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This is really a law for people who are very sick, who have exhausted all treatment options and who cannot enroll in a clinical trial, said Starlee Coleman, senior policy adviser at the Goldwater Institute, a conservative public policy think tank based in Phoenix that supports right-to-try legislation."For people living in a state where right-to-try is already on the books, they already have the ability today to work with their doctors directly to approach a drug company with a drug in clinical trials and ask for the option to try that drug outside of the clinical trial," she said. "For people living in the 12 states without a right-to-try law, today they don't have this option, but if the federal law passes, they will have the option."Some opponents argue that the bill won't change much but could have a detrimental effect on how the FDA safeguards the health of the public.Dr. Steven Joffe, professor in medical ethics and health policy at the University of Pennsylvania's Perelman School of Medicine, co-authored a perspective paper about such concerns, published in the New England Journal of Medicine last month.The paper notes that the FDA already has expanded-access policies, sometimes called compassionate use, to give terminally ill patients without other options access to investigational medical products outside of clinical trials.About 99% of submitted applications for expanded access to almost 9,000 investigational drugs were allowed to proceed over a 10-year period between January 2005 and December 2014, according to a study by FDA researchers, published in the journal Therapeutic Innovation & Regulatory Science in 2016."Emergency requests for individual patients are usually granted immediately over the phone and non-emergency requests are generally processed within a few days," FDA Commissioner Dr. Scott Gottlieb said in a statement last year. 1885

TMZ also said a woman involved in the crash appeared more seriously injured and was bleeding. The woman, who is in her 20s, was not wearing a seatbelt and suffered critical injuries, KABC reported. The other patients who were taken to the hospital included two men in their 40s or 50s who had minor injuries. 323

Trump tweeted, quoting Fox News’ Mollie Hemingway: “This investigation involved far more surveillance than we ever had any idea about. It wasn’t just a wiretap against a campaign aide...it was secretly gathering information on the Trump Campaign...people call that Spying...this is unprecedented and scandalous.” 312

This is the first border construction project contract awarded by the Trump administration aside from the eight prototypes for a wall built last year near Otay Mesa. 165

Trump was in Nashville to campaign for Bredesen's Republican opponent, Rep. Marsha Blackburn, in the race to replace the retiring Sen. Bob Corker. 146