is fastidious designed for me,
    because this occasion i am reading this wonderful informative article here
    at my home.

  12. для спальні 14 Okt 2023 Antworten

    We absolutely love your blog and find a lot of your post’s to be exactly what I’m
    looking for. Would you offer guest writers to
    write content available for you? I wouldn’t mind writing a post or elaborating on a
    number of the subjects you write regarding here. Again, awesome web log!

  13. Nixie 14 Okt 2023 Antworten

    Hello are using WordPress for your site platform? I’m new to the blog world but I’m trying to get started and set up my own. Do you need any coding expertise to make your own blog? Any help would be really appreciated!

  14. 출장마사지 14 Okt 2023 Antworten

    Your blog has rapidly become my trusted source of inspiration and knowledge. I genuinely appreciate the effort you invest in crafting each article. Your dedication to delivering high-quality content is apparent, and I eagerly await every new post.

  15. paus4d 15 Okt 2023 Antworten

    Your writing is so inspiring and motivational. It’s clear you have a gift for encouraging and empowering.

  16. 제주출장마사지 15 Okt 2023 Antworten

    Your unique approach to addressing challenging subjects is like a breath of fresh air. Your articles stand out with their clarity and grace, making them a pure joy to read. Your blog has now become my go-to source for insightful content.

  17. 출장안마 15 Okt 2023 Antworten

    Your enthusiasm for the subject matter radiates through every word of this article; it’s contagious! Your commitment to delivering valuable insights is greatly valued, and I eagerly anticipate more of your captivating content. Keep up the exceptional work!

  18. https://advance-esthetic.us/candela-gentlemax-pro-dual 15 Okt 2023 Antworten

    Youre so cool! I dont suppose Ive read anything like this before. So nice to find somebody with some unique thoughts on this subject. realy thanks for beginning this up. this web site is one thing that is wanted on the web, somebody with just a little originality. helpful job for bringing one thing new to the web!

  19. Bambu4d Login 15 Okt 2023 Antworten

    I am truly thankful to the owner of this web site who has shared this fantastic piece of writing at at this place.

  26. aiporncumshot.com 16 Okt 2023 Antworten

    I have read a few just right stuff here. Certainly value bookmarking for revisiting.
    I wonder how much attempt you put to make this kind of fantastic informative website.

  41. 제주출장안마 16 Okt 2023 Antworten

    Your writing style effortlessly draws me in, and I find it nearly impossible to stop reading until I’ve reached the end of your articles. Your ability to make complex subjects engaging is indeed a rare gift. Thank you for sharing your expertise!

  55. 창원출장마사지 16 Okt 2023 Antworten

    I couldn’t agree more with the insightful points you’ve made in this article. Your depth of knowledge on the subject is evident, and your unique perspective adds an invaluable layer to the discussion. This is a must-read for anyone interested in this topic.

  58. 출장안마 17 Okt 2023 Antworten

    I must commend your talent for simplifying complex topics. Your ability to convey intricate ideas in such a relatable way is admirable. You’ve made learning enjoyable and accessible for many, and I appreciate that.

  63. btyr 17 Okt 2023 Antworten

    I do like the manner in which you have framed this specific situation and it does present us some fodder for consideration. However, coming from just what I have observed, I basically wish when the reviews pack on that people remain on issue and not embark on a soap box associated with some other news du jour. All the same, thank you for this exceptional piece and while I do not concur with this in totality, I respect your viewpoint.

  65. Top list of the ai porn generators 17 Okt 2023 Antworten

    Great beat ! I would like to apprentice while you amend your site,
    how can i subscribe for a blog site? The account helped
    me a acceptable deal. I had been a little bit acquainted of this your broadcast provided bright clear idea

  70. btyr 17 Okt 2023 Antworten

    I feel this is among the such a lot important information for me. And i’m satisfied studying your article. But want to commentary on some normal issues, The website style is ideal, the articles is in reality excellent : D. Excellent task, cheers

  77. milfaiporn.com 17 Okt 2023 Antworten

    I like the helpful information you provide in your articles.
    I will bookmark your blog and check again here regularly.
    I’m quite sure I’ll learn lots of new stuff right here!

    Best of luck for the next!

  82. Bambu 4d 17 Okt 2023 Antworten

    I really like reading through a post that can make men and women think. Also, thank you for allowing me to comment!

  84. medyum 17 Okt 2023 Antworten

    Almanya’nın en iyi medyumu haluk hoca sayesinde sizlerde güven içerisinde çalışmalar yaptırabilirsiniz, 40 yıllık uzmanlık ve tecrübesi ile sizlere en iyi medyumluk hizmeti sunuyoruz.

  115. Bambu4d Daftar 18 Okt 2023 Antworten

    For the reason that the admin of this site is working, no uncertainty very quickly it will be renowned, due to its quality contents.

