Word: cancerous
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...controversy resurfaced in July with the publication of a study in the Journal of the National Cancer Institute (JNCI) in which researchers analyzed more than 19,000 patients who participated in clinical trials involving treatments for a variety of cancers. The paper found that all other factors being equal, black patients had on average a significantly lower cancer survival rate than whites. Given that all patients were participating in the same clinical trials, the authors said, there was no difference in terms of access to care. Researchers said also that even after adjusting for patients' socioeconomic status, the survival...
That conclusion, critics quickly responded, was flawed. "Race is a sociological concept, not a biological category," says Otis Brawley, the chief medical officer for the American Cancer Society, who wrote an editorial accompanying the study. "But this study brings race into medicine as a biological categorization." According to the Human Genome Project, people are indeed well over 99% identical; at the molecular level race is imperceptible. But even while Albain's and other similar studies don't do much to shift the prevailing medical opinion - that disparities in health are fueled mainly by socioeconomics and access to care - they remind...
...sure, no one is accusing authors like Albain of racism, and people on both sides of the debate want to save lives. But the treatment of race by some medical researchers continues to create a stir. Lisa Carey, a breast cancer specialist at the University of North Carolina, believes that biological differences may well contribute to differences in health, such as the one Albain found, but that any discussion of race turns automatically contentious. "The idea of differences between races has been fraught with misuse over the years, and not just in medicine. Everyone is leery that it could...
Every few years, in fact, a new study like Albain's materializes, each following a remarkably similar logic: Researchers identify a disparity in health outcomes (cancer survival or response to treatment, for example) that falls along racial fault lines; investigators then adjust for socioeconomic status, and, when the disparity persists, conclude it must be genetic. That consistent failure of reasoning bemuses Jay Kaufman, a McGill University professor of epidemiology who studies health disparities. "Why are we still doing this study?" he says. "If you are trying to make the argument that [different health outcomes] must be genetic by exhausting other...
...Diagnosed with prostate cancer in 2008. In April 2009, he files another appeal, which he then drops after finding out he has less than three months to live...