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The following column, called “Haunted House,” was written in November 1999, about a year after my wife died of pancreatic cancer.
Let’s go back a quarter century or so. Join me as I open up aa piece of the past, which I keep stored in containers on my computer, also known as old columns. I became curious about these oldies after I survived a vicious storm and temporary power outage the other day, and only missed the tornado that hit northeastern Wisconsin by a few miles.
Turns out I take electricity for granted! It was out in my retirement community apartment for about eight hours. I also take my personal safety for granted. As I browsed through some of my earliest columns, I also started thinking—up close—about life itself. The following column, called “Haunted House,” was written in November 1999, about a year after my wife died of pancreatic cancer. Here it is.
When my wife died, I spent my first month of mourning disentangling the house from its ghosts and clutter.
I was suddenly appalled at what a wreck the place was. Even under ordinary circumstances, we had fought a losing battle against miscellany. We shoved stuff into corners; chaos bestrewed itself with an easy shrug across every available surface of our lives. After a year of cancer—with such urgent matters as pain management, constipation relief, and a quest for miracles claiming every moment of our attention—all order in the house was shattered.
Oh, the shards and accumulated scraps of a marriage, stashed and forgotten, compressed into layers. Now it’s all luminous, each thing as it is surprised loose from hiding bearing witness to what once was.
I set to the task of cleaning and reorganizing more out of numb instinct than reawakened guilt. I needed a challenge, and this one was Herculean. But even more than that, I sensed that putting myself back together was somehow connected to putting the house back together.
I was at Barbara’s bedside when she died. I held her hand and watched her suffering dissolve in the last hour of her life; her ragged breathing grew calm and the pain furrows on her face loosened. A sudden cloudburst out the window caused me to glance up. When I looked back, her breathing had stopped. That was it. Death came as a gift of peace.
Despite its reputation, death, it turns out, is kind.
It helps to know this. It helps to know the only suffering, after the fact, is yours, the survivor’s; the only sharp edges are around the hole in your own life. But this can be endured, even welcomed. If there had been no great love, the ache would be small. So to me, grief in its intensity, the broken tear ducts—the downpour that came, for instance, when my daughter placed Mother’s Day presents, bubble bath, talcum powder, in Barbara’s still arms—is love all at once, love no longer paid out slowly, over the life of a marriage, but here now with the force of gravity. After death, love is a falling into her absence, not her presence. And that’s what grief is.
And cleaning the house my wife no longer lived in was a continuation of this, a falling in love all over again—a falling in love with the worn and familiar. As I began disturbing the settled dust, crawling around in three stories and 15 years of married life, I soon realized that everything I touched—this tumble of old letters and frayed linen, castaway toys and defunct appliances—was charged with Barbara’s absence. I wasn’t merely restoring order to a house, I was freeing the past, setting its genies scampering.
Basement storage: Cardboard box crammed with travel brochures and misfolded maps, the moldy remnants of trips spanning two decades. Out tumble Missouri and the Berkshires and Urquhart Castle and Kettle Moraine State Park.
Kitchen: That overflowing bookcase by the basement stairs. Spillage of old Weight Watchers pamphlets, never-used cookbooks, unwanted small appliances (gift Cuisinart that mysteriously alarmed Barbara, still secured in its Styrofoam packaging).
Upstairs linen closet: Baby blanket. Light blues and pinks, worn through in spots, numerous stains, the batting lumped in one corner.
Oh, the shards and accumulated scraps of a marriage, stashed and forgotten, compressed into layers. Now it’s all luminous, each thing as it is surprised loose from hiding bearing witness to what once was. In the language of life, these are metaphors, compressions of meaning almost too large for the heart to bear.
And my daughter’s tattered blankie is the most powerful of all, as I hold it against my face and know too much about loneliness. I fold it and remember what it was like to surrender everything for love.
Under a new policy the administration is defending in court, low-income people with cancer, HIV, Parkinson's, and other life-threatening illnesses must prove they're too sick to work or risk losing their health insurance.
A federal judge on Thursday denied a request by more than two dozen Democratic states to halt a Trump administration policy announced last month that would require Medicaid recipients with terminal diseases to prove they are too sick to work in order to be exempt from new work requirements that go into effect this coming January.
