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[229] A study from Erasmus University Rotterdam limited to people with chronic obstructive pulmonary disease found that the cost-effectiveness of minimal counselling, intensive counselling, and drug therapy were 16,900, 8,200, and 2,400 per QALY gained respectively

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She died at Saint John's Health Center in Santa Monica, California, on October 11, 2025, at age 79 after a period of failing health