  224. 제주출장마사지 18 Okt 2023 Antworten

    I wanted to take a moment to express my gratitude for the wealth of invaluable information you consistently provide in your articles. Your blog has become my go-to resource, and I consistently emerge with new knowledge and fresh perspectives. I’m eagerly looking forward to continuing my learning journey through your future posts.

  306. linkedcontentcoalition 19 Okt 2023 Antworten

    I’m impressed, I have to admit. Rarely do I encounter
    a blog that’s both educative and amusing, and let me
    tell you, you have hit the nail on the head. The problem is something that too few
    folks are speaking intelligently about. I’m very happy I found this
    during my search for something concerning this.

  318. Dermal Fillers Uxbridge 19 Okt 2023 Antworten

    Holy cow! I’m in awe of the author’s writing skills and capability to convey complex concepts in a straightforward and concise manner. This article is a real treasure that deserves all the praise it can get. Thank you so much, author, for offering your expertise and offering us with such a priceless resource. I’m truly thankful!

  419. canvas prints 19 Okt 2023 Antworten

    http://www.thebudgetart.com is trusted worldwide canvas wall art prints & handmade canvas paintings online store. Thebudgetart.com offers budget price & high quality artwork, up-to 50 OFF, FREE Shipping USA, AUS, NZ & Worldwide Delivery.

  472. 제주출장안마 19 Okt 2023 Antworten

    Your passion and dedication to your craft radiate through every article. Your positive energy is infectious, and it’s evident that you genuinely care about your readers‘ experience. Your blog brightens my day!

  474. 창원출장마사지 19 Okt 2023 Antworten

    I must applaud your talent for simplifying complex topics. Your ability to convey intricate ideas in such a relatable manner is admirable. You’ve made learning enjoyable and accessible for many, and I deeply appreciate that.

  485. Bambu4d 19 Okt 2023 Antworten

    Thanks for a marvelous posting! I genuinely enjoyed reading it, you are a great author.I will always bookmark your blog and will often come back down the road. I want to encourage continue your great job, have a nice weekend!

  830. Explore the Horizon 20 Okt 2023 Antworten

    Greetings! Quick question that’s totally off topic. Do you know how to make your site mobile friendly? My website looks weird when browsing from my apple iphone. I’m trying to find a template or plugin that might be able to fix this issue. If you have any suggestions, please share. Many thanks!

  922. Slot Demo 21 Okt 2023 Antworten

    This is my first time pay a quick visit at here and i am really happy to read everthing at one place

  997. supertogel 21 Okt 2023 Antworten

    Valuable info. Lucky me I found your site by accident, and I am shocked why this accident didn’t happened earlier! I bookmarked it.

  1014. Bambu4d 21 Okt 2023 Antworten

    I truly appreciate your technique of writing a blog. I added it to my bookmark site list and will

  1042. Bambu 4d 21 Okt 2023 Antworten

    Great information shared.. really enjoyed reading this post thank you author for sharing this post .. appreciated

  1060. big baller login 21 Okt 2023 Antworten

    There is noticeably a bundle to know about this. I assume you made certain good factors in features also.

  1178. Bambu4d 22 Okt 2023 Antworten

    Hello colleagues, how is everything, and what you want

  1305. winmacsofts 22 Okt 2023 Antworten

    Hey very nice blog!! Man .. Beautiful .. Amazing .. I will bookmark your site and take the feeds also?I am happy to find numerous useful information here in the post, we need work out more strategies in this regard, thanks for sharing. . . . . .

  1668. btyr 23 Okt 2023 Antworten

    Definitely consider that which you said. Your favourite justification seemed to be at the net the easiest factor to take into accout of. I say to you, I definitely get irked while other people think about worries that they just don’t recognise about. You controlled to hit the nail upon the highest and outlined out the entire thing with no need side effect , other people can take a signal. Will likely be again to get more. Thanks

  1729. btyr 24 Okt 2023 Antworten

    We’re a bunch of volunteers and opening a new scheme in our community. Your web site offered us with helpful info to work on. You have done a formidable process and our entire neighborhood shall be thankful to you.

  1742. details 24 Okt 2023 Antworten

    My brother recommended I would possibly like this blog.

    He was once entirely right. This submit actually made my day.
    You cann’t imagine just how much time I had spent for this
    info! Thanks!

  1754. cortex review 24 Okt 2023 Antworten

    Wow, amazing weblog structure! How long have you ever been running a blog for?
    you made running a blog glance easy. The whole look of your site is wonderful, as smartly as the content material!

  1909. profile 24 Okt 2023 Antworten

    Whoa! This blog looks just like my old one!
    It’s on a totally different subject but it has pretty much the same layout and
    design. Outstanding choice of colors!

  1993. btyr 25 Okt 2023 Antworten

    I just added this website to my google reader, great stuff. Cannot get enough!

