Expert 1:1 Care

Individual Therapy Across Palau's 340 Islands.

Mental health care in Palau collides with a straightforward math problem: the entire country's specialist bench sits at Belau National Hospital's Behavioral Health Division in Koror, and a new-patient intake there typically runs about six weeks. Getting in at all is hard. Getting in with a clinician actually trained in the approach your situation calls for, whether that is CBT for panic and anxiety, ERP for OCD, trauma-focused work, DBT skills, grief, bipolar, ADHD, or the many other things people navigate, is a much taller order. Grouport was built for exactly that gap. After a short signup you review therapist options fitted to your situation, choose the clinician you would like to work with, and typically get started within 24 to 72 hours. Weekly 45-minute one-on-one video sessions run on secure HIPAA-compliant video with the same therapist over time, at $103 per session on average ($448 per month), with automatic discounts included for every additional weekly session and the flexibility to adjust cadence as things change.

Greeting

Palau Mental Health Service Landscape.

Understanding the landscape of mental health care access and the challenges
residents face.

Mental Illness Prevalence

12.9% of Palauan adults live with a mental health condition each year, reflecting the ongoing need for accessible therapy options.

Wait Time

6 weeks the average wait to secure a first mental health appointment in Palau's public system, an interval during which symptoms often deepen.

Median Household Income

$4,252 median household income in Palau, shaping what households can allocate to private mental health care.

Percentage Who Need Therapy

65.0% of Palauan adults with a mental health condition do not receive formal specialist treatment.

Provider Shortage

68% of Palau's mental health workforce falls short of what is needed to fully meet population demand for specialist care.

Mental Health Providers per 100k Residents

66.1 per 100,000 mental health workers in Palau, a density that shapes availability, wait times, and access across the country.

Palau's headline numbers tell a coherent story. A workforce density of 66.1 mental health specialists per 100,000 residents looks strong on a per-capita chart, but that ratio works out to only a handful of clinicians across all specialties in a nation of roughly 17,700 people. Add a six-week average wait for a first appointment, a household budget shaped by heavy import costs, and a small-island privacy dynamic where clinical staff are often personally known to patients, and the case for a private online option becomes obvious. Individual therapy over HIPAA-compliant video with a licensed clinician, priced at $103 per session and available this week, is precisely the shape of care Palau's existing system has the hardest time delivering on its own.

UNDERSTANDING THE CHALLENGE

Why Palau's Geography Makes Online Groups Fit.

The Problem

Palau spans 459 square kilometers of land scattered across roughly 340 islands and islets from Kayangel in the north to Hatohobei in the southwest. Belau National Hospital in Koror concentrates specialty behavioral health services, leaving residents of Peleliu, Angaur, and the Southwest Islands dependent on a domestic flight or the state-run boat schedule for a single therapy appointment. When a session lasts 50 minutes but travel eats an entire day plus $80-200 in transit, weekly consistency collapses.

The Impact

Six weeks of waiting is not neutral time. A nurse at Belau National Hospital, a dive-shop guide in Malakal, or a Palau Visitors Authority staffer typically spends those weeks managing sleep loss, rumination, or a strained relationship without any professional support, then has to organize the appointment itself around a full workday. Outer-island residents face worse odds: a first counseling visit in Koror can absorb a full day of transit and $80 to $200 in travel, so weekly consistency almost never forms. Grouport removes both problems at once. A licensed clinician on video means the therapy relationship starts within days of reaching out, and the 45 minute session fits into a lunch break or after-work window on any inhabited island with a connection.

The Solution

Weekly one-on-one video sessions bypass almost every pressure point in Palau's small, hospital-anchored system. Belau National Hospital's counseling capacity is measured in a handful of clinicians across the whole country, which means intake is triaged toward the most acute presentations and specialty tracks such as ERP for OCD, trauma-focused protocols, DBT skills work, or structured CBT for panic are effectively unavailable in-country. On Grouport, after a short signup you see clinician options fitted to your situation, choose the therapist you would like to work with, and typically begin within 24 to 72 hours with the first 45-minute session usually landing the same week. Sessions run on secure HIPAA-compliant video with the same licensed therapist week after week, so the arc of care actually holds together instead of restarting each rotation. The privacy piece matters in a country of roughly 17,700 residents where hospital counseling staff are often personally known to the people they treat. Your Grouport therapist sits outside the community you live in, and the entire relationship stays inside the video room.

68% of Palau's mental health workforce falls short of what is needed to fully meet population demand for specialist care.

