Tag Archives: cancer

Protests are bringing attention to the ‘everyday violence’ faced by black Americans

In the wake of the killing of George Floyd by a Minneapolis police officer early last week, cities across the U.S. erupted in protest. As those demonstrations enter their second week, some are calling for a reckoning with not just police brutality but also the wider array of harms disproportionately inflicted by race in the U.S.

Many of those harms are environmental. On Sunday, New Jersey Senator and former presidential candidate Cory Booker went live on CNN not only to call for measures like reforming the federal statute governing police misconduct (18 U.S.C.  section 242), but also to draw attention to the “everyday violence” faced by black Americans.

“Where is the response to the everyday violence that we live in a nation with such toxicity, from ‘cancer alley’ to Duplin County, that is killing disproportionately black people, because race is still the greatest indicator of whether you live around a toxic site?” Booker asked host Jake Tapper. “Where is the outrage and the anguish in the hearts of Americans?”

“Cancer alley” is an 85-mile industrial corridor along the Mississippi River in Louisiana where predominantly African American residents suffer the country’s most severe rates of industrial pollution-linked cancer (and now also some of its most severe COVID-19 outcomes). In Duplin County, North Carolina, toxic emissions from industrial hog farming have been associated with high rates of infant mortality, kidney disease, tuberculosis, and the lowest life expectancy in the state. These burdens are disproportionately suffered by black North Carolinians.

These environmental harms have long roots. For instance, some legacies of redlining — the government-sanctioned denial of home loans and insurance to communities of color — include housing stock that is disproportionately located near polluting industrial infrastructure. That legacy can also be seen in the threats that accelerating climate change poses to below-sea-level neighborhoods of color and urban neighborhoods that disproportionately suffer exposure to extreme heat.

The intersection of environmental injustice and policing can be seen on Rikers Island, New York City’s most notorious jail complex, which is built on a landfill and surrounded by polluting infrastructure. Roughly 90 percent of those behind bars in Rikers are people of color, and they have long suffered extreme summer heat, flooding, and noxious pollution while in confinement. 67 percent of those incarcerated at the complex have not been convicted of a crime and are simply awaiting trial.

Booker made environmental justice issues a centerpiece of his recent presidential campaign. During the first-ever presidential forum on environmental justice in November, the New Jersey senator called environmental racism a “shameful reality in America.” He also unveiled a detailed “environmental justice agenda” earlier last year.

Closing his remarks on CNN on Sunday, Booker connected environmental, economic, and racial justice and said the entire nation would suffer if the issues were left unaddressed.

“We are all weaker because we have allowed so much injustice to last so long,” Booker said. “Now is the time to take this energy and this anger and this focus and keep it until we actually change laws and systems of accountability that can raise standards in our country.”

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Protests are bringing attention to the ‘everyday violence’ faced by black Americans

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The Demon in the Machine – Paul Davies

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The Demon in the Machine

How Hidden Webs of Information Are Solving the Mystery of Life

Paul Davies

Genre: Science & Nature

Price: $17.99

Publish Date: October 16, 2019

Publisher: University of Chicago Press

Seller: Chicago Distribution Center


What is life? For generations, scientists have struggled to make sense of this fundamental question, for life really does look like magic: even a humble bacterium accomplishes things so dazzling that no human engineer can match it. Huge advances in molecular biology over the past few decades have served only to deepen the mystery. In this penetrating and wide-ranging book, world-renowned physicist and science communicator Paul Davies searches for answers in a field so new and fast-moving that it lacks a name; it is a domain where biology, computing, logic, chemistry, quantum physics, and nanotechnology intersect. At the heart of these diverse fields, Davies explains, is the concept of information: a quantity which has the power to unify biology with physics, transform technology and medicine, and force us to fundamentally reconsider what it means to be alive—even illuminating the age-old question of whether we are alone in the universe. From life’s murky origins to the microscopic engines that run the cells of our bodies, The Demon in the Machine journeys across an astounding landscape of cutting-edge science. Weaving together cancer and consciousness, two-headed worms and bird navigation, Davies reveals how biological organisms garner and process information to conjure order out of chaos, opening a window onto the secret of life itself. Electronic rights 50/50 Ebook notes:  The Publishers will not knowingly or systematically sell or allow downloads of the Electronic Edition outside the Territory. The Electronic Edition shall not be enhanced, amplified, adapted, abridged, bundled or combined with any other work/s nor vary from the Print Edition in any material way without the prior written approval of the Proprietor. For the avoidance of doubt, the right to sell or distribute the Electronic Edition via any digital subscription service is not permitted under this Agreement.

