(Blue Cross Blue Shield started a site called Get Health Reform Right earlier this year to express the insurance industry’s wishes regarding health-care reform, such as, “Creating a new government plan would cause the employer-provided health insurance system that 160 million Americans rely on today to unravel.”)
U.S. Secretary of Health and Human Services Kathleen Sebelius released a statement Nov. 18, saying, “I would be very surprised if any private insurance company changed its mammography coverage decisions as a result of this action.” Anyone who says the task force doesn’t influence what private insurance companies do regarding mammograms needs to read the task force’s Web site, which explains that one of its goals is to inform and develop coverage decisions.
The EPCs review all relevant scientific literature on clinical, behavioral, and organization and financing topics to produce evidence reports and technology assessments. These reports are used for informing and developing coverage decisions, quality measures, educational materials and tools, guidelines, and research agendas. The EPCs also conduct research on methodology of systematic reviews. [Emphasis added is mine.]
Besides, where do they think the current mammogram guidelines come from?
To come up with this most recent recommendation, the task force looked at research done in China and Russia.
The research in China (“Randomized Trial of Breast Self-Examination in Shanghai: Final Results,” published Oct. 2, 2002, in the Journal of the National Cancer Institute, Oxford University Press) found that “the efficacy of breast self-examination for decreasing breast cancer mortality is unproven,” based on 266 breast-cancer deaths (135 in the main group and 131 in the control group) over 10 years. The study was conducted from October 1989 to October 1991, and women were followed through December 2000. The task force apparently took the difference of only four breast-cancer deaths to show that breast self-examination plays no part in saving women’s lives from breast cancer.
However, the authors of that study also said, “This was a trial of the teaching of BSE, not the practice of BSE.” They went on to say:
It should not be inferred from the results of this study that there would be no reduction in risk of dying from breast cancer if women practiced BSE competently and frequently. It is possible that highly motivated women could be taught to detect cancers that develop between regular screenings, and that the diligent practice of BSE would enhance the benefit of a screening program.
Yet, the task force recommends that physicians stop teaching patients how to do breast self-examinations.
The articles about the research in Russia are all published in Russian. Unless someone on the task force can read and understand Russian, or unless the task force had the articles translated, it’s fair to say that nobody on the task force read anything other than abstracts on Medline, which provide incredibly limited information, except for dates of publication.
As I was getting ready to write something about the book, I ran across Maloney’s July 29, 2008, appearance on Comedy Central’s Colbert Report. At first, I thought I would just include it with other links, but the more I thought about it, the more it bothered me.
Is it really funny that women get fired for lactating?
Here’s a quote from Maloney’s book.
I also heard numerous stories about difficulties in the workplace, including one woman whose male colleagues mooed outside the door as she expressed milk to take home and another woman being banished to do so in her car across the street from her office.
I didn’t laugh once while reading her book, but maybe I missed something. Exactly which issue that she wrote about was funny? Rape? Domestic violence? Burkas? Breast cancer? Or maybe prostitution? That link goes to a 2007 feature in Prism magazine, which Maloney reprinted on page 246 of her book and said it made the strongest case against sex trafficking she had ever seen.
Depictions of prostitution in the media and popular culture (including the movie Pretty Woman) can be grossly misleading, even glamorous. In fact, street prostitutes are typically trafficked, exploited, battered, and often force-fed drugs by slavemaster pimps. This series of mugshots of street prostitutes, which documents their first arrest to their eighth, illustrates the reality of life on the street, which more closely resembles a descent into hell than a Hollywood movie.
Is that funny? If not, I’m confused about why one of the first places she went to discuss her book was Comedy Central.
I’ve written about the blurred lines between celebrity and politics. It’s as if something has shifted. Instead of looking back as former government officials (elected or not), they now have to prove they don’t take themselves too seriously while they’re in office, no matter how “serious” the positions they hold. They have to prove that they get the joke. Hey, they’re even in on the joke because so many things that happen in Washington are, well, a joke. Is that it?
Maybe I just don’t get the whole Inside the Beltway atmosphere. Is it really just a non-stop college kegger where everyone has to hit the beer bong and slam shots until they puke their guts out to prove they can keep up?
Sigh.
Maloney’s book is a fairly comprehensive list of women’s issues — what’s been done, what’s been undone and what still needs to be done. For those who regularly keep up on these issues, not much of the information is new, but it’s interesting to read about the issues from Maloney’s perspective as a policymaker.