Three specific frictions loosen the moment individual therapy moves online. First, the six-week Belau National Hospital queue disappears; a Palauan client who completes the Grouport intake on Monday can be in a first session by later that week. Second, geography stops mattering. A resident of Angaur, Hatohobei, or Sonsorol joins the same 50-minute one-on-one session as a schoolteacher in Ngerulmud, with no state-run boat, small domestic flight, or Compact Road drive in between. Third, the Palau Time offset (UTC+9) aligns cleanly with therapist availability across Asia-Pacific hours and evening US shifts, so weekly online therapy Palau clients book does not require holding a slot at an inconvenient hour.

Access and Availability Throughout Palau.

Palau's formal mental health care runs through a small handful of channels. Belau National Hospital's Behavioral Health Division in Koror handles psychiatric evaluation, medication management, and counseling for the entire country; a limited private counseling market operates in Koror at $110 to $180 per hour when a clinician has an opening; and complex cases are referred abroad under the Medical Referral Program to Manila, Taipei, or Guam. What is missing is a reliable weekly one-on-one option for adults who want ongoing talk therapy without a hospital chart, an off-island trip, or a long queue. Grouport fills exactly that gap: a licensed therapist you meet with each week over HIPAA-compliant video, at $103 per session, matched to you right away.

Geographic Barriers

Palau is a 459-square-kilometer archipelago of roughly 340 islands, only about eight of them permanently inhabited. Everything specialty-level in behavioral health sits in Koror, which means residents of Peleliu, Angaur, Kayangel, and the Southwest Islands have to arrange a state-run boat or a small domestic flight to reach a single appointment. Even within Babeldaob, the Compact Road adds 45 to 90 minutes each way from villages like Ngiwal or Ngarchelong. Online individual therapy in Palau collapses all of that. A Grouport client in Hatohobei opens a laptop at 4pm PWT and enters the same virtual room as a client in Meyuns, with no ferry, no charter, and no lost work day around the appointment itself.

Extended Wait Times

The Ministry of Health's Behavioral Health Division reports roughly six-week waits for a new-patient intake, and specialty needs like trauma-focused work or postpartum counseling can stretch further when a single visiting clinician holds the caseload. Instead of waiting six weeks or longer, Palau clients can be in their first Grouport session within days: a short intake, a match to a licensed therapist, and a first 45 minute one-on-one video appointment on the calendar the same week. The clock that usually runs against Palauan patients starts running with them the moment they finish the intake form.

Systemic Challenges

Palau's clinical bench depends heavily on rotating staff, including Peace Corps placements, Taiwan Medical Mission physicians, and contracted specialists from Manila or Guam, and every rotation carries the risk that a patient's counselor leaves before the work is finished. On top of that, the national Healthcare Fund does not reimburse most private overseas therapy, so residents who want a private track have narrow choices. Grouport sidesteps both problems. Clients see the same licensed therapist week after week regardless of what is happening at Belau National Hospital, and pricing is a simple USD subscription of $103 per session on average, billed at $448 per month for weekly sessions or $224 per month for every-other-week, rather than a claim to file or a receipt to translate.

Urban-Rural Divide

Koror and Airai together account for roughly 79 percent of Palau's residents, and that concentration hides how few people actually live in the remaining states. Kayangel counts about 50 residents, Hatohobei fewer than 30, and states like Ngchesar, Ngeremlengui, and Sonsorol range from the low hundreds up. In-person weekly therapy for a Ngarchelong or Hatohobei adult is effectively impossible; the domestic clinician-to-population math simply does not work. Online individual therapy erases the divide. A Grouport client in a Southwest Islands hamlet gets the same 50-minute weekly one-on-one session with the same licensed therapist as a client walking home from work in Meyuns.

For anyone in Palau ready to begin weekly work with a clinician actually trained for what they are dealing with, Grouport is a direct path in. After a short signup you review therapist options fitted to your specific situation, whether that is OCD, panic, complex trauma, depression, bipolar, ADHD, an eating disorder, grief, a relationship crisis, or something else you are working through, and you pick the therapist you would like to work with. Onboarding typically completes within 24 to 72 hours, and the first 45-minute one-on-one session over HIPAA-compliant video typically lands the same week. Pricing is $103 per session on average ($448 per month), or $224 per month on the every-other-week cadence, with automatic discounts included for every additional weekly session so heavier stretches are easier to lean into. The same therapist stays with you across the arc of care, with room to step frequency up or back as things evolve, or to layer in group, couples, family, or an intensive outpatient program alongside individual therapy if that turns out to be useful. A care coordinator is available throughout for anything you need along the way, from choosing a therapist to adjusting care to any question that comes up as the work unfolds.

