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The macroscopic answer is that charge is conserved, therefore, the same
charge (amount and sign) that is inside is on the outside. If the
inside charge contacts the inside of the sphere it neutralizes the
charge induced on the inside and leaves the outside charge unchanged.
The lack of "communication" is true only in the static case.
P.s. I'm rather certain the q inside the sphere will experience a (net)
force if it's not in the center