I'm on a course at the moment https://www.rpscportal.com/index.php/ota-clinica-55df.pdf#allocate yokota clinic  Consumer spending continued to rise in the second quarter, as Americans spent more on health care, recreational goods and vehicles, furnishings and clothing. The gain was slightly slower than in the first three months of the year, but was still seen as a good sign that consumers are coping well in spite of a higher payroll tax rate this year.