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The Demon in the Machine – Paul Davies

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This EPA spokesperson is done defending Scott Pruitt.

First: Toxic coal ash, which was a problem on the territory well before Maria’s landfall. A coal-fired power plant in the southeastern city of Guayama produces 220 thousand tons of the stuff each year, which studies have linked to an increased risk of cancer, heart, and respiratory ailments.

Puerto Rico’s Environmental Quality Board directed the plant, operated by multinational corporation Applied Energy Systems (AES), to cover its giant pile of coal ash prior to the storm. This weekend, PBS News reported that never happened.

Researchers and community members had worried that the heavy rainfall heightened the risk of coal ash toxins leaching into the soil and contaminating drinking water. Now, AES’ own groundwater monitoring report showed a sharp increase in the levels of arsenic, chromium, and two radioactive isotopes in groundwater near the plant after Hurricane Maria. Federal and local government have historically ignored this region of the island, experts told Grist shortly after the storm.

Second: Statehood! A disaster response nearly as chaotic as the storm itself has highlighted the real risks of the United States’ colonial relationship with the island.

Puerto Rico’s Resident Commissioner Jenniffer González plans to introduce a bill to the House this spring petitioning for Puerto Rico to become a state, the Washington Post reports.

“Ask yourself, if New Jersey or Connecticut had been without power for six months, what would have happened?” she asked, “This is about spotlighting inequities and helping Congress understand why we are treated differently.”

Originally posted here: 

This EPA spokesperson is done defending Scott Pruitt.

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Tig Notaro Is Not Afraid of the Dark

Mother Jones

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Bob Chamberlin

For democracy in America, 2016 was a particularly rotten year. But comedian Tig Notaro’s Terrible, Horrible, Very Bad Year is already four years in the rearview. If you’re familiar with Notaro, whose deadpan routines invariably leave audiences in stitches, you probably know the basic outline: In 2012, she was stricken with a stubborn intestinal illness (aptly named Clostridum difficile), split up with her girlfriend, buried her mother—and got a cancer diagnosis that resulted in a double mastectomy. But Tig being Tig, on the night after her diagnosis, opted not to cancel a show scheduled at Los Angeles’ Largo club. Instead, she went onstage and transformed her personal shit-show into a bold tragicomedy routine (“Hello, I Have Cancer!”) that would propel her to far greater fame. You can read more about all of that in our 2013 interview with Notaro here.

The gods have since been kind to the 45 year old. The cancer—knock wood—has stayed away. Her career is kicking butt. And more importantly, she met and fell for actress Stephanie Allynne—they were married last year; in July Allynne gave birth to twin boys, Max and Finn.

Beyond touring and cuddling babies, Notaro’s big project has been her semi-autobiographical Amazon Prime series, One Mississippi, recently renewed for a second season. In this decidedly dark comedy, a lightly fictionalized “Tig,” still shellshocked from losing her breasts to cancer, travels from Los Angeles to her Mississippi hometown to say goodbye to her mother, attend the funeral, and sort through her mom’s affairs. She stays at the home of Bill, her super-uptight stepfather, where elder brother Remy—a sweet, hapless guy who never ventured too far, emotionally or otherwise, after high school—lives in the attic. It’s basically the story of a dysfunctional family coming together around tragedy to work through their issues, which include a mother’s dark secret and resentment at parents who failed to see that Granddad was molesting their little girl.