While introducing over $1 trillion in tax cuts for the wealthiest 1% of Americans, last year's massive GOP tax and budget bill also imposed new 80-hour-per-month work requirements that states must implement for Medicaid expansion recipients, who receive government-subsidized insurance coverage at or below 138% of the poverty line.
The law specified that those who are “medically frail or otherwise have special medical needs” are excluded from the work requirement, and specifically listed people with a “serious or complex medical condition.” But it remained unclear what exact conditions met these criteria.
Earlier this month, the Centers for Medicare and Medicaid Services (CMS) introduced a new rule stating that even if a person receives a terminal diagnosis for a disease like cancer, HIV/AIDS, or Parkinson's, that is still not enough for them to be exempt from the work requirements.
Beginning on January 1, 2028, it says they must also demonstrate to states that their condition “significantly impairs” their ability to meet the work requirement.
Democratic attorneys general in 25 states and the District of Columbia filed a preliminary injunction over the rule late last month, arguing that CMS had rewritten the law to introduce a vague and needlessly restrictive new hurdle that vulnerable people will face in obtaining desperately needed care.
“This is one of those cases where it’s really hard to overstate how dire the consequences could be,” North Carolina’s Democratic attorney general, Jeff Jackson, told Politico. “You’re going to have 50 states doing 50 different things, and we’re all going to have to create a whole new bureaucracy... You are talking about a lot more paperwork, more evaluations, more doctor visits, and a lot more work for doctors themselves.”
The Democratic AGs argued that implementation of the work requirements should be paused because they lacked the staff or capacity to meet the timeline set by CMS, which requires states to communicate to enrollees how they'll be affected by the changes by the end of August.
US District Judge Richard Stearns on Thursday denied their initial request to immediately halt the implementation of the requirements while the lawsuit proceeds, but also did not rule on the lawsuit's merits, which are scheduled to be decided before the requirements go into effect on January 1.
Several medical associations, including the American Medical Association, the American College of Physicians, and the American Academy of Pediatrics, have come out against the rule, arguing that it would have dire consequences for people who suffer from severe illness.
"One of the most significant factors in whether someone survives a cancer diagnosis is whether they have health insurance coverage," Lisa Lacasse, president of the American Cancer Society Cancer Action Network, explained in June.
"The new restrictions link the definition of medical frailty to a person’s ability to work," she continued. "This would mean cancer patients and survivors who are suffering from debilitating side effects of the disease or treatment would have to officially prove they can’t work, in a process that is likely to be difficult and take a long time."
The nonpartisan Congressional Budget Office has projected that over the coming decade, changes to healthcare policy introduced by Republicans would increase the number of uninsured Americans by about 11.8 million.
Around 5.7 million of them are projected to be Medicaid recipients who either do not meet the 80-hour work requirement or are otherwise eligible but tripped up by one of the newly imposed paperwork hurdles.
Taya Graham and Stephen Janis argued earlier this week in a piece for The Real News Network that eligible people losing coverage is not an unfortunate side effect of the law, but a goal of the Republicans who passed it, who sought a way to thin the ranks of those who qualify for Medicaid without having to take the politically unpopular step of actually clawing back benefits.
They wrote that what has happened to recipients of the Supplemental Nutrition Assistance Program (SNAP) illustrates how burdensome these new requirements may become.
As The New York Times reported earlier this month, in Arizona, 440,000 people have already been dropped from SNAP after it enacted a formidable regime of paperwork for low-income recipients to prove eligibility, including requiring some people with panhandling income to obtain documentation from donors who drop them a buck on the street.
"If this is what people receiving SNAP benefits have been subjected to," Graham and Janis wrote, "imagine what’s going to happen to people who will need to navigate the new [Medicaid] requirements while struggling with a debilitating or terminal illness."
Medical issues are a leading cause of bankruptcy in the US. According to one study, over 4 in 10 cancer patients over 50 had depleted all their assets within two years of diagnosis.
Melanie D’Arrigo, a campaigner for single-payer healthcare in New York, said that President Donald Trump "cut cancer research, cut healthcare,” and with new Medicaid restrictions, “wants to make sure Americans continue to work as they go broke battling cancer.”
