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The image comes from a 1997 episode of the Pokémon anime, but it didn't become a viral reaction image until 2018, according to Know Your Meme, when fans began pairing Pikachu’s blank, open-mouthed stare with captions describing obviously avoidable outcomes. It quickly became a universal punchline, transcending Pokémon entirely. Today, Surprised Pikachu isn't just a Pokémon meme. It's internet shorthand.
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Spending on GP services will increase by nearly £500 million - a 3.6% boost in cash terms - to help pay for the commitment, which the government said will be used to help recruit more doctors.
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