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for STAT News: What happens when a rare disease drug seems to work, but the health care system doesn’t?
josé a. alvarado jr.
Apr 2, 2025
At the end of the year, her 12-year-old son Tristan will no longer have free access to a pricey medicine that has successfully helped him combat a rare form of epilepsy. This means that after being on the treatment — made available to him through a clinical trial since early 2022 — he may once again have to cope with seizures that will worsen his health, diminish his quality of life, and place a proverbial cloud over his future.
Photographed for STAT News, with words by Ed Silverman

Cristina Brennan can hear the clock ticking. At the end of the year, her 12-year-old son Tristan will no longer have free access to a pricey medicine that
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