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Uvanni says his brother may have gotten more time from the many drugs he tried during his illness but that his quality of life was mostly terrible. (Mike Roy for KHN)

Uvanni says his brother may have gotten more time from the many drugs he tried during his illness but that his quality of life was mostly terrible. Credit: Mike Roy for Kaiser Health News

Michael Uvanni of Rome, N.Y., sits in one of his interior design business showrooms. Uvanni was devastated when his brother, James Michael Uvanni III, 66, died from cancer following more than three years of specialized treatment. Given how optimistic his doctors were, he expected that his brother would be cured, or at least live a long time. (Mike Roy for KHN)