  2191. SEO 25 Okt 2023 Antworten

    hello there and thank you for your information ? I?ve certainly picked up anything new from right here. I did however expertise a few technical points using this site, since I experienced to reload the website lots of times previous to I could get it to load properly. I had been wondering if your web hosting is OK? Not that I’m complaining, but sluggish loading instances times will often affect your placement in google and can damage your high quality score if advertising and marketing with Adwords. Well I am adding this RSS to my e-mail and can look out for much more of your respective intriguing content. Ensure that you update this again soon..

  2224. big baller casino login 25 Okt 2023 Antworten

    My spouse and I stumbled over here by a different web page and thought I should check things out. I like what I see so now i am following you. Look forward to finding out about your web page for a second time.

  2356. winmacsofts 27 Okt 2023 Antworten

    Unquestionably imagine that that you stated. Your favorite reason seemed to be on the net the easiest factor to take into accout of. I say to you, I certainly get irked at the same time as other folks consider concerns that they just don’t know about. You controlled to hit the nail upon the top and outlined out the whole thing with no need side-effects , other people could take a signal. Will probably be again to get more. Thanks

  2369. hujantoto login 27 Okt 2023 Antworten

    This site is known as a walk-by way of for all of the info you needed about this and didn’t know who to ask. Glimpse here, and also you’ll undoubtedly uncover it.

  2702. slot depo dana 28 Okt 2023 Antworten

    You need to take part in a contest for among the finest blogs on the web. I will recommend this site!

  2796. epr.by 29 Okt 2023 Antworten

    You should take part in a contest for one of the best sites online. I’m going to highly recommend this blog!

  2815. http://epr.by/ 29 Okt 2023 Antworten

    Heya i’m for the first time here. I found this board and I find It truly useful & it helped me out a lot. I hope to give something back and help others like you aided me.

  2836. sets of 3 wall art 29 Okt 2023 Antworten

    http://www.mybudgetart.com.au is Australia’s Trusted Online Wall Art Canvas Prints Store. We are selling art online since 2008. We offer 2000+ artwork designs, up-to 50 OFF store-wide, FREE Delivery Australia & New Zealand, and World-wide shipping to 50 plus countries.

  2927. Наш каталог 29 Okt 2023 Antworten

    I visited various web pages however the audio feature for audio songs existing at this website is truly excellent.

  3064. winmacsofts 29 Okt 2023 Antworten

    Hello there, You’ve done an incredible job. I?ll definitely digg it and personally suggest to my friends. I’m confident they’ll be benefited from this site.

  3270. winmacsofts 30 Okt 2023 Antworten

    Appreciate you for sharing these wonderful blogposts. In addition, the right travel and medical insurance strategy can often reduce those worries that come with visiting abroad. A new medical crisis can rapidly become too expensive and that’s guaranteed to quickly decide to put a financial burden on the family finances. Setting up in place the ideal travel insurance deal prior to leaving is definitely worth the time and effort. Cheers

  5470. aigeno 9 Nov 2023 Antworten

    These are really enormous ideas in about blogging.
    You have touched some good points here. Any way keep up wrinting.

  5471. AI Porno List 10 Nov 2023 Antworten

    I like the valuable info you supply in your articles.

    I’ll bookmark your weblog and check again here regularly.
    I’m moderately certain I will learn plenty of new stuff proper right here!
    Best of luck for the next!

  5473. совет 12 Nov 2023 Antworten

    Excellent post. I was checking constantly this blog and I’m impressed!

    Extremely useful information specifically the last part 🙂 I care for such information much.
    I was looking for this particular information for a long
    time. Thank you and best of luck.

  6659. например. 19 Nov 2023 Antworten

    Excellent goods from you, man. I’ve understand your stuff
    previous to and you’re just too magnificent. I actually like what you have acquired here, certainly
    like what you’re saying and the way in which you say it.
    You make it entertaining and you still care for to keep it wise.
    I can’t wait to read far more from you. This is really a terrific site.

    powered by GoToTop.ee
    https://ru.gototop.ee/

  6737. Free Porn Videos 20 Nov 2023 Antworten

    I was curious if you ever considered changing the structure of your
    blog? Its very well written; I love what youve got to say.
    But maybe you could a little more in the way of content so people could connect with it better.

    Youve got an awful lot of text for only having one or two pictures.
    Maybe you could space it out better?

  6766. Old Mature Porn 20 Nov 2023 Antworten

    I was wondering if you ever thought of changing the structure of your website?
    Its very well written; I love what youve got to say.
    But maybe you could a little more in the way of content so people could connect with it better.
    Youve got an awful lot of text for only having one or 2
    pictures. Maybe you could space it out better?

  6767. ai-porn.rocks 20 Nov 2023 Antworten

    I do not even know how I ended up here, but I thought this post was great.