Cost and Value for Palauan Households.

Palau residents get immediate access to Individual Therapy at $103 per session on average (billed at $448 per month), 50 to 60 percent below the global average of $150 to $250 per session that private one-on-one therapy typically commands. Weekly sessions run 45 minutes with the same licensed therapist, and every-other-week clients pay $224 per month. Nothing is billed session-by-session, and nothing arrives in a local currency invoice that has to be reconciled against the US dollar.

Affordability and Income

Palau sits in the World Bank's high-income bracket, with a GNI per capita around $20,810 (PPP), but the country's imported-everything cost structure, where a jar of peanut butter, a bag of rice, or a car battery all reflect shipping distance from Manila or Long Beach, means recurring household line items get scrutinized carefully. Grouport's subscription pricing is designed to be planned: $103 per session on average, billed at $448 per month for weekly individual therapy, or $224 per month for every-other-week, is a fixed USD number that does not fluctuate with how many sessions land in a given month or where in the Pacific banking day a payment clears. Compared to the $110 to $180 per hour that Koror's limited private counseling market charges when a slot exists, and to the far higher rates residents encounter when referred abroad under the Medical Referral Program, weekly one-on-one care through Grouport sits well below the global average and stays there across a full arc of treatment.

Hidden Cost and Barriers

In-person care in Palau attaches a long list of costs to the visible session fee. A Peleliu resident booking a Koror appointment can pay $40 to $80 each way on the state-run boat, plus a full day of lost work in a country where informal family networks fill most childcare. A domestic flight from Angaur runs upward of $100 one way when the schedule cooperates. Private clinicians in Koror bill session-by-session with limited slots, so budgeting a full course of care means guessing at availability. Grouport removes all of it: no commute to Koror, no ferry or flight, no lost workday, no cash-only surprise or currency-conversion friction, and no per-session invoicing. One predictable monthly rate in USD, cancel anytime, with the same licensed therapist every week.

Immediate Availability

The Ministry of Health's Behavioral Health Division reports a six-week wait for a new-patient intake, and specialty tracks can extend longer when a single visiting clinician holds the caseload. Grouport's model reverses that: complete a short intake, get matched to a licensed clinician, and start weekly one-on-one therapy within days rather than months. For Palau clients ready to start now, a licensed Grouport therapist is available this week.

How it Works

Community

Explore Virtual Mental Health Services

With plans tailored to you, it's easy to choose the right mental health care plan. Simply sign up today!

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Personalized match

We’ll get in touch with you to get brief context to make sure we match you with the therapist that best fits your needs & schedule. (Typically match in 24-72 hours)

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Start Online Therapy

Meet weekly with a licensed mental health professional for 45-minute video sessions. With consistent online therapy services, you can start seeing meaningful results.

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Mental Health Conditions We Treat in

Palau

Beyond individual therapy, Grouport offers licensed therapists who specialize across the full spectrum of mental health needs and evidence-based approaches. Whatever you're looking for, we have a therapist for your needs.

Meaningful Results

Check out how our online therapy services have helped our members see life-changing results

Stephanie

“Grouport is time flexible and affordable and if it didn’t exist, I don’t know where I would go. I had looked into other places before Grouport and there really wasn’t any option like it.”

Michael

“I highly recommend this to anyone who is struggling with anxiety or depression. The therapists are top notch and have made me feel really comfortable and my anxiety has improved tremendously in only a few sessions!”

Isabel

"I joined Grouport to work on myself and to heal. I’m learning so much at every session! The change I see not only in myself but in my fellow group members is abundantly encouraging and profoundly fulfilling. Group therapy with Grouport is a powerful healing tool."

Sheldon

“I was feeling very down at the end of 2020 and I was ready to do something drastic that I know I'd likely regret. The group definitely helped show me that there are people who feel the same way as I do.”

Nancy

“The therapy from Grouport is high quality and convenient. I am becoming much more self aware and am liking myself more. My relationships at work are better and I’m much happier.”

Emily

“I like the connection you can make with total strangers and the confidentiality it comes with.”

Olivia

“My weekly group helps me get through the week. Best experience ever!”

Danielle

"Grouport can help you with your issues. Their therapists are well trained to work with you on your issues. I felt my anxiety greatly improve after only a few sessions. I highly recommend it!"

Glenn

"Grouport's approach to DBT is a real strength. This approach provides tools and methods for working with difficult emotions and getting a handle on them. It has given me hope where other approaches have failed."

