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Former first lady Barbara Bush died Tuesday at the age of 92, according to a family spokesman.

statement issued on Sunday by the office of former President George H.W. Bush said that Bush had elected to receive “comfort care” over additional medical treatment after a series of hospitalizations.

“It will not surprise those who know her that Barbara Bush has been a rock in the face of her failing health, worrying not for herself — thanks to her abiding faith — but for others,” it said. “She is surrounded by a family she adores, and appreciates the many kind messages and especially the prayers she is receiving.”

Former President George W. Bush said in a statement:

“My dear mother has passed on at age 92. Laura, Barbara, Jenna, and I are sad, but our souls are settled because we know hers was. Barbara Bush was a fabulous First Lady and a woman unlike any other who brought levity, love, and literacy to millions. To us, she was so much more. Mom kept us on our toes and kept us laughing until the end. I’m a lucky man that Barbara Bush was my mother. Our family will miss her dearly, and we thank you all for your prayers and good wishes.”

President Trump and Melania Trump called her an advocate for the American family, with great achievements in the cause of literacy. The president ordered that U.S. flags to be flown at half-staff at the White House, federal buildings, U.S. embassies and military posts in Barbara Bush’s honor.

Former President Barack Obama and Michelle Obama said they were grateful for her generosity to them and said the way she lived her life was a testament to public service as an important and noble calling, that she was an example of humility and decency.

Bush will go down in history as one of just two women to be both the wife of a U.S. president and also the mother of one. She was as famous for her undyed hair and fake pearls as she was for her self-deprecating humor, and she made it clear — from the moment she moved into the White House — that she was going to be a different kind of first lady from her very glamorous predecessor, Nancy Reagan.

“Barbara Bush certainly wasn’t afraid to laugh at herself,” said first lady biographer Myra Gutin. “She worked very hard to show that she was just a real person.”

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