Some call the 21st Century Cures Act an outrageous giveaway to medical-device and drug companies that cuts federal support for the less sexy but far more effective  measures (than new, hugely profitable drugs and devices) for improving America’s overall health, such as immunizations and anti-smoking initiatives.  And, foes say, the act will encourage sloppy and fraudulent science as it fast-tracks approval of new drugs and devices.

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