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If EITHER of you should press the infamous "next" button, the chat session will end, and another random connection with another completely different random stranger will ensue.
So, what this means for you is if you are particularly uninteresting or uninviting on the eyes, you may get "next"-ed over and over, such that you may find the service to be somewhat depressing.
DO NOT FRET, eventually you should find someone willing to give you the time of day!
If you don't, you might want to consider doing a little personal improvement.
The costs of the medical conference must be primarily for and necessary to the medical care of you, your spouse, or your dependent.