Generic drugs are supposed to be equivalent to brand-name medications — but the FDA doesn’t always ensure that.

Wrapped in a flashy fur coat she’d found at a thrift store for the occasion, Hannah Goetz blew out the candles on her favorite red velvet cheesecake. It was her 21st birthday. The celebration with her family that evening in February 2023 was a milestone not just for her age, but because she was alive. Three and a half years before, her lungs had collapsed from cystic fibrosis.

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