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Meet Our Therapists

Our therapists represent a wide range of clinical specialties & diverse backgrounds. They all undergo the most stringent credentialing process. Grouport therapists are caring, expert mental health professionals with years of experience helping people get the tools they need to see long-lasting change.

Grouport's clinician bench is made up of licensed psychologists, LCSWs, LMHCs, LMFTs, LPCs, PsyDs, and PhDs, credentialed at the master's or doctoral level and trained in the specific evidence-based approaches that actually move the needle on real conditions: CBT for anxiety and depression, ERP for OCD, EMDR and trauma-focused CBT for PTSD, DBT skills work for emotion dysregulation, IFS, ACT, exposure work for phobias and panic, and more. When you sign up you review therapist options fitted to your situation and choose the clinician you would like to work with, rather than being assigned the next available slot. Sessions are delivered in English, which is Palau's language of government, education, and business, and clinicians are experienced across time zones and cultures, whether you are a Palauan citizen, a Filipino or Bangladeshi contract worker, a Compact-affiliated resident, or anyone else calling in from Koror, Airai, Peleliu, Kayangel, or a Southwest Islands hamlet. All sessions are HIPAA-compliant and fully confidential.

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Affordable Individual Therapy & Care Options in Palau.

Group, individual, couples, family, IOP, and teen therapy — all online, all therapist-led. Mix and match care options to fit your needs — and get discounted pricing when you bundle.

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Individual Therapy

$112/session
billed at $448/month

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Group Therapy

$35/session
billed at $140/month

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Partnership

Couples Therapy

$123/session
billed at $492/month

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Family Therapy

$160/session
billed at $640/month

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IOP Therapy

$337/week
billed at $1,348/month

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Teen Therapy

$112/session
billed at $448/month

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Frequently Asked Questions from Palauan Members.

Can I attend online therapy sessions via phone if needed?

Yes\! You can attend over video chat on any smartphone. While we recommend video on a computer or laptop for the best therapeutic experience, you can attend sessions by any smartphone as well. Additionally, you can also attend sessions by audio only if needed, though we recommend to join by video for the best experience.

Can I change my session times?

Yes, if you need to change your recurring group therapy session time you can absolutely switch groups to one that works better for your schedule. Groups work on a set schedule so we don’t reschedule group sessions but if you can’t make a particular group session we can always add in a credit as long as it's within reason. If you need to reschedule an individual, couples, or a family therapy session, you can coordinate with your therapist and our care team to find a new time for that week - just provide advance notice. ✅ Occasional reschedules are fine, but we recommend keeping changes to a minimum for consistency. ✅ Need to change your recurring weekly time? Our team will help you adjust to a new time that fits your schedule.

Is there a long-term commitment required for therapy?

No, Grouport operates on a month-to-month basis with no long-term commitments required for our therapy plans. You can cancel at anytime and you’d just finish out whichever month you’re on. This flexibility allows you to attend therapy for as long as it's helpful. Many clients continue for several months or years as they work through their goals, while others use Grouport for shorter-term support. The choice is entirely yours, and you're never obligated to continue beyond your current billing period.

What if I have trouble opening up?

Difficulty opening up is common, especially early in therapy. Good therapists understand this and create safety gradually. Strategies that help include starting with less vulnerable topics and working up to harder issues, remembering therapy is confidential and judgment-free, understanding your therapist has heard everything before, recognizing that opening up gets easier with practice, telling your therapist directly "I have trouble opening up" (this itself is opening up), writing thoughts if speaking feels hard, and remembering therapy moves at your own pace. Many people who initially feel like they can't open up eventually do. Trust develops over time. Your therapist watches for signs you're holding back and gently encourages exploration without forcing disclosure.

Can therapy help with work stress and burnout?

Yes, therapy helps with work-related stress through developing boundaries between work and personal life, stress management and relaxation techniques, addressing perfectionism or overwork patterns, deciding whether to stay in your job or make a change, improving work relationships and communication, managing difficult bosses or colleagues, coping with toxic work environments, recovering from burnout (fatigue, cynicism, ineffectiveness), addressing imposter syndrome, and exploring values around work-life balance. Your therapist helps you understand what's within your control versus what's systemic. For burnout, therapy is most effective combined with actual changes in work situation or hours and therapy can help you navigate that.

Can I bring my partner or family member to individual sessions?