"Bayer is intent on preserving its right to harm at all costs—a pursuit the Trump administration is all too willing to endorse," said a Food and Water Watch campaigner.
As pesticide critics held a "The People v. Poison" rally outside the US Supreme Court on Monday, the justices heard arguments in Monsanto Company v. Durnell, a case whose conclusion is expected to have sweeping implications for cancer patients trying to take on the Roundup maker—now owned by Bayer—in the country's legal system.
The case stems from John Durnell's 2019 lawsuit against Monsanto in Missouri state court, alleging that exposure to the herbicide Roundup—whose active ingredient is glyphosate—caused his non-Hodgkin lymphoma, a type of blood cancer. A jury found that the company failed to warn users of the risks associated with the weedkiller, and awarded Durnell $1.25 million in damages.
Bayer argued before the Supreme Court on Monday that Durnell—and others like him—should not be able to bring such a suit because the Federal Insecticide, Fungicide, and Rodenticide Act preempts state rules for labeling pesticides when the Environmental Protection Agency doesn't require a cancer warning. Bayer and the EPA continue to insist that glyphosate is safe, despite the World Health Organization’s International Agency for Research on Cancer classifying it as probably carcinogenic to humans over a decade ago.
As The Associated Press and Reuters reported, the justices appeared "divided" on Monday, with the AP noting that several "seemed sympathetic to the company's argument that it can't be sued under state law because federal regulators have found Roundup likely doesn't cause cancer. Others, though, grilled attorneys about whether that wrongly stops states from responding to changing research."
Patti Goldman, senior attorney at Earthjustice—which filed an amicus brief in this case on behalf of farmworker organizations—said in a statement that "questions from the justices recognized that the Environmental Protection Agency approves pesticide labels based on the evidence before the agency at a single moment in time, but that evidence can become outdated as real-world exposure grows and scientific studies document resulting harms."
"Federal law requires the manufacturers to update their labels to provide sufficient warnings and directions to protect the public," Goldman stressed, "and state failure-to-warn claims reinforce that obligation—while ensuring children, families, and workers have a path to seek remedies for the harm they suffer."
Other groups that have submitted amicus briefs include Environmental Protection Network—which is made up of former EPA staffers—and the Center for Food Safety, one of the advocacy organizations that joined the rally outside the court. The event was also attended by members of Congress from both major political parties.
"This isn't left v. right—it's right v. wrong," said US Sen. Cory Booker (D-NJ). "Big corporations and their lobbyists have captured both parties, putting profits over our families' health. I've fought Monsanto and Bayer for years, and just filed an amicus brief to the Supreme Court to protect our right to sue them for illnesses caused by their products."
Despite President Donald Trump's campaign promise to "Make America Healthy Again," the Republican recently issued an executive order mandating the production of glyphosate, and the US Department of Justice has sided with Bayer in this case—part of a broader trend of his administration serving the pesticide industry's interests.
"Monsanto Company v. Durnell will have enormous consequences for environmental health litigation," Food and Water Watch legal director Tarah Heinzen said Monday. "Bayer is intent on preserving its right to harm at all costs—a pursuit the Trump administration is all too willing to endorse. This case threatens to close the courthouse doors to the many Americans harmed by pesticides."
Heinzen argued that "should the Supreme Court hold that the Environmental Protection Agency's failed pesticide regulatory scheme preempts state failure to warn lawsuits, leaving tens of thousands of sick Americans without legal recourse, Trump and his industry-dominated EPA will be to blame."
"This high stakes case should be a wake-up call for Congress to act," the campaigner added. "Industrial agriculture's pesticide addiction is poisoning America. Congress must pass the Pesticide Injury Accountability Act to safeguard access to justice for all harmed by toxic pesticides."
As The American Prospect noted Monday in its "three-part series on Bayer's crusade for immunity from Roundup-related cancer claims," the company "is now aggressively lobbying Congress to permanently close the door" on the weedkiller's victims, and managed to get an immunity provision included in the 2026 Farm Bill that advanced out of the US House Agriculture Committee last month.
