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An NPR investigation identified ten times the number of cases of the worst stage of the deadly coal miners' disease black lung as federal researchers reported. NPR's findings indicate Progressive Massive Fibrosis (PMF), as its called, strikes many more miners and at far higher rates than previously recognized. The report comes as the federal program that provides medical benefits and cash payments to miners stricken with black lung is threatened by a multi-billion dollar debt and challenges to ongoing funding.