    I don’t know who you are but definitely you’re going to a famous blogger if you are not already 😉 Cheers!

  6783. AI-Porn.icu 20 Nov 2023 Antworten

    Very nice post. I just stumbled upon your blog and wished to say that I’ve truly enjoyed browsing your blog posts.
    After all I will be subscribing to your feed and I hope you write again soon!

  6791. YOURURL.com 20 Nov 2023 Antworten

    Oh my goodness! Awesome article dude! Many thanks,
    However I am having difficulties with your RSS. I don’t know why I
    cannot subscribe to it. Is there anybody else having identical RSS
    problems? Anybody who knows the solution can you kindly
    respond? Thanx!!

  6792. AI Porn Midjourney 20 Nov 2023 Antworten

    I get pleasure from, cause I found just what I was having a
    look for. You’ve ended my 4 day long hunt! God
    Bless you man. Have a nice day. Bye

  7014. AI Generated Porn 21 Nov 2023 Antworten

    I all the time emailed this website post page to
    all my contacts, because if like to read it after that my friends will too.

  7026. Tracey 21 Nov 2023 Antworten

    My spouse and I absolutely love your blog and find
    most of your post’s to be just what I’m looking for.
    Would you offer guest writers to write content to suit your needs?
    I wouldn’t mind creating a post or elaborating on some of the subjects
    you write concerning here. Again, awesome blog!

  7598. next page 24 Nov 2023 Antworten

    What’s up friends, its fantastic piece of writing about tutoringand fully defined, keep it up all the time.

  7643. SightCare 24 Nov 2023 Antworten

    SightCare is a powerful formula that supports healthy eyes the natural way. It is specifically designed for both men and women who are suffering from poor eyesight.

  8071. EndoPeak 27 Nov 2023 Antworten

    EndoPeak is a natural energy-boosting formula designed to improve men’s stamina, energy levels, and overall health.

  8073. PuraVive 27 Nov 2023 Antworten

    PuraVive is a natural supplement that supports weight loss naturally. The supplement is created using the secrets of weight loss straight from Hollywood.

  8074. Sight Care 27 Nov 2023 Antworten

    Sight Care is all-natural and safe-to-take healthy vision and eye support formula that naturally supports a healthy 20/20 vision.

  8138. Norris 27 Nov 2023 Antworten

    I have been exploring for a little for any high quality
    articles or blog posts in this sort of space . Exploring in Yahoo I eventually stumbled upon this site.
    Studying this information So i’m glad to exhibit that I’ve an incredibly
    excellent uncanny feeling I came upon just what I needed.
    I so much for sure will make certain to don?t omit this web
    site and provides it a look regularly.

  8199. FitSpresso 28 Nov 2023 Antworten

    FitSpresso is a special supplement that makes it easier for you to lose weight. It has natural ingredients that help your body burn fat better.

  8226. Cortexi 28 Nov 2023 Antworten

    Cortexi is a natural hearing support aid that has been used by thousands of people around the globe.

  8227. ErecPrime 28 Nov 2023 Antworten

    ErecPrime dietary capsule contains an effective natural formulation that helps with boosting your experience.

  8228. Fast Lean Pro 28 Nov 2023 Antworten

    Fast Lean Pro is a herbal supplement that tricks your brain into imagining that you’re fasting and helps you maintain a healthy weight no matter when or what you eat.

  8230. Gorilla Flow 28 Nov 2023 Antworten

    Gorilla Flow™ is a revolutionary new way of dealing with prostate problems with ease. It is a fantastic supplement

  8231. Marijuana Impairment Test 19 Jun 2024 Antworten

    Good post. I learn something new and challenging on sites I stumbleupon everyday. It will always be interesting to read content from other authors and use something from other web sites.

  8232. new hvac unit 19 Jun 2024 Antworten

    I quite like reading a post that will make people think. Also, many thanks for allowing for me to comment.

  8234. Roofing Contractor Clearwater FL 19 Jun 2024 Antworten

    Hi there! I could have sworn I’ve been to your blog before but after browsing through some of the articles I realized it’s new to me. Regardless, I’m definitely pleased I stumbled upon it and I’ll be bookmarking it and checking back frequently!

  8235. Roofing Contractors Clearwater FL 19 Jun 2024 Antworten

    You’re so cool! I do not suppose I’ve truly read through a single thing like this before. So nice to find someone with a few original thoughts on this subject matter. Seriously.. thanks for starting this up. This web site is one thing that is needed on the web, someone with a bit of originality.

  8238. oke179 21 Jun 2024 Antworten

    An outstanding share! I’ve just forwarded this onto a colleague who had been conducting a little homework on this. And he in fact bought me breakfast simply because I stumbled upon it for him… lol. So let me reword this…. Thanks for the meal!! But yeah, thanks for spending some time to talk about this topic here on your website.

