Allocation of research funding for cancer and COPD is not always proportional to disease burden. “We wouldn’t want the situation to be based solely on having the loudest person’s priorities being funded; we have to take care that the needs of the less vocal as well as the least well off are taken care of”, Jeremy Sugarman said. “Governments should find ways to establish fair processes of making fair and right decisions”

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After a lifetime of smoking, Juanita Milton needs help breathing. She’s tethered to an oxygen tank 24/7 and uses two drug inhalers a day, including Spiriva, which she called “the really expensive one.” “If I can’t afford it, I won’t take it,” Milton said

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