After joining the rally at the Supreme Court on Monday, Friends of the Earth (FOE) US led a protest outside Bayer's headquarters in downtown Washington, DC, delivering hundreds of thousands of petition signatures are calling on the company to phase out the production of toxic pesticides, including glyphosate and neonicotinoids.
"People are sick and tired of being exposed to toxic pesticides while pesticide corporations shirk responsibility," said FOE senior campaigner Sarah Starman, who spoke at the rally. "Bayer and other pesticide companies should not be allowed to profit from chemicals that threaten our health, harm our environment, and undermine the future of our food system. The hundreds of people who rallied outside the Supreme Court and the 200,000 people who signed comments to Bayer are demanding change."
In the leadup to the arguments before the nation's top court, the Environmental Working Group last week sued the Trump administration at the US Court of Appeals for the District of Columbia Circuit, accusing the EPA of unlawfully delaying its response to an EWG petition seeking stronger restrictions on glyphosate.
"The EPA's silence leaves families in the dark and falls far short of its responsibility to protect public health," declared EWG president and co-founder Ken Cook. "It's time for the agency to stop stalling and do its job."Nothing can compare to the scale and breadth of Trump 2.0’s across-the-board evisceration of every part of the government that helps with cancer prevention and treatment.
Last week marked one year of me being cancer free. I’ve shared parts of the story of my excruciating recovery on a couple occasions. Still, it’s been truly surreal to embark on this journey back to health while being inundated with report after report of Trump administration policies that seem intent on increasing the suffering caused by cancer. Where normal governments seek to protect people through research, medical innovation, and funding for early treatment and prevention, this administration has slashed research into cancer, cut funding for medical care, and moved to relax standards on how much exposure to carcinogens companies are allowed to inflict on surrounding communities. This is, in short, a pro-cancer government.
Every administration has been guilty of taking actions that jeopardized public health, but there is simply nothing that can compare to the scale and breadth of Trump 2.0’s across-the-board evisceration of every part of the government that helps with cancer prevention and treatment. For half a century, the United States waged a War on Cancer. Since January 2025, it has instead waged war on cancer’s victims.
The most obvious part of the Trump administration’s war on cancer patients is the frontal assault on research seeking to develop new screenings, treatments, and, hopefully, cures for an array of cancers.
On January 21, 2025, his first full day back in office, President Donald Trump imposed a bevy of restrictions on the National Institutes of Health (NIH), including functionally freezing external communications, grant review, and employee travel. By executive fiat, Trump and his right hand man-domestic policy puppet master Russell Vought delayed the disbursement of the NIH’s $47 billion in research funds, including $7 billion under the aegis of the National Cancer Institute (NCI). This consequently forced a pause on the review and approval of new clinical oncology trials. At the end of his second week in office, Trump mandated an instant 15% cap on NIH grant overhead, effectively demanding that the agency spend $4 billion less than planned. After freezing funding until the start of February, the NIH then began ruthlessly, frequently illegally (according to multiple federal court decisions) terminating grants; more than 1,800 were ended between February and June. And while courts have restored many of the improperly terminated grants, there’s a lot less recourse for new grants that are not being issued, leaving many research labs across the country, “running on fumes,” as The Washington Post described it. According to the Post’s analysis, NIH grants this year have fallen by over 50%.
The current suits in the White House would like you to believe the idea of a moonshot to treat cancer and the usage of words like “woman” in scientific research is more controversial than the erosion of decades of medical research and mass defunding of investment in curing one of the most omnipresent diseases in human history.
From the start of this term, the administration has also censored the production and dissemination of federal health research from agencies like the Centers for Disease Control and Prevention (CDC) and the NIH. This includes illegally scrubbing swathes of publicly available data and web resources and requiring approval from the administration for CDC scientists to publish in external journals. The CDC mandated that no research publication was to use a list of supposedly “DEI” terms, including “LGBTQ” and “biologically female.” In other instances, any inclusion of the word “race,” “gender,” “sex,” “pregnancy,” or even “woman” was grounds for censorship. The result has been a chilling of important investigations that impact how we treat cancer; the type of tumor I had (called a carcinoid) occurs most often in older women.
The CDC, though, would not let a researcher publish that last sentence, if it had its way.