  8239. Dịch Vụ Google Entity 21 Jun 2024 Antworten

    Aw, this was an extremely good post. Taking a few minutes and actual effort to produce a superb article… but what can I say… I put things off a whole lot and don’t manage to get nearly anything done.

  8240. Maynard 21 Jun 2024 Antworten

    I simply could not depart your web site before suggesting that
    I actually enjoyed the standard info a person provide for your guests?
    Is gonna be back steadily in order to check up on new posts

  8241. Adipati Slot 22 Jun 2024 Antworten

    Your style is really unique in comparison to other folks I’ve read stuff from. Thanks for posting when you’ve got the opportunity, Guess I will just bookmark this blog.

  8242. Surveillance Camerawoman TTD Value 22 Jun 2024 Antworten

    Hello! I just want to offer you a huge thumbs up for your excellent info you’ve got right
    here on this post. I will be returning to your blog for
    more soon.

  8243. videonarriative.com 23 Jun 2024 Antworten

    Spot on with this write-up, I seriously feel this amazing site needs much more attention. I’ll probably be back again to read through more, thanks for the advice.

  8244. 5kw solar system 27 Jun 2024 Antworten

    Hi, I do believe this is a great website. I stumbledupon it 😉 I will revisit once again since I book marked it. Money and freedom is the greatest way to change, may you be rich and continue to help other people.

  8245. fútbol en vivo gratis 27 Jun 2024 Antworten

    Can I just say what a comfort to uncover someone that actually knows what they’re discussing on the web. You certainly understand how to bring an issue to light and make it important. A lot more people have to look at this and understand this side of the story. I was surprised that you’re not more popular because you certainly possess the gift.

  8246. bathroom remodeling 28 Jun 2024 Antworten

    After going over a number of the blog posts on your web site, I really like your technique of blogging. I added it to my bookmark website list and will be checking back in the near future. Take a look at my website too and let me know how you feel.

  8247. Industrial Video Production Bangalore 28 Jun 2024 Antworten

    Aw, this was an exceptionally good post. Taking a few minutes and actual effort to create a very good article… but what can I say… I put things off a lot and never manage to get anything done.

  8248. V8club 28 Jun 2024 Antworten

    After looking over a number of the blog posts on your web page, I seriously like your way of writing a blog. I book-marked it to my bookmark site list and will be checking back in the near future. Take a look at my web site as well and tell me your opinion.

  8249. Katherina 28 Jun 2024 Antworten

    Tremendous things here. I’m very satisfied to look your post.
    Thanks a lot and I am having a look forward to contact you.

    Will you kindly drop me a mail?

  8250. oplara.com 29 Jun 2024 Antworten

    I really love your blog.. Great colors & theme. Did you create this amazing site yourself? Please reply back as I’m looking to create my own website and would love to learn where you got this from or just what the theme is named. Cheers!

  8252. link bokep 30 Jun 2024 Antworten

    After I originally commented I seem to have clicked the -Notify me when new comments are added- checkbox and from now on every time a comment is added I recieve four emails with the exact same comment. There has to be a way you can remove me from that service? Thanks.

  8253. kitten dildo 3 Jul 2024 Antworten

    I’m excited to uncover this page. I wanted to thank you for your time just for this wonderful read!! I definitely enjoyed every bit of it and i also have you saved to fav to check out new stuff in your website.

  8254. XoiLac Tv 4 Jul 2024 Antworten

    Great information. Lucky me I discovered your blog by chance (stumbleupon). I’ve saved as a favorite for later.

  8255. Heart to Heart Dating Service 4 Jul 2024 Antworten

    Aw, this was a very nice post. Finding the time and actual effort to make a great article… but what can I say… I put things off a whole lot and never manage to get nearly anything done.

  8256. ngentot 4 Jul 2024 Antworten

    Having read this I believed it was extremely informative. I appreciate you finding the time and energy to put this information together. I once again find myself spending a lot of time both reading and posting comments. But so what, it was still worth it!

  8257. link bokep 4 Jul 2024 Antworten

    Howdy! This blog post could not be written much better! Reading through this post reminds me of my previous roommate! He continually kept talking about this. I will send this information to him. Fairly certain he will have a very good read. Thanks for sharing!

  8258. bokep 4 Jul 2024 Antworten

    Very nice write-up. I definitely appreciate this site. Keep it up!

  8259. kontol besar 5 Jul 2024 Antworten

    You made some decent points there. I checked on the net for additional information about the issue and found most individuals will go along with your views on this web site.

  8260. online weed dispensary 5 Jul 2024 Antworten

    An intriguing discussion is worth comment. There’s no doubt that that you should write more on this subject, it may not be a taboo subject but generally folks don’t talk about these topics. To the next! All the best!