Yeah, like I said, dark. But if anyone can find levity amid darkness, it’s Mathilde O’Callaghan Notaro (please, call her Tig), who famously noted in that 2012 Largo set that “tragedy plus time equals comedy”—not that she bothered to wait.

Mother Jones: Happy Thanksgiving! First things first: How’s your health?

Tig Notaro: Good as far as I know. I go in every three months and get checked out and I’ve gotten good news for four years now. Waiting on the big five-year marker, which is a huge…marker.

Mother Jones: So now you’re not only married to this lovely actress, but you have twin boys. Had you previously imagined yourself as a mom—before or especially after your cancer diagnosis?

TN: Oh, yeah! That was like my main focus in my life, trying to have a child. When I got sick, it threw everything off course.

MJ: Wait, you’re not joking.

TN: No! There’s actually a whole movie about it on Netflix.

MJ: Alas, I haven’t seen it. But you famously had a big breakup not long before you were diagnosed with cancer. I mean, I can’t imagine. I’m curious whether going through that made you despair about whether you’d ever meet somebody new?

TN: It was definitely a concern. I didn’t know what my fate was as far as being alive. I didn’t know whether I’d be attractive to anybody. Even when I was healthy I was always concerned if I would ever meet somebody I would fall for the way I ultimately did for Stephanie.

MJ: Would you say there was any positive side of going through this hell, insofar as the relationships that emerged from it?

TN: Well, I’ve had a really positive response after my story went viral and I’ve shared vulnerable aspects of my life. I would say the positive aspect of all of that is knowing people had comfort in knowing they weren’t alone in the world, or could see somebody that made it through that kind of horrific time period. I still get letters daily from people sharing their stories or thanking me for sharing mine. That’s been positive. Also, I think it’s really shortened the amount of time I can deal with hogwash in the world. Laughs.

MJ: I can totally see that. So, you’ve taken to showing off your mastectomy scars. You’ve performed topless a few times. And in One Mississippi, you take it a step further and expose your chest during this awkward sex scene. I’m sure this is the first time, other than that Ken Burns cancer documentary, that I’ve seen mastectomy scars in a TV series. What was your thought process leading up to doing these things.

TN: It all was born out of fear of my own body and discomfort and insecurities. And wondering how I would get used to myself and my body just being out in the world—whether it was just me alone, or dating, or anything really. I think my brain just has a natural way of going to what would be the most insane thing, the least likely option. When I announced I had cancer on stage, it was my brain leaping to that insane moment of, “There’s no way I could start a show saying, ‘Hi, I have cancer!'” And also for me to have these scars, and then think, “Oh my gosh, what if I did stand-up and not even acknowledge that my shirt was off, or that I have scars.

MJ: So this is your basic approach to life?

TN: I think so. I think it’s jumping immediately to reality and truth without giving much time in between.

MJ: Would you have considered doing any of this pre-cancer?

TN: I mean, my chest wasn’t much bigger than it is now before the surgery. But I probably wouldn’t have gone on stage topless. I didn’t have a point to it or a political statement that really resonated with me that would make me think I needed to do that. And I felt my surgery was a nice collision of politics and comedy in the silliest way possible, because I talk about airplanes and things like that while my scars are on clear view.

MJ: One Mississippi is billed as semi-autobiographical. Let’s talk about the “semi” part. How far from reality are these portrayals?