On April 1 2025, four NIH institute directors and another acting director were placed on leave. By late April, the chaos of a rampaging DOGE and mass layoffs had already forced out at least 2,500 staff (more than 10% of the agency’s 20,000 headcount) including two dozen of the 320 in-house research physicians at the NIH Clinical Center. After some of the internal administration restrictions were eased, researchers were still dealing with massive backlogs for basic lab equipment. That May, the administration sent a stop work order to the SMART IRB system, an NIH-funded initiative that streamlined institutional review board approval for clinical trials used by more than 1,300 institutions. A career researcher at NIH told Science that “however bad everyone on the outside thinks it is, it is a million times worse.”
All in all, the NIH has seen a proposed 44% funding cut, with the NCI facing a 37% cut. And it isn’t just NIH; there have been major reductions in cancer research funding from the Department of Defense and the Department of Veterans Affairs as well. A $1.5 billion Pentagon-directed health research grant fund, about half of which was devoted for cancer research, was slashed by 57%; funding for kidney, pancreatic, and lung cancer were zeroed out. At the VA, DOGE deployed an inaccurate data tool that terminated numerous grants, including one gene sequencing device that was being used to research cancer treatments.
According to STAT, the term “Cancer Moonshot” is now considered “controversial” at NIH, presumably because it was a Biden initiative. It’s difficult to imagine a more appropriate encapsulation of our ongoing reality: The current suits in the White House would like you to believe the idea of a moonshot to treat cancer and the usage of words like “woman” in scientific research is more controversial than the erosion of decades of medical research and mass defunding of investment in curing one of the most omnipresent diseases in human history.
The war on cancer patients extends far beyond the scientific agencies. A number of agencies are also rolling back environmental and workplace safety regulations that protect us from cancer.
The Environmental Protection Agency (EPA) alone is rolling back limits on a range of carcinogens including formaldehyde, air pollution, greenhouse gas emissions (which include formaldehyde, nitrogen oxide, arsenic, sulfur, and other carcinogenic compounds), asbestos, per- and polyfluoroalkyl substances (also called PFAS or forever chemicals), and vinyl chloride. In a triumphant press release, the Trump EPA celebrated its moves to deregulate a host of chemicals, including dangerous air particulate (called PM 2.5), coal ash, and oil and gas wastewater, all of which are carcinogenic. The EPA also recertified Monsanto’s weedkiller Dicamba, which has been linked to higher risk of liver cancer and leukemia (and also banned twice by federal courts already). One of the chemical industry alums tapped to lead the Office of Chemical Safety and Pollution Prevention, Nancy Beck, is known for pushing for the rollback of bans on carcinogenic solvents. To top it all off, the agency is also down 25% of its staff, so it would be poorly positioned to enforce what standards survive the regulation purge.
Elsewhere, Health and Human Services Secretary Robert F. Kennedy Jr. has decimated the National Institute for Occupational Safety and Health (NIOSH), terminating 85% of its workforce. NIOSH conducted research on how exposure to dangerous chemicals impacted workers’ health, including studying cancer risk among miners and firefighters. The database tracking cancer in firefighters ended enrollment. NIOSH was instrumental in identifying now iconic toxic substances, including carcinogens like asbestos and ethylene oxide, and helping to develop federal workplace safety rules based on those findings.
Even students are being readily placed in harm’s way; the administration’s attack on clean energy programs has blocked school districts’ efforts to replace their diesel buses, and their cancer-causing exhaust, with electric ones. The Department of Interior has announced its intent to bring back the glory days of coal mining, despite coal exhaust spewing toxic air pollutants. To this end, the administration is exempting coal-fired power plants from upgraded air quality regulations. The administration has exempted around 100 industrial sites from Biden-era regulation of cancer-causing air pollutants.
Those are just two fronts in the federal government’s deeply disturbing war on cancer victims. Some 2 million Americans get cancer every year, with more than 600,000 dying from the disease. Thousands upon thousands more will be driven into both of those camps, from all of the policies I’ve mentioned and many, many more. Cuts to the Mine Safety and Health Administration and the Occupational Safety and Health Administration, the Food and Drug Administration’s Food Inspection Service, and the National Oceanic and Atmospheric Administration, which runs an air quality evaluation program that helps to apprise Americans of how safe it is to be outdoors for extended periods, leave all of us more in danger of facing cancer. Medicaid and Medicare cuts, the gutting of consumer protection bodies, and the revolving door with Big Pharma mean that we’ll pay more if we do.
