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WASHINGTON — Medicare has already received more than 4,300 comments on its recent proposal to limit coverage for Biogen’s controversial Alzheimer’s drug Aduhelm, and other similar drugs. But most aren’t from drugmakers, Alzheimer’s advocacy groups, or even neurologists.

They’re from two unexpected letter writing campaigns.

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The largest campaign is being organized by an “advocacy news” operation, More Perfect Union, which was founded by a former campaign manager for Sen. Bernie Sanders (I-Vt.) and which is part of a cadre of overtly political organizations that produce viral explainer videos, like this one on Aduhelm, that often include calls for viewers to take an action like emailing Medicare.

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