  8261. New Street Collection 5 Jul 2024 Antworten

    Oh my goodness! Awesome article dude! Many thanks, However I am experiencing problems with your RSS. I don’t understand why I can’t join it. Is there anyone else getting identical RSS issues? Anyone who knows the answer will you kindly respond? Thanx.

  8262. AI Chat Bots 7 Jul 2024 Antworten

    Can I just say what a relief to discover a person that genuinely understands what they are talking about over the internet. You certainly realize how to bring an issue to light and make it important. More people have to check this out and understand this side of the story. I was surprised you aren’t more popular given that you certainly have the gift.

  8263. ラブックス 8 Jul 2024 Antworten

    Hello there, I believe your web site may be having internet browser compatibility issues. Whenever I take a look at your site in Safari, it looks fine however when opening in Internet Explorer, it has some overlapping issues. I simply wanted to give you a quick heads up! Apart from that, wonderful website!

  8264. ku3933 8 Jul 2024 Antworten

    After checking out a handful of the blog articles on your site, I truly like your way of blogging. I saved it to my bookmark webpage list and will be checking back soon. Please check out my website as well and let me know how you feel.

  8265. kontol 8 Jul 2024 Antworten

    Pretty! This has been an incredibly wonderful post. Thanks for providing this information.

  8266. ngentot 8 Jul 2024 Antworten

    This is a very good tip particularly to those new to the blogosphere. Brief but very precise info… Thank you for sharing this one. A must read article.

  8267. bokep sma 8 Jul 2024 Antworten

    I’d like to thank you for the efforts you’ve put in penning this site. I am hoping to check out the same high-grade blog posts from you in the future as well. In truth, your creative writing abilities has motivated me to get my very own website now 😉

  8268. Carmon 16 Jul 2024 Antworten

    Hi! Do you use Twitter? I’d like to follow you if that would be ok.

    I’m absolutely enjoying your blog and look forward
    to new posts.

  8270. Hilma Biocare 31 Jul 2024 Antworten

    You’re so awesome! I don’t suppose I’ve read a single thing like that before. So great to find someone with some unique thoughts on this topic. Seriously.. thank you for starting this up. This web site is one thing that is needed on the web, someone with some originality.

  8271. iptv 3 Aug 2024 Antworten

    Your style is very unique in comparison to other folks I have read stuff from. Thanks for posting when you’ve got the opportunity, Guess I will just bookmark this site.

  8272. CASINO5588 4 Aug 2024 Antworten

    You need to be a part of a contest for one of the highest quality sites online. I’m going to recommend this website!

  8273. baby headbands for summer 6 Aug 2024 Antworten

    You have made some good points there. I checked on the web for additional information about the issue and found most individuals will go along with your views on this site.

  8274. دستگاه لیوان کاغذی 7 Aug 2024 Antworten

    Do you mind if I quote a few of your articles as long as I provide credit and sources
    back to your weblog? My blog is in the very same niche as yours and my users would truly benefit from
    a lot of the information you provide here.
    Please let me know if this ok with you. Appreciate it!

  8275. Whitescreen52 8 Aug 2024 Antworten

    Very good article! We will be linking to this particularly great post on our site. Keep up the good writing.

  8276. hellcase code 8 Aug 2024 Antworten

    Hi there! I simply want to give you a big thumbs up for your excellent information you have got right here on this post. I’ll be returning to your website for more soon.

  8277. live sex shows 9 Aug 2024 Antworten

    Spot on with this write-up, I truly believe that this website needs a lot more attention. I’ll probably be returning to read more, thanks for the information.

  8278. sex 12 Aug 2024 Antworten

    Good article! We will be linking to this particularly great article on our site. Keep up the good writing.

  8279. Post Only Fans Ads 13 Aug 2024 Antworten

    I needed to thank you for this very good read!! I definitely enjoyed every little bit of it. I’ve got you book-marked to look at new stuff you post…

  8280. Vida 15 Aug 2024 Antworten

    Hi there! This is my first comment here so I just wanted to give
    a quick shout out and tell you I truly enjoy reading your blog posts.
    Can you recommend any other blogs/websites/forums that cover the same subjects?
    Many thanks!

  8282. love with flaws สปอย 16 Aug 2024 Antworten

    I blog often and I genuinely thank you for your information. The article has really peaked my interest. I will bookmark your site and keep checking for new details about once a week. I subscribed to your RSS feed too.

  8283. boss me ภาคไทย 17 Aug 2024 Antworten

    Can I simply just say what a relief to discover somebody who actually understands what they are talking about on the net. You certainly realize how to bring a problem to light and make it important. More people need to check this out and understand this side of the story. I was surprised that you’re not more popular because you most certainly possess the gift.

  8284. stainless steel cat water fountain 18 Aug 2024 Antworten

    You’re so interesting! I don’t think I’ve truly read something like this before. So great to discover another person with a few unique thoughts on this subject matter. Seriously.. many thanks for starting this up. This site is something that is needed on the web, someone with a little originality.