Against this backdrop, the Trump administration sought to burnish its nonexistent cancer-busting image by announcing a $50 million initiative to deploy AI to fight pediatric cancer. The big shiny figure is really a drop in the bucket in terms of impact. Worse, its part and parcel of the White House’s naked embrace of the AI-hype that is driving an industrial buildout that itself causes cancer.
The only logical conclusion to glean from the simultaneous destruction of cancer research, ripping up of the rules and agencies that protect us from it, and willful zeal for fossil fuels (often wrapped up with AI-mania via the data center build out) and exempting them from air quality oversight is that this is a pro-cancer administration. They admitted as much when news broke before Trump was even inaugurated that his EPA would no longer tally the human cost of air pollution.
Whether it’s counted or not, though, it is there. The type of cancer I had is a “mild” one; I still lost a lung, had a vocal cord paralyzed, spent months barely able to get through a day, and still get winded easily. The official position of the US government appears to be that more people should have to endure that.
"The EPA's silence leaves families in the dark and falls far short of its responsibility to protect public health," said the Environmental Working Group's president.
Just days before the US Supreme Court is set to hear arguments related to glyphosate's health risks, the Environmental Working Group on Tuesday sued the Trump administration for unlawfully delaying its response to an EWG petition seeking stronger restrictions on "the most widely used herbicide in the United States and globally."
The filing at the US Court of Appeals for the District of Columbia Circuit calls out the US Environmental Protection Agency (EPA) for failing to act on evidence that glyphosate, the active ingredient in Monsanto's Roundup, "is exposing infants and young children to harmful levels through everyday foods."
EWG and its co-petitioners filed a formal administrative petition under the Federal Food, Drug, and Cosmetic Act in 2018, during President Donald Trump's first term, and amended it the following year. They want the EPA to revoke or modify the glyphosate policy for oats, so it's stricter, and restrict its use as a pre-harvest drying agent.
"Congress required EPA to ensure that pesticide residues in food are safe, with particular protection for children," the new filing states. "Yet, more than seven years after being presented with substantial scientific evidence that the current tolerance for glyphosate in oats may not meet that standard, EPA has failed to make any final, reviewable determination."
EWG president and co-founder Ken Cook declared in a Tuesday statement that "parents shouldn't have to second-guess whether everyday foods like cereal and snack bars are putting their children at risk of cancer."
"The EPA's silence leaves families in the dark and falls far short of its responsibility to protect public health," he continued. "It's time for the agency to stop stalling and do its job."
The World Health Organization's International Agency for Research on Cancer classified glyphosate as "probably carcinogenic" to humanity over a decade ago, while the EPA has repeatedly claimed that it is not likely to cause cancer in humans despite mounting research, the recent retraction of a landmark study on the pesticide's supposed safety, and legal battles between patients and Bayer, which bought Monsanto in 2018.
Next week, the nation's top court is set to hear arguments in a case that, as EWG warned Tuesday, "could have sweeping implications for whether farmers and consumers can keep pursuing lawsuits for harms linked to glyphosate, and whether states can require warning labels on glyphosate products."
The Wall Street Journal noted Monday that while the company continues to insist on glyphosate's safety, it "wants anyone with a claim to join the settlement" negotiated with a team of lawyers representing around 40,000 claimants that "would bring Bayer's total price tag to resolve the Roundup litigation to roughly $22 billion."
Despite Trump and Health and Human Services Secretary Robert F. Kennedy Jr.'s campaign promise to "Make America Healthy Again," the administration has notably sided with Bayer in the case before the Supreme Court, and the president in February even issued an executive order mandating the production of glyphosate.
"If anyone still wondered whether 'Make America Healthy Again' was a genuine commitment to protecting public health or a scam concocted by President Trump and RFK Jr. to rally health-conscious voters in 2024, today's decision answers that question," Cook said at the time. "It's a shocking betrayal to all of us but especially the people who live and work near farm fields where glyphosate is used."
