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Why We Are Losing the War Against Cancer
Dr. Quentin Young
Cancer-Gate How to Win the Losing Cancer War With a Foreword
by Congressman
David Obey and Introduction by Congressman
John Conyers, Jr.
Samuel S. Epstein, M.D.
Policy, Politics, Health and Medicine
Series Series Editor: Vicente Navarro
Award-winning author, Samuel S. Epstein, M.D., whose 1978 book
The Politics of Cancer shook the political establishment by showing
how the federal government had been corrupted by industrial polluters,
has written a book that is sure to be of equal consequence. Cancer-Gate:
How to Win the Losing Cancer War is a groundbreaking new book.
It warns that, contrary to three decades of promises, we are losing
the winnable war against cancer, and that the hand-in-glove generals
of the federal National Cancer Institute (NCI) and the private "nonprofit" American
Cancer Society (ACS) have betrayed us.
These institutions, Epstein alleges, have spent tens of billions
of taxpayer and charity dollars primarily targeting silver-bullet
cures, strategies that have largely failed, while virtually ignoring
strategies for preventing cancer in the first place. As a result,
cancer rates have escalated to epidemic proportions, now striking
nearly one in every two men, and more than one in every three women.
This translates into approximately 50 percent more cancer in men,
and 20 percent more cancer in women over the course of just one
generation.
According to Epstein, these failed strategies are largely due
to institutional malaise and outdated mindsets fixated on treatment,
to the virtual exclusion of prevention, other than quitting smoking.
But, Epstein says, there is much more. In particular, the book
shows how the NCI and ACS are corroded with major institutional
and personal conflicts of interest with cancer drug companies ("Big
Pharma"). As candidly admitted by a recent NCI director, the
NCI has become a "government pharmaceutical company." For
the ACS, these conflicts extend to environmental polluters in the
chemical industry, and connivance in white collar crime. Not surprisingly,
The Chronicle of Philanthropy has charged that "the ACS is
more interested in accumulating wealth than saving lives." These
close ties to industry have transformed the NCI and ACS into cheerleaders
for special interests rather than stewards of the public interest.
Astoundingly, and for the first time, Epstein chronicles how the
NCI and ACS are sitting on mountains of information about avoidable
environmental causes of cancer rather than making this available
to the public in any systematic and understandable way. This silence
has even extended to frank suppression of such information, denial
of the public's right to know, and violation of human rights. Following
a detailed indictment of these public betrayals, Epstein explains
how we can "take back" the war against cancer with a
wide range of strategies. These include "right-to-know" laws,
ensuring public dissemination of critical information on environmental
carcinogens and avoidable causes of cancer, and legislative reforms
and oversight to ensure that the NCI protects the public rather
than special interests.
This searing exposé of the NCI and ACS, and the proposed
reforms of public policy have been endorsed by over a hundred leading
independent experts in cancer prevention and public health, as
well as by activist citizen groups.
The Losing War
* Since President Nixon launched the 1971 cancer war, cancer incidence
rates
(adjusted for the aging population) have escalated to epidemic
proportions.
* Contrary to NCI and ACS claims, the escalating incidence of
cancer cannot
be explained away by smoking, but is due to avoidable exposures
to a
multiplicity of environmental carcinogens. And, while lung cancer
rates have
declined steadily, rates for a wide range of cancers unrelated
to smoking
have increased sharply.
* These alarming statistics do not reflect a lack of resources.
Since 1971,
NCI's budget has increased 30-fold, from $150 million to $4.6
billion; annual revenues of ACS have now reached $800 million.
Paradoxically, it seems that the more money we spend on cancer,
the more cancer we get. ?Meanwhile, and in spite of the NCI/ACS's
overwhelming expenditures on an ongoing series of claimed miracle
cancer drugs, overall cancer mortality rates have remained essentially
unchanged for more than three decades. In fact, as recently admitted
by a Nobel Laureate director of an NCI Comprehensive Cancer Center,
most of NCI's resources are spent on promoting ineffective drugs
for terminal disease.
