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Pennsylvania (/ ˌ p ɛ n s ɪ l ˈ v eɪ n i ə / ⓘ PEN-sil-VAY-nee-ə, lit. ' Penn's forest country '), officially the Commonwealth of Pennsylvania [b] (Pennsylvania Dutch: Pennsylvanie), [7] is a state spanning the Mid-Atlantic, Northeastern, Appalachian, and Great Lakes regions of the United States.
The federal debt at the end of the 2018/19 fiscal year (ended September 30, 2019) was $22.7 trillion (~$27.1 trillion in 2023). The portion that is held by the public was $16.8 trillion. Neither figure includes approximately $2.5 trillion owed to the government. [83] Interest on the debt was $404 billion.
Idealization by Edvard Munch (1903), who is presumed to have had borderline personality disorder [6] [7]: Specialty: Psychiatry, clinical psychology: Symptoms: Unstable relationships, distorted sense of self, and intense emotions; impulsivity; recurrent suicidal and self-harming behavior; fear of abandonment; chronic feelings of emptiness; inappropriate anger; dissociation [8] [9]
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