Still, EWG is plowing ahead with its legal action, arguing that "the EPA has a clear legal duty to act on this petition, and it has simply refused to do so," as the group's general counsel and COO, Caroline Leary, put it. "This kind of delay has real consequences for families who rely on the agency to ensure children are not exposed to toxic farm chemical residues like glyphosate."
"This is exactly the kind of situation where courts are meant to step in," Leary added. "The EPA cannot avoid its responsibilities simply by doing nothing."
"If the agency is going to allow such chemicals to be freely sold at Home Depot, Walmart, and farm supply stores, the very least the EPA must do is require a clear cancer warning on the label," said one critic.
The US Environmental Protection Agency has repeatedly failed to warn consumers of the cancer risks posed by pesticides—even when its own research has found those products to be carcinogenic, a pair of green groups said Monday.
The Center for Food Safety studied the EPA's permitted risk level in active components of both currently approved and legacy pesticides. CFS researchers found that the EPA allowed pesticides with a cancer risk "as high as 1 in every 100 people exposed, a far greater level than the EPA’s benchmark of a 1-in-a-million chance of developing cancer."
"Of the 570 unique pesticide chemicals that EPA’s Office of Pesticide program has classified for carcinogenic potential since 1985, over one-third (200, or 35%) are either possible human carcinogens (127) or likely to be carcinogenic to humans (73)," the CFS report notes. "The status of 62 others (11%) is uncertain, because EPA lacks sufficient data to make a determination.
A second report, from the Center for Biological Diversity (CBD), shows that of the 200 pesticides that are possible or likely human carcinogens, 125 are still registered for use.
CBD analyzed the labels of every pesticide currently approved by the EPA and found that the agency has placed cancer warnings on just 69 of 4,919 pesticide labels (1.4%) "containing an active ingredient that the agency has designated a 'likely' human carcinogen." Additionally, the EPA has put cancer warnings on just 242 of the 22,147 pesticide labels (1.1%) that "contain an ingredient the agency has designated as a 'possible' human carcinogen."
CFS science director Bill Freeses said in a statement Monday: “It’s bad enough that the EPA approves cancer-causing pesticides. But if the agency is going to allow such chemicals to be freely sold at Home Depot, Walmart, and farm supply stores, the very least the EPA must do is require a clear cancer warning on the label. Warnings save lives by incentivizing users to wear protective equipment that reduces risk."
Lori Ann Burd, director of environmental health at the CBD, said on Monday that “it's dumbfounding that the EPA has failed to require any cancer warning on thousands of pesticide products sold to the public that the agency itself has linked to cancer."
“Why should anyone have confidence in the EPA’s ability to keep tabs on the pesticide industry and protect us all from harmful poisons when it won’t even compel companies to put long-term health warnings on pesticides it knows are really dangerous?" she added.
Last month, CFS, CBD, and others denounced the EPA's reapproval of the pesticide dicamba—which scientific studies have linked to increased risk of cancer and hypothyroidism in high-dose exposure—for certain cotton and soybean crops.
The new CFS and CBD analyses come ahead of next month's oral arguments in Monsanto Company v. John L. Durnell, a case before the US Supreme Court in which Bayer, the Germany-based pharma giant that bought Monsanto in 2018, is seeking substantial immunity from future lawsuits filed by people in the United States who used glyphosate-based products like Roundup weedkiller and were then diagnosed with rare pesticide-linked cancers. The company has paid out billions of dollars to settle such suits.
CBD and other advocacy groups have also warned that the industry-backed Farm Bill currently advancing in the Republican-controlled Congress weakens or delays pesticide safety regulation, preempts state-level cancer warning rules, and shields chemical companies from lawsuits.
"Walking back key regulations for ethylene oxide sterilizer facilities is essentially giving a highly polluting industry a get-out-of-jail-free card," said one campaigner.
While US Environmental Protection Agency Administrator Lee Zeldin on Friday presented a proposed policy change as a demonstration of the Trump administration's commitment to "ensuring lifesaving medical devices remain available," public health advocates warned that relaxing rules on emissions of the cancer-causing gas ethylene oxide puts millions of Americans at risk.
