One of Sen. Jeff Flake (R-AZ)’s last major votes before retirement could be a death sentence for tens of thousands of Americans. One of them is Ady Barkan, a 33-year-old California father living with amyotrophic lateral sclerosis (ALS), who, during a Thursday night flight from Washington D.C. to Phoenix, Arizona, asked Flake to cast a vote to save his life.

“I was healthy a year ago. I was running on the beach,” Barkan told Flake on the flight, according to video footage of the exchange. “I’m 33, I have an 18-month-old son, and out of nowhere I was diagnosed with ALS, which has a life expectancy of three to four years, no treatment, no cure.”

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