TN: The actress who plays my mother, I feel like she is my mother. When she walks on set and when I interact with her, I can’t see her as anyone other than my mother. She’s so perfectly cast that even my stepfather, my brother, family friends are blown away. My real-life stepfather is warmer than Bill on the show, and he has more of a sense of humor, but he definitely has very rigid ways that pop up even still. He’s come a long way since my mother died and I got sick, but John Rothman, the actor, really plays that part of him phenomenally. He’s so fun to be in scenes with and to watch. He’s so good. The guy that plays my brother, it’s that same thing. There are elements there that are similar, but it’s certainly not his twin. I wanted a total guy’s guy, but that had a heart—believably flawed. I feel like actor Noah Harpster walks those lines perfectly.

MJ: Bill, the stepdad, is this this super-uptight, controlling guy who is terrible at expressing emotions, and yet he’s likeable because he’s really trying.

TN: That’s what I said in the writers’ room. I want people to see Bill as, oddly enough, a hero in some ways. That he’s really trying and really got everyone’s best interests in mind. I wanted to show these flaws, but have people say, “Love that guy.”

MJ: What do the real-life Bill and Remy think of these portrayals?

TN: They love the show! My stepfather watched the whole series the day it came out and sat down and wrote me a letter, and just raved about it.

MJ: Your fictional biological father shows up at your mom’s wake, and he’s a bit of a yahoo. What can you tell me about your real father?

TN: He passed away, actually, while I was making the pilot. He was very charismatic and kindhearted, but also had a gun or a knife in his cowboy boots at any given moment, and he was always kind of struggling in life to find happiness and make ends meet. He really did mean well, but was just a little misguided in ways. What is nice is at the end of his life, he was married to his wife for 20 years and he had a nice relationship with three other children—my brother and I weren’t as involved in his life as his other kids, but it was nice to know he had that in the end.

MJ: What about your own character? Is TV Tig much different from real Tig?

TN: Well, I think it was important for me to show that I’m flawed like everyone else. I didn’t just want to be the one who was always looking around at the weird family members. I wanted to make my mistakes. But when people ask me about my acting, I’m like laughs, “I really just tried to remember my lines and do my best.” I didn’t really have any huge plan.

MJ: But you’re on stage performing monologues all the time.

TN: Sure, but it’s so different when there’s a camera inches away from your face and you’re crying or doing something very emotional. In standup, you don’t have anything near you except a microphone. There’s something a lot more self-conscious feeling when there’s cameras coming in for close-ups. It makes you very aware. But yeah, the character isn’t too far off from me.

MJ: The tricky thing with “semi-autobiographical” is that we get confused about what’s real and what’s not.

TN: I think that’s the fun part.

MJ: Sure. But in particular when there’s heavy stuff, like your character has memories of being molested. And you say to yourself, “Wow, I’ve never heard Tig talk about this. Did that really happen, or is it fiction?”

TN: Mmm.…I don’t know. Laughs.

MJ: Well, what I wanted to ask was, if it is fiction, given all your character is going through, why lay even more baggage on her?

TN: But who’s to say that’s the end of the baggage? Who’s to say that’s not how life goes? I had a conversation with Ira Glass about the idea of randomness and that time period in 2012. He was saying people think randomness is kind of a spread-out, odd pattern of events. But randomness can be all in the same place. I was foolish to think, “Wow, everything’s happened to me. Nothing can happen to me now.” That’s just not how it works.

MJ: Density may vary.

TN: Yeah. Life can very genuinely and realistically pile things on. It doesn’t dole out the heartache and pain, or joy, perfectly.

MJ: Well, it sounds like you’ve had your share of joy lately!

TN: I truly turn to Stephanie every day and express appreciation for our relationship and my life. I can’t believe I’m breathing and happy and thriving. I hope life doles things out excessively on this end, because it’s euphoric.

MJ: What was the hardest part about going back to re-create this awful period of your life?