  8285. Amazon affiliate 19 Aug 2024 Antworten

    Having read this I believed it was extremely enlightening. I appreciate you taking the time and effort to put this informative article together. I once again find myself spending way too much time both reading and commenting. But so what, it was still worthwhile.

  8288. prodronessupply 20 Aug 2024 Antworten

    Your style is unique compared to other people I have read stuff from. Many thanks for posting when you have the opportunity, Guess I’ll just bookmark this blog.

  8289. old-time radio eddie cantor 21 Aug 2024 Antworten

    I have to thank you for the efforts you have put in penning this site. I am hoping to see the same high-grade blog posts from you in the future as well. In fact, your creative writing abilities has encouraged me to get my own site now 😉

  8290. Backpage Washington DC 22 Aug 2024 Antworten

    After looking at a few of the blog articles on your website, I truly appreciate your technique of blogging. I book marked it to my bookmark site list and will be checking back in the near future. Please check out my website as well and tell me your opinion.

  8292. Destination 22 Aug 2024 Antworten

    Greetings! Very helpful advice in this particular article! It’s the little changes that produce the largest changes. Thanks for sharing!

  8293. EMBOSSING ROLLER MANUFACTURER 23 Aug 2024 Antworten

    The very next time I read a blog, Hopefully it doesn’t disappoint me as much as this one. After all, I know it was my choice to read through, nonetheless I truly believed you would probably have something interesting to talk about. All I hear is a bunch of crying about something you can fix if you weren’t too busy searching for attention.

  8295. my jealous husband 2023 23 Aug 2024 Antworten

    Hi there! This blog post couldn’t be written much better! Going through this post reminds me of my previous roommate! He constantly kept talking about this. I’ll send this post to him. Pretty sure he’s going to have a great read. Many thanks for sharing!

  8296. google spam 24 Aug 2024 Antworten

    Oh my goodness! Amazing article dude! Thanks, However I am having problems with your RSS. I don’t understand the reason why I can’t subscribe to it. Is there anyone else having the same RSS problems? Anyone that knows the answer will you kindly respond? Thanks!

  8298. TPower 26 Aug 2024 Antworten

    I want to to thank you for this good read!! I definitely enjoyed every bit of it. I have got you book-marked to check out new stuff you post…

  8299. 카지노사이트 27 Aug 2024 Antworten

    Everything is very open with a clear description of the challenges. It was really informative. Your website is extremely helpful. Many thanks for sharing.

  8301. BedPage Washington DC 18 Sep 2024 Antworten

    I blog often and I genuinely appreciate your content. The article has really peaked my interest. I will take a note of your blog and keep checking for new information about once a week. I opted in for your Feed as well.

  8303. Free Local Classified Ads 23 Sep 2024 Antworten

    I’m impressed, I have to admit. Seldom do I come across a blog that’s both educative and interesting, and without a doubt, you have hit the nail on the head. The issue is something which not enough people are speaking intelligently about. Now i’m very happy I found this in my hunt for something relating to this.

  8305. https://wiki-tonic.win 2 Okt 2024 Antworten

    Great goods from you, man. I have understand your stuff previous to and you
    are just too magnificent. I actually like what you’ve acquired
    here, really like what you are stating and the way in which you say it.
    You make it entertaining and you still take care of to
    keep it smart. I cant wait to read much more from you.
    This is really a tremendous website.

  8306. New music 3 Okt 2024 Antworten

    Very good info. Lucky me I came across your site by chance (stumbleupon). I’ve bookmarked it for later!

  8307. Backpage Alternative 3 Okt 2024 Antworten

    Everything is very open with a really clear explanation of the issues. It was really informative. Your website is very helpful. Thanks for sharing!

  8308. tiny-coaching.com 4 Okt 2024 Antworten

    Hello, I do think your web site might be having internet browser compatibility problems. Whenever I take a look at your website in Safari, it looks fine however, when opening in IE, it’s got some overlapping issues. I simply wanted to give you a quick heads up! Apart from that, excellent website!

  8309. weed vape 4 Okt 2024 Antworten

    Hello there! This post could not be written much better! Going through this article reminds me of my previous roommate! He continually kept preaching about this. I am going to send this information to him. Pretty sure he’ll have a very good read. Many thanks for sharing!

  8311. facebook video downloader with privacy protection 6 Okt 2024 Antworten

    I was excited to discover this great site. I wanted to thank you for ones time just for this fantastic read!! I definitely appreciated every part of it and i also have you bookmarked to see new information in your site.

  8312. ai porn 6 Okt 2024 Antworten

    This is a topic which is close to my heart… Take care!
    Where are your contact details though?

