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The Public Policy

Pink Ribbon Reality

Candidates can’t fight breast cancer while blocking life-saving treatments.

You’ve probably seen a lot of pink ribbons around lately. Maybe you’re even wearing one. October is Breast Cancer Awareness Month, after all.

But which presidential candidate deserves to wear that pink ribbon?

In other words, which of the two supports healthcare policies that are most likely to help in the fight against breast cancer? It’s not enough to give lip service to the cause. Committing resources to funding research will help. But a variety of health policy issues affect women struggling with the disease now and all those who will struggle with it in the future.

Breast cancer used to be a death sentence. You might have watched the gruesome scene in last year’s HBO miniseries “John Adams,” in which the second president’s daughter Abigail endures an anesthetic-free mastectomy. Her ordeal didn’t even save her life.

But incredible breakthroughs, many made in just the last decade, are now improving and even saving the lives of cancer sufferers. We might ask which candidate supports a program that will get women suffering from breast cancer the best care as early as possible.

Perhaps the most important new drugs given to cancer patients are biologics. These medicines are not the relatively simple chemicals that make up conventional drugs. These complex medicines, often given through injection, are created through the genetic engineering of living material. These are treatments researchers refer to when they discuss “gene therapies.”

These revolutionary medicines are extending and saving lives around the globe. Herceptin, approved by the FDA a decade ago, actually stops a certain type of breast cancer cell from growing. Avastin is another biologic, approved by the FDA just this year. It can extend the lives of late-stage breast cancer patients by several months by stopping the formation of blood vessels that tumors use to grow.

Right now, these life-extending drugs are available here in the U.S. and elsewhere. But that could change if our nation moves towards a government-run healthcare system, as some candidates have urged.

Look at the United Kingdom. The government decides exactly which health treatments it will provide through the National Institute for Health and Clinical Excellence (NICE). That body does cost-benefit analyses to determine whether a treatment is worth providing.

You can’t put a price on the life of a loved one. But that’s just what NICE does.

Pricier treatments are often the first thing to fall prey to penny pinching in strained government budgets. Biologics are in this category. The complex medicines take years to research and develop, and then more years to test and get approved.

That’s why NICE originally wouldn’t let breast cancer patients in the early stages of their disease receive Herceptin. The bureaucracy changed its guidelines only after a public outcry.

It hasn’t changed its mind on Avastin yet. The U.K. will not fund treatment with this drug, even though it’s been shown to extend lives. In fact, the government-run service is so adamant that patients not use this drug that you’ll be penalized even if you buy it yourself.

The NHS informed mother-of-two Colette Mills that if she insisted on taking Avastin, though paying for it herself, she’d have to foot the entire bill for her treatment — even for care the government typically provides.

Such a nightmare could happen here. Sens. Max Baucus (D-MT) and Kent Conrad (D-ND) have already introduced a bill to create a similar agency here to cut healthcare costs.

Page: 1 2  

topics:
Election 2008, Health Care, Medicaid, Medicare

About the Author

Peter Pitts is partner/director of global health at Porter Novelli, a senior fellow at the Center for Medicine in the Public Interest, and a former FDA associate commissioner.

Letter to the Editor View all comments (7) |

Barry Schumann| 10.30.08 @ 10:08AM

Quite frankly (masculine gender), we are real sick of feminists masquerading themselves using the "pink ribbon". This has become so commercial that it is nothing more than a feminist flag. Rush calls them Feminatzis, he is right.

Magda| 10.30.08 @ 12:14PM

Quite frankly (female here) I was left with several questions unaswered after reading the article.
I get the "generics" comparison. I don't get where a candidate comes in except to distinguish that everyone knows what Universal health care will bring: less care. Now tell me something I don't already know.

Amy| 10.30.08 @ 3:48PM

Quite frankly, as one who is suffering from a rare, non-feminist approved cancer, I am sick of "breast cancer awareness". The movement to fight breast cancer had become politicized to the max. I support the American Cancer Society, which gives money and support to people who suffer from all kinds of cancer. There are a lot of foundations and groups that give only to breast cancer patients, and those of us who have rare cancers, yet suffer the same challenges - and more - are ignored.
Believe me, I'd rather have breast cancer! I would have a much great chance of being completely cured. I laugh when I see articles about "brave" breast cancer survivors who fought their disease for a grand total of two months, and then are cured.
I've been fighting my cancer for over a year, over 20 rounds of chemo, major unsuccessful resection attempt, and life expectancy of less than four years now.

confused| 10.30.08 @ 5:28PM

Barry's remark is obtuse, what are feminist masquerading themselves as?

Quite frankly (masculine gender), we are real sick of feminists masquerading themselves using the "pink ribbon"

Jimmy| 10.30.09 @ 9:06PM

One payer Universal Health Care for ALL Americans will save millions more unnecessary deaths than a bunch of pink junk.

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