She put a “take-action guide” at the end of each chapter, providing contact information for some of the groups and organizations working on specific issues. Her goal is to convince readers to do something, anything: “I hope to persuade you that any action in support of your beliefs matters, whether it is large or small, brief or time-consuming, successful or unsuccessful.”
She included women’s personal stories as well as her own story and a wealth of information from other sources.
She also included some of her own research and highlighted inconsistencies between cultural myth and everyday reality.
Maloney mentioned Morgan Stanley, which settled a class-action sex-discrimination case for $54 million and then another one for $46 million, yet it consistently appears on Working Mother magazine’s 100 Best Companies for Working Mothers list, a topic I have written about many times.
You might think that Morgan Stanley would work especially hard to eradicate sex discrimination after so costly [$54 million] an episode. But the firm settled another class action sex discrimination suit in 2007 for $46 million — bringing its overall sex discrimination price tag to an even $100 million. That sounds like a lot, but it only amounts to a few good days of trading.
Despite these incidents, Morgan Stanley has been cited numerous times by Working Mother magazine as one of the 100 Best Companies for Working Mothers. That makes me wonder how bad things are at other companies.
While she pointed out the inconsistency of the companies that appear in Working Mother with their employment track record, she listed in the take-action guide the National Association for Female Executives, which might be a perfectly fine organization. But it falls under the umbrella of Working Mother Media, which publishes Working Mother magazine, whose 100 Best list is — well, let’s just say I’m highlyskeptical of the wholething.
She also gave this example.
If you drive your Mitsubishi to the airport after filling its tank at Sunoco, board a Boeing-built plane for a United Airlines flight, use your Verizon cell phone service to call your spouse before you take off, and then bite into a Krispy Kreme doughnut, you’ve just enriched six household-name companies that have settled or lost sex discrimination cases and lawsuits in recent years.
Right. At least one of those companies — Verizon — makes Working Mother magazine’s 100 Best Companies for Working Mothers list year after year.
In the take-action guide at the end of the “Health Care That’s Always There” chapter, she recommended (among others) Dove’s Campain for Real Beauty as a way to “start health education early by teaching our young and teenaged girls about issues that affect them.” If you scratch the surface of Dove, you’ll find a wee bit of image manipulation of its own.
Unilever is the maker of Dove products (and major “research” funder), which are the basis for the Campaign for Real Beauty and its self-esteem education for young girls. Unilever also makes and markets Axe products, which exist in a parallel universe where the V.I.X.E.N.S. (Very Interactive Xtremely Entertaining Naughty Supermodels) and Bom Chicka Wah Wahs don’t have “real beauty” or self-esteem issues.
In “The Pretty Woman Myth” chapter, Maloney wrote about misleading portrayals of prostitution in popular culture and mentioned that the Academy Award for Best Original Song in 2006 went to ‘It’s Hard Out Here for a Pimp,'” whose lyrics include:
Wait I got a snow bunny, and a black girl too
You pay the right price and they’ll both do you
That’s the way the game goes, gotta keep it strictly pimpin
Gotta have my hustle tight, makin change off these women, yeah
I remember when that happened, thinking, what?!? There was George Clooney, smugly patting himself on the back for Hollywood being “out of touch” for “giving Hattie McDaniel an Oscar when blacks were still sitting in the backs of theaters.” That was in 1939. Just how long was it, dear George, until the next black person was so honored? That would be 1948, then 1964, then 1982, then 2002. And just how far has Hollywood come, George, by glorifying “the black man” … as a pimp, not to mention portraying women of all colors as simply a venue for making money? Hollywood’s out of touch, George. Ya think?
Which brings me back around to the Comedy Central appearance.
If it’s a matter of reaching a younger audience? C’mon, they deserve more credit than that. It’s not only “the kids” watching Comedy Central, and “the younger audience” is watching much more than just Comedy Central. And there are tons of young, vibrant, intelligent voices on the Internet. Dust off the mouse and start clicking.
Besides, there’s not a damn thing that’s funny about this book. Just like the issues Maloney discusses in the book — the media and popular-culture myths that harm the efforts to improve the lives of real people — Maloney’s Comedy Central appearance did nothing but belittle and mock some very serious societal issues. The people behind the stories about sex discrimination, prostitution and unacceptably high infant-mortality rates (to name just a few) deserve much more than to become the butt of a comedian’s joke.
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