That would be scheduled as a one off couples or family therapy session that would be billed for separately. Occasional couples or family therapy sessions can be valuable to support your individual work. Common reasons include, helping your partner understand your mental health condition, practicing communication skills with therapist support, addressing a specific relationship or family issue, your partner asking questions about how to support you, or transitioning to or adding couples or family therapy.

What if I don't trust my therapist?

Trust is essential for effective therapy. If you don't trust your therapist, first ask yourself, Is this general difficulty trusting (a pattern in many relationships)? Or specific concerns about this person? Have you discussed your mistrust with them? Sometimes exploring trust issues with your therapist is therapeutic work, and many people have trust difficulties, and therapy is a safe place to address this. However, if specific behaviors make you uncomfortable (boundary violations, judgmental attitudes, broken confidentiality), trust your instincts and switch therapists immediately. Some trust builds gradually over several sessions; if you feel like trust is lacking or uncomfortable after 4-5 sessions, finding a better fit is appropriate and we can help you switch therapists.

Does Grouport accept international insurance?

We don't directly accept insurance from any country currently. You pay out-of-pocket and can request a receipt to submit to your insurance if they offer reimbursement for mental health services. Coverage varies widely by country and insurance provider so you’d have to check with them about reimbursement.

How much does Grouport cost in my currency?

Pricing is in US dollars. Group therapy sessions range from $25-$35 USD per session, and individual therapy averages $103 USD per session. Your bank will convert the charge to your local currency. Exchange rates affect the final amount you pay, but those are the amounts you can expect to pay for group therapy and individual therapy. The rates for family therapy, couples therapy, virtual IOP, self guided programs, or bundles combining different types of therapy at different levels of intensiveness varies. Whenever you are doing more than one session per week, there are always discounts included.

What's the difference between in-network and out-of-network coverage?

In-network means your therapist has a contract with your insurance company—they accept negotiated rates and bill insurance directly. Out-of-network means no contract, you pay upfront and may get reimbursed a portion. Out-of-network typically has higher deductibles and you're reimbursed percentage (often 50-80% depending on your plan) rather than paying a flat copay. Grouport is out-of-network, so you'd submit receipts for potential reimbursement.

Can I schedule Grouport sessions around Palauan holidays like Independence Day and Constitution Day?

Yes. Grouport runs weekly video sessions across multiple time slots on Palau Time (UTC+9), so residents in Koror, Airai, and the outer states can pick a recurring hour that avoids Independence Day (October 1), Constitution Day (July 9), and Youth Day observances. If a session lands on a holiday or a family gathering, you can reschedule without losing your slot. Individual sessions run 45 minutes with a licensed therapist at $103 per session on average, billed at $448 per month, and you can start right away without waiting for a quarterly intake.

How does Grouport compare to being referred to Manila or Taipei under Palau's Medical Referral Program?

For talk-therapy support that does not require inpatient psychiatric admission, Grouport removes the need to board a flight to Manila, Taipei, or Guam. Instead of a 6-week wait for a specialist slot and international travel from Koror, you join HIPAA-secure 45-minute weekly video sessions with a licensed therapist at $103 per session on average, billed at $448 per month. Residents of Peleliu, Angaur, Kayangel, and the Southwest Islands get the same access as those near Belau National Hospital, and you can start right away.

Coverage Across Palau's 16 States.

Regions

Aimeliik, Airai, Angaur, Hatohobei, Kayangel, Koror, Melekeok, Ngaraard, Ngarchelong, Ngardmau, Ngatpang, Ngchesar, Ngeremlengui, Ngiwal, Peleliu, Sonsorol.

Cities

Koror, Airai, Meyuns, Melekeok, Ngerulmud, Kloulklubed, Ngetkib, Ngermechau, Ollei, Imeong, Ngaramasch, Echang, Ngchemiangel, Ngerkeai.

Zip Codes

Grouport serves all zip codes across Palau. If you have an address in Palau, Grouport can serve you regardless of your zip code.

Online Individual Therapy Available Worldwide

Grouport offers online individual therapy available globally for people in 200+ countries. Find a licensed therapist that fits your needs for weekly one-on-one sessions.

Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cabo Verde Cambodia Cameroon Canada Cayman Islands Central African Republic Chad Chile China Christmas Island Colombia Comoros Cook Islands Costa Rica Croatia Cuba Curacao Cyprus Czech Republic Côte d'Ivoire Democratic Republic of the Congo Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Macedonia Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Republic of the Congo Reunion Romania Russia Rwanda Saint Barthélemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia Solomon Islands Somalia South Africa South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu U.S. Virgin Islands Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe
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