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Good morning ... A special election in a district President Trump won by 20 points was too close to call; the president fired the secretary of state; and Trump's personal assistant was escorted out of the West Wing, reportedly because of an investigation into his finances. All in the past 24 hours.

This pace is not strictly a health care issue, but if it keeps up, it might be an issue for my doctor.

What we're watching this week: HHS secretary Alex Azar testifies Thursday at a House Appropriations subcommittee hearing on HHS' budget request (details). VA secretary David Shulkin will also appear before House appropriators on Thursday.

Senate HELP Committee hearing Thursday on the 340B drug discount program.

Practical solutions: If you don't have $10,000 sitting around and/or aren't ready to die, a much easier way to create a backup of your brain is just to email me the knowledge it contains: baker@axios.com.