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Thursday, Jan 11 2024

Full Issue

Austin's Secret Cancer Battle Seen As Missed Chance To Spread Awareness

The Defense Department chief had an opportunity to educate both his troops and other men about the risks of prostate cancer, which affects 1 in every 6 Black men during their lifetime. There are many reasons why people keep their diagnoses secret, and it's hardly new among public officials.

Defense Secretary Lloyd Austin could have seized his prostate check and early discovery of the cancer as a teaching moment, for his many male troops and workers across the department, and, even more importantly, for the African American population. Prostate cancer is the most common cancer among American men. It affects 1 in every 8 men 鈥 and 1 in every 6 African American men 鈥 during their lifetime. Specifically, it鈥檚 been a problem for some of Austin鈥檚 own troops. The Pentagon and Veterans Affairs Department are involved in multiple studies to address cancer rates 鈥 including prostate cancer 鈥 among service members, such as those deployed to war, aviators and aircrew, and those operating the nation鈥檚 nuclear missiles. (Baldor, 1/11)

There are many reasons people might opt to keep their illness to themselves in certain contexts, experts said, but some are more common than others. Privacy can be a coping strategy, said Dr. Itai Danovitch, chairman of the department of psychiatry and behavioral neurosciences at Cedars-Sinai in Los Angeles, particularly in the early days following a diagnosis, when patients are deluged with new information. 鈥淭here are different strategies we use to try and control things that are uncontrollable,鈥 he explained. 鈥淥ne common mechanism that we use is to compartmentalize.鈥 Though compartmentalization, or keeping certain thoughts and emotions separate, is often maligned, it is adaptive, Dr. Danovitch said. For instance, it can help people to stay focused professionally even when illness is causing significant stress. (Pearson, 1/10)

On Sept. 26, 1955, the president of the United States did what many of us do upon waking up. It just happened to be national news. 鈥淗e had a good bowel movement,鈥 Dwight D. Eisenhower鈥檚 press secretary told reporters. One of Eisenhower鈥檚 physicians added, 鈥淭he country will be very pleased 鈥 the country is so bowel-minded anyway 鈥 to know that the president had a good movement this morning, and it is important. It is good for the morale of people. 鈥漈his intimate detail, revealed two days after Eisenhower suffered a major heart attack, represents one extreme when it comes to medical transparency from the nation鈥檚 top brass. (Dotinga, 1/11)

As the ramifications of Defense Secretary Lloyd J. Austin III鈥檚 failure to disclose his cancer surgery and subsequent hospitalization continued to reverberate through Capitol Hill on Wednesday, Senate Republicans opened a new inquiry into the matter, but lawmakers largely fell short of calling for his removal. (Satter, 1/10)

Other news from the Biden administration 鈥

White House officials are wrestling with one of the most consequential public health decisions of President Biden鈥檚 term: whether to enact a nationwide ban on menthol cigarettes, which are a leading cause of death among Black Americans, according to six administration officials who spoke on the condition of anonymity to discuss internal deliberations. The years-long debate about banning menthol cigarettes has pitted public health officials who say the move would effectively save hundreds of thousands of Black lives in the coming decades against political advisers who warn that Biden could lose support by banning products popular in the Black community, jeopardizing crucial votes ahead of what is expected to be a close election. (Diamond and Pager, 1/10)

Pharmaceutical companies鈥 efforts to scuttle President Biden鈥檚 signature health care achievement, empowering Medicare to negotiate prescription drug prices, will soon face their first big tests. District court judges could soon weigh in on the litany of court cases that major companies filed against the government 鈥 shedding light on whether drugmakers have any hope of postponing the first parts of the negotiation process, scrapping it entirely, or sending the issue up to the Supreme Court. (Cohrs, 1/11)

As state legislatures get back to work across the country, state policymakers are eying measures to bolster their burned-out health care workforces, make prescription drugs more affordable and reform their Medicaid programs. (Goldman, 1/11)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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