TN: The fun part is people thinking they know my story because there’s a book out, and the Netflix movie, but with this show, I can say with confidence, “No, you can actually tune in and there’s a different story.” There’s the skeleton of what happened or what you think you know, and then to be able to fictionalize and move things around with the timeline and facts and people. There are moments and interactions that never happened—moments with my mother that never happened. It was still very therapeutic. True or not, it gave me a feeling for what other people in my family may have been going through. Playing with the moment brought out thoughts and emotions I had never considered. Of course I knew people were struggling around me, but I really was able to get in touch with that very quickly.

MJ: In the pilot, you’re alone in the hospital with your mother when she dies.

TN: In real life, I was at my mother’s side for 14 hours. And I was alone. It was brutal, and I wanted to show the emotional and drawn-out and not-glamorous part. In movies, you just see somebody close their eyes, and you go on to the next scene.

MJ: So let’s talk about your real name, Mathilde. I had to look it up. I didn’t know you and your mom shared the same first and middle names.

TN: Yeah, my grandmother had the same first name as well. It’s pronounced “mat-teel.”

MJ: Do you think you would have been successful in comedy using that name?

TN: Laughs. Who knows? I always wonder, aside from even my name, what if my parents never split up? What if my mother never died? It swirls in my head all the time.

MJ: I read that your brother nicknamed you Tig when you were two.

TN: Yeah. His name is Renaud in real life.

MJ: So you were named by a three-year-old?

TN: Yes.

MJ: What’s the family lore about why Tig?

TN: I think he couldn’t say Mathilde. I don’t know why Tig. There’s some theory that my grandmother, even though she was named Mathilde, she went by “Thilde” and maybe he was trying to say that. I don’t know. But it’s been with me for 43 years.

MJ: It’s great the show was renewed. It seems like you left plenty of doors open to take it in new directions.

TN: I think so. I just hope people keep watching. I’m so proud of One Mississippi. We’re going into the writers’ room in January, and I think we’ve got plenty to talk about.

You can catch Tig Notaro live in her post-Thanksgiving tour of the western United States, with bonus stops in Vancouver, Chicago, and Minneapolis.

HBO/Scott McDermott

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Tig Notaro Is Not Afraid of the Dark

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Why California Needs to Legalize Recreational Marijuana

The United States has the highest incarceration rate in the world with 1 in every 111 adults in prison or jail as of 2014. And of the 2,224,400 Americans who were behind bars that year, 700,993 were arrested on marijuana law violations. With California spending nearly $50,000 per year on each inmate annually, increasing the California Wall of Debt even further, the legalization of recreational marijuana becomes not just a social issue, but a fiscal one in the Golden State.

The War on Drugs was started in 1971 by President Richard Nixon and its estimated that the United States is now spending approximately $51,000,000,000 on it annually. Its largely considered to be a failing program, but one way Americans can start to get a handle on this situation is by continuing to decriminalize, and even legalize, marijuana.

As of 2016, 25 states have some form of marijuana legalization. Four states as well as Washington D.C. have legalized recreational use of marijuana, and eight more states have marijuana legislation on the November ballot, including California. Voters in California will decide whether or not to legalize marijuana for recreational use and potentially collect over $1 billion in state and local taxes on its sales.

The combined savings of enforcing marijuana laws along with increased tax revenue could be a big step in the right direction for the California budget. In 2010, Proposition 19 was rejected by California voters, but the 2016 measure is said to have a better chance at passing with more regulation at the state level and multiple states that have already passed recreational use.

California legalized medical marijuana in 2003 with State Bill 420 which made it possible for people suffering from certain conditions to have legal access to medical marijuana. A few of the qualifying conditions include:

AIDS
Arthritis
Cachexia
Cancer
Chronic Pain
Glaucoma
Migraine
Seizures

According to Santa Rosa criminal lawyers Li & Lozada, who regularly represent individuals charged with marijuana related crimes in California, the confusion about the legality of medical marijuana use, sale, and cultivation is still a major issue across the country and until the federal law is changed, there will continue to be controversy regarding the legality of marijuana.