* These statistics are also in striking contrast to three decades
of highly publicized and frankly misleading promises by the NCI
and ACS of drastic reductions in cancer incidence, "turning
the corner in the cancer war," and dramatic breakthroughs
in treatment.
How to Win the War
By calling for an end to the "cancer plutocracy" and
a return to public health democracy, Epstein outlines a wide range
of reforms that could save hundreds of thousands, if not millions,
of lives.
These include:
* Reforming the NCI and ACS:
Cancer-Gate lays out systematic reforms, including a requirement
that NCI's cancer prevention programs be placed on an equal budgetary
footing with all its other programs combined.
Cancer-Gate also proposes the creation of a National Cancer Prevention
Registry clearing-house freely available to the public in print
and on-line known chemical and radioactive carcinogens (similar
to NCI's freely available registry of cancer drugs and treatment),
as NCI has already pledged the U.S. Congress.
Cancer-Gate also argues that the "nonprofit" ACS must
end its corrupting dependency on special interest "soft-money" financial
contributions, or risk public boycott of its funding.
* The Right-to-Know:
Cancer-Gate insists that the public's right-to-know be validated
by requiring the NCI to disseminate information about known carcinogens
in the environment and consumer products, as required by the 1971
National Cancer Act.
Epstein also argues that consumers have the basic right-to-know,
through explicit labeling, of known carcinogens in consumer products
Additionally, patients have the basic right to be informed by their
health care professionals of the carcinogenic risks of prescription
drugs (and the availability of safe alternatives), and of screening
and diagnostic medical procedures, particularly high X-ray dose
CAT scans.
Cancer-Gate also calls on state and local governments to utilize
public databases to inform local citizenries about carcinogenic
hazards posed by chemical industries in their communities. State
and local governments should also be required to develop ordinances
to obtain such information, and should develop remedial initiatives
to prevent hazardous exposures to industrial carcinogens.
* A Wake-up Call for Congress:
Cancer-Gate charges that Congress has been asleep at the wheel
in the cancer war and has shirked oversight of the cancer establishment.
Cancer-Gate proposes that Congress should use the budget process
to ensure that cancer prevention, particularly from environmental
causes, be given the highest priority, and that NCI is reigned
in from its current independent "rogue status" and is
made directly accountable to the director of the National Institutes
of Health, as are some 25 other National Health Institutes. The
book also urges Congress to schedule regular oversight hearings
to monitor NCI's progress in preventing environmental cancers,
and its related belated implementation of a comprehensive registry
of environmental carcinogens.
* Taking Matters Into Your Own Hands:
Finally, Cancer-Gate tells you reader need to protect yourself
from everyday carcinogens by shopping for safe organic foods, cosmetics,
and other consumer products, and also how to become an activist
in the war against cancer.
About the author:
Dr. Epstein is Professor Emeritus of Environmental and Occupational
Medicine at the School of Public Health, University of Illinois
at Chicago, and Chairman of the Cancer Prevention Coalition.
He is an internationally recognized authority on the causes and
prevention of cancer,
and has published some 270 scientific articles and 11 books, including
the
prize-winning The Politics of Cancer (1978), The Safe Shopper's
Bible
(1995), The Breast Cancer Prevention Program and The Politics
of Cancer
Revisited (both 1998).
Dr. Epstein is the recipient of many prizes and awards, including
the 2005 Schweitzer Golden Grand Medal for Humanitarianism, and
a member of the National Writers Union, AFL-CIO, and the National
Association of Science Writers.
Format Information: 6" x 9", 396 pages
Paper, ISBN: 0-89503-354-2, $24.95 + 5.50 p/h
Cloth, ISBN: 0-89503-310-0, $70.00 + 5.50 p/h Prepublication Price
$59.00 + 5.50 p/h
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