As The New York Times explained: "The move revived a long-running debate about the paradoxical effects of ethylene oxide on public health. While it plays a crucial role in sterilizing lifesaving medical devices like pacemakers and syringes, long-term exposure can cause leukemia and other types of cancer among people who work in or live near medical sterilization facilities."
The EPA proposal would amend the Biden administration's 2024 National Emissions Standards for Hazardous Air Pollutants for facilities that use ethylene oxide, which the agency estimated would have eliminated over 90% of dangerous pollution from the gas. The previous policy was cheered by organizations including Earthjustice, which sounded the alarm on Friday.
"The 2024 standards would have delivered enormous public health benefits. EPA knows that ethylene oxide is carcinogenic and determined that sterilizers can install effective and affordable pollution controls," said Earthjustice senior attorney Deena Tumeh. "EPA has no basis to repeal this well-supported rule. By rolling back the rule, the Trump EPA is bending the knee to the sterilizer industry at the expense of millions of people's health."
Darya Minovi, a senior analyst at the Union of Concerned Scientists' (UCS) Center for Science and Democracy, similarly stressed that "this dangerous decision puts people across the United States and in Puerto Rico at a higher risk of breathing dangerous fumes known to cause respiratory irritation, nausea, blurred vision, headaches, and various cancers. Children are especially vulnerable to the cancer-causing harms of ethylene oxide exposure."
As Minovi detailed:
According to UCS analysis, nearly 14 million people in the United States live within five miles of at least one commercial sterilization facility, and more than 10,000 schools and childcare facilities fall within those areas. These communities are disproportionately made up of people of color or those who do not speak English as a first language...
This decision is a reckless and self-serving handout to big industry, which asked for this rule to be rolled back. This process sidestepped community input from the start and is an affront to communities that have unknowingly lived with ethylene oxide exposure for decades. These actions show, yet again, that this administration has little to no regard for the health and welfare of working people or any interest in protecting children from exposure to toxic chemicals.
Minovi declared that "ethylene oxide emissions controls need to be strengthened—not dismantled," an argument echoed by Jane Williams, executive director of California Communities Against Toxics and chair of the Sierra Club National Clean Air Team.
"Walking back key regulations for ethylene oxide sterilizer facilities is essentially giving a highly polluting industry a get-out-of-jail-free card. Sterilizers are some of the largest, most toxic chemical manufacturing facilities in the country,” said Williams. "Rather than regressing on key protections, these facilities need even more controls in place to ensure the safety of workers and nearby communities."
People who live near sterilizer facilities also spoke out against the proposed rule, which now faces a 45-day public comment period.
"We understand that industry applied heavy pressure to weaken the previously finalized rule. We also understand that industry remains more concerned with their profits than the lives of those who live near sterilizer facilities, like my community in Laredo," said Tricia Cortez, executive director of Rio Grande International Study Center in Texas.
"Sterilizer facilities like Midwest must be held accountable for their dangerous, cancer-causing emissions," she said. "We need an EPA that works to protect us, the people, not financial interests and corporations that continue to cause so much harm to so many."
Victor Alvarado, founder and coordinator for Comité Diálogo Ambiental, said that "I remember the EPA informing us that Steri-Tech's ethylene oxide emissions in my hometown of Salinas, Puerto Rico, were so high that we had one of the highest rates of toxic air cancer risk in the United States... Eliminating the new protections against ethylene oxide emissions is unjust."
The EPA proposal comes after President Donald Trump in July signed a series of proclamations easing pollution rules for over 100 facilities focused on energy, chemical manufacturing, iron ore processing, and sterile medical equipment. His "regulatory relief," as the Republican called it, applied to dozens of sterilization plants.
The Southern Environmental Law Center and Natural Resources Defense Council responded by filing a federal lawsuit on behalf of CleanAIRE NC, Sustainable Newton, Savannah Riverkeeper, and Virginia Interfaith Power & Light.
"We always knew the presidential exemptions issued last year were part a broader plan to put the interests of corporate polluters above the health and well-being of American families," Sustainable Newton president Maurice Carter said Friday. "But we won't stop fighting to protect our community by demanding commonsense, reasonable measures that even the EPA has said would reduce harmful emissions by 90% and lower cancer risks by 92%."
For decades Roundup has been sold as an effective herbicide, one that was safe for