As President Obama stated to Vice News in March 2015, if enough states end up decriminalizing, then congress may then reschedule marijuana. California is widely considered an influencing state when it comes to marijuana legalization as it was the first state to legalize medical marijuana 20 years ago. There is no doubt that if the Golden State legalizes recreational marijuana this November, other states will follow suit.

Readers interested in supporting recreational marijuana legalization in California can sign the Care2 petition Support Marijuana Legalization in California!

Disclaimer: The views expressed above are solely those of the author and may not reflect those of Care2, Inc., its employees or advertisers.

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Why California Needs to Legalize Recreational Marijuana

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10 Reasons to Eat Sprouts

Sprouts truly are the best locally-grown food, yet not enough people eat or grow them. Considering there many health and environmental benefits, its time to consider adding sprouts to your diet. Here are 10 reasons to eat more sprouts:

1. Experts estimate that there can be up to 100 times more enzymes in sprouts than uncooked fruits and vegetables. Enzymes are special types of proteins that act as catalysts for all your bodys functions. Extracting more vitamins, minerals, amino acids, and essential fatty acids from the foods you eat ensures that your body has the nutritional building blocks of life to ensure every process works more effectively.

2. The quality of the protein in the beans, nuts, seeds, or grains improves when it is sprouted. Proteins change during the soaking and sprouting process, improving its nutritional value. The amino acid lysine, for example, which is needed to prevent cold sores and to maintain a healthy immune system increases significantly during the sprouting process.

3. The fiber content of the beans, nuts, seeds, or grains increases substantially. Fiber is critical to weight loss. It not only binds to fats and toxins in our body to escort them out, it ensures that any fat our body breaks down is moved quickly out of the body before it can resorb through the walls of the intestines (which is the main place for nutrient absorption into the blood).

4. Vitamin content increases dramatically. This is especially true of vitamins A, B-complex, C, and E. The vitamin content of some seeds, grains, beans, or nuts increases by up to 20 times the original value within only a few days of sprouting. Research shows that during the sprouting process mung beansprouts (or just beansprouts, as they are often called) increase in vitamin B1 by up to 285 percent, vitamin B2 by up to 515 percent, and niacin by up to 256 percent.

5. Essential fatty acid content increases during the sprouting process. Most of us are deficient in these fat-burning essential fats because they are not common in our diet. Eating more sprouts is an excellent way to get more of these important nutrients.

6. During sprouting, minerals bind to protein in the seed, grain, nut, or bean, making them more useable in the body. This is true of alkaline minerals like calcium, magnesium, and others than help us to balance our body chemistry for weight loss and better health.

7. Sprouts are the ultimate locally-grown food. When you grow them yourself you are helping the environment and ensuring that you are not getting unwanted pesticides, food additives, and other harmful fat-bolstering chemicals that thwart your weight loss efforts.

8. The energy contained in the seed, grain, nut, or legume is ignited through soaking and sprouting.

9. Sprouts are alkalizing to your body. Many illnesses including cancer have been linked to excess acidity in the body.

10. Sprouts are inexpensive. People frequently use the cost of healthy foods as an excuse for not eating healthy. But, with sprouts being so cheap, there really is no excuse for not eating healthier.

Check out my article: Grow Your Own Sprouts.

Disclaimer: The views expressed above are solely those of the author and may not reflect those of Care2, Inc., its employees or advertisers.

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10 Reasons to Eat Sprouts

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A Few Unanswered Questions From Last Night’s Debate

Mother Jones

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After reviewing the transcript of last night’s debate I realized I had a few leftover questions. Nothing hard. Just some simple, easy-peasy stuff:

Carly Fiorina: You say you want to reduce the tax code to three pages using normal 11-point type. I’m tired of paying our CPA every year to prepare our tax returns, so this sounds terrific. It also sounds short enough that you can produce draft legislation for us pretty quickly. How hard can three pages be? When do we get to see it?

