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Barbara Bush Meets Press

Source: Mark Reinstein / Getty

Former First Lady Barbara Bush declined any medical care earlier this week and now has died according to TMZ.

According to TMZ,

Both Barbara and George were hospitalized in Houston in early 2017 for various health issues, but she was spry and all smiles with her husband for the Super Bowl 51 coin toss a month later.

Barbara served as First Lady from 1989 to 1993, but also as Second Lady for the 8 years prior during the Reagan administration. She was known for working to make advancements in universal literacy, andĀ founded the Barbara Bush Foundation for Family Literacy.

She is survived by her husband former President George H.W. Bush, 4 children including son and former President George W. Bush and Jeb Bush, 14 grandchildren and 7 great grandchildren.