, ▁a ▁player ▁may ▁finish ▁the ▁game ▁without ▁calling ▁out ▁" Mac ao " ▁or , ▁usually ▁to ▁prov oke ▁other ▁players ▁to ▁change ▁their ▁strategy , ▁the ▁player ▁wants ▁to ▁call ▁out ▁" Multi ple ▁Mac ao ". ▁E as ier : ▁J ok ers ▁can ▁be ▁placed ▁in ▁pack s ▁with ▁ 2 s ▁or ▁ 3 s . ▁Hard er : ▁ 7 s ▁may ▁be ▁used ▁as ▁wild ▁cards ▁but ▁they ▁only ▁change ▁the ▁suit ▁to ▁their ▁own . ▁So ▁if ▁a ▁seven ▁of ▁clubs ▁is ▁played , ▁regardless ▁of ▁suit , ▁the ▁next ▁card ▁to ▁be ▁played ▁is ▁required ▁to ▁be ▁a ▁seven ▁or ▁a ▁card ▁of ▁clubs . ▁ ▁References ▁ ▁Category : H ung arian ▁card ▁games ▁Category : E ights ▁group ▁Category : F rench ▁deck ▁card ▁games ▁Category : 2 0 th - century ▁card ▁games <0x0A> </s> ▁Tor bay ▁and ▁Southern ▁Dev on ▁Health ▁and ▁Care ▁N HS ▁Trust ▁provided ▁health ▁and ▁care ▁in ▁and ▁around ▁Tor bay , ▁Dev on , ▁England . ▁It ▁was ▁a ▁pione er ▁within ▁the ▁N HS ▁in ▁England ▁in ▁demonstr ating ▁the ▁advantages ▁of ▁integr ating ▁health ▁and ▁social ▁care ▁into ▁one ▁organisation . ▁And ▁" one ▁of ▁three ▁areas ▁that ▁have ▁been ▁working ▁to ▁learn ▁from ▁Kaiser ▁P erman ente , ▁a ▁leading ▁United ▁States ▁health ▁maintenance ▁organisation ." ▁ ▁It ▁was ▁established ▁as ▁Tor bay ▁Care ▁Trust ▁in ▁October ▁ 2 0 0 5 ▁with ▁responsibility ▁for ▁social ▁care ▁in ▁a ▁partners hip ▁agreement