Mike Huckabee: You say we can save Medicare by focusing on cures for four big diseases that apparently we’ve been ignoring: cancer, Alzheimer’s, diabetes, and heart disease. Since I happen to have bone cancer, this sounds like a great idea to me. In fact, I’d be OK with pauperizing the whole country in order to speed up cures for multiple myeloma. So what’s the plan? I checked out your website, but the only mention of cancer I could find was a blog post comparing Iran to cancer. This makes me concerned about how serious you are. Do you have some ideas about research priorities? How much money will you spend on this? Inquiring minds want to know.

Donald Trump: Some of your luxury resorts have policies that ban guests from carrying guns. You said you’d change this, and since you’re the boss I assume you can do it with the stroke of a pen. When are you going to do this?

Marco Rubio: You might have been confused about John Harwood’s tax question last night. I think he agrees that your tax plan is generous to the very poor. But now that we have that straight, why does your plan increase middle-class income by only 15 percent compared to 28 percent for the top earners? As he said, that really does seem kind of backward for a guy who’s so dedicated to average workers like your parents.

Ben Carson: Last night you said that our economy is doing poorly because it’s “tethered down right now with so many regulations.” But then you failed to make the obvious blimp joke. What’s up with that?

Ted Cruz: Carl Quintanilla rudely refused to let you talk about the debt ceiling even though that was what he asked you about. But it sure seemed like you had something you wanted to get off your chest about that. So: what do you think about the debt ceiling? And one other thing: are you serious about returning to the gold standard? Really?

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A Few Unanswered Questions From Last Night’s Debate

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Saving the forest for the beers

Beer relies on healthy, functioning forests. Without those forests, it’s difficult to find clean water. And without clean water: no beer. Source:  Saving the forest for the beers ; ; ;

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Saving the forest for the beers

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Why Can’t So Many Cancer Patients Get the Surgery They Need?

Mother Jones

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Hundreds of billions of dollars have gone into the development of new procedures and treatments for cancer: We now have more than 100 different drugs for the disease, and nearly 300 surgical procedures. However, these resources are not spread equally around the world. While 95 percent of global cancer spending occurs in the developed world, a majority of cancer cases and deaths occur in the low-to-middle-income countries, like India, Brazil, and nations in Eastern Europe.

A new study released today sheds light on this disparity. The report, published by the renowned British health journal The Lancet, found that while 80 percent of cancer cases require surgery, less than a quarter of people worldwide who need it will actually get safe, affordable, and timely procedures. Less than 5 percent of cancer patients in low-income countries will get it. According to the study, 2015 will see 15.2 million new cancer cases worldwide and 8.8 million cancer deaths—65 percent of those deaths will occur in the developing world, while 35 percent will occur in the developed world. (The authors did not list specific rates of surgery access in high-income countries, though they did note that in the developed world, “data from staffing and cancer outcomes suggest that cancer surgical needs in terms of human resources are mostly being met.”)

“In too many countries, we have found that the inverse care law dominates, whereby the availability of good surgical care for cancer varies inversely with the population need for it,” the study’s authors wrote.

In low-to-middle-income countries, even for those who do have surgery, cancer can still be financially devastating. The study found that a third of people who get procedures will face “financial catastrophe” and a quarter will stop their life-saving treatment because they cannot afford it.

How can we improve access to cancer treatment around the world? The report has several suggestions, from increasing basic surgery training, to investing more in cancer care where resources and infrastructure are lacking, to improving awareness about the importance of surgery to treat cancer (in addition to non-surgical treatments like chemotherapy).

But the biggest impediment to creating more equal access to cancer treatment, the study found, is the lack of universal health care. “Equity, shared responsibility, and quality cancer surgical delivery to patients, irrespective of ability to pay, are the goals of global cancer and global cancer surgery,” the study concluded. “This is only achieved via universal health coverage.”

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Why Can’t So Many Cancer Patients Get the Surgery They Need?

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