  8313. ai porn 7 Okt 2024 Antworten

    Marvelous, what a web site it is! This website gives valuable
    data to us, keep it up.

  8315. Ho88 7 Okt 2024 Antworten

    Everything is very open with a clear description of the issues. It was truly informative. Your website is very helpful. Thank you for sharing!

  8317. KON88 8 Okt 2024 Antworten

    I enjoy reading a post that will make men and women think. Also, thank you for allowing me to comment.

  8318. Dispensary Near Me 8 Okt 2024 Antworten

    I’m amazed, I have to admit. Rarely do I come across a blog that’s both educative and amusing, and without a doubt, you’ve hit the nail on the head. The issue is something not enough men and women are speaking intelligently about. I am very happy that I stumbled across this during my hunt for something relating to this.

  8319. ai porn 10 Okt 2024 Antworten

    I used to be recommended this web site through my cousin. I’m
    not positive whether or not this post is written by way of him as no one else
    recognize such detailed approximately my problem.
    You’re amazing! Thank you!

  8320. ai porn 11 Okt 2024 Antworten

    I have been exploring for a little bit for any high-quality articles or weblog posts in this
    sort of house . Exploring in Yahoo I ultimately stumbled upon this web site.
    Reading this information So i’m glad to express that I’ve a very just
    right uncanny feeling I discovered just what I needed.
    I so much for sure will make sure to don?t forget this
    website and give it a glance regularly.

  8322. view instagram stories 12 Okt 2024 Antworten

    It’s hard to find well-informed people for this subject, but you seem like you know what you’re talking about! Thanks

  8323. 대구풀싸롱 12 Okt 2024 Antworten

    Excellent site you’ve got here.. It’s hard to find high-quality writing like yours nowadays. I seriously appreciate people like you! Take care!!

  8324. investeren in startups 13 Okt 2024 Antworten

    Oh my goodness! Amazing article dude! Many thanks, However I am having difficulties with your RSS. I don’t know why I can’t subscribe to it. Is there anyone else getting identical RSS problems? Anybody who knows the answer can you kindly respond? Thanks.

  8325. ai porn 15 Okt 2024 Antworten

    Nice blog here! Also your site loads up fast! What web host are you using?
    Can I get your affiliate link to your host? I wish my web site loaded up
    as quickly as yours lol

  8326. ai porn 15 Okt 2024 Antworten

    Somebody essentially lend a hand to make severely articles I would state.
    This is the very first time I frequented your website page and up to
    now? I amazed with the analysis you made to create this actual submit extraordinary.
    Great task!

  8327. gebyar4d slot 17 Okt 2024 Antworten

    Greetings! Very helpful advice within this article! It’s the little changes which will make the biggest changes. Thanks for sharing!

  8328. poşet baskı 17 Okt 2024 Antworten

    I really love your website.. Very nice colors & theme. Did you make this web site yourself? Please reply back as I’m looking to create my own personal site and would love to find out where you got this from or just what the theme is named. Cheers.

  8329. labporntube.com 19 Okt 2024 Antworten

    Hi, just wanted to tell you, I enjoyed this post.
    It was helpful. Keep on posting!

  8330. Porn AI Art & Nude AI Porn Galleries 19 Okt 2024 Antworten

    It is the best time to make some plans for the longer term
    and it is time to be happy. I have learn this put up and
    if I may just I wish to recommend you few attention-grabbing things or tips.
    Perhaps you could write next articles regarding this article.
    I want to learn more issues about it!

  8331. pornrope.com 19 Okt 2024 Antworten

    Amazing blog! Do you have any suggestions for aspiring writers?
    I’m hoping to start my own blog soon but I’m a little lost on everything.
    Would you suggest starting with a free platform like WordPress or go for a paid option? There are so many options out there that I’m completely confused ..
    Any ideas? Many thanks!

  8332. pornaipen.com 19 Okt 2024 Antworten

    Article writing is also a fun, if you be familiar with after that you can write if not it is complex to write.

  8333. wetporntube.com 9 Nov 2024 Antworten

    For hottest information you have to pay a quick visit internet and
    on the web I found this site as a finest site for most recent updates.

  8334. aiporn.monster 9 Nov 2024 Antworten

    Hey there! Do you know if they make any plugins to protect against hackers?
    I’m kinda paranoid about losing everything I’ve worked hard
    on. Any tips?

  8335. diverseportfolios.com 10 Nov 2024 Antworten

    This is very interesting, You’re a very skilled blogger.
    I have joined your feed and look forward to seeking more
    of your great post. Also, I’ve shared your site in my social networks!

  8336. aiporn.men 10 Nov 2024 Antworten

    Very nice post. I just stumbled upon your blog and wanted to say that I’ve really
    enjoyed browsing your blog posts. In any case I will be subscribing to your rss feed and I hope
    you write again very soon!

Schreibe einen Kommentar