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Lung transplant patient James Sawyer must take medications that cost thousands of dollars a month as a result of work-related illness. (Hannah Peterson/Center for Public Integrity)DURHAM, N.C. — It’s been a trying year for James Sawyer, who had two ruined lungs replaced in the space of seven months. Mounting medical expenses only add to his stress. Sawyer, a 53-year-old wisp of a man, underwent the transplants at Duke University Medical Center here because he had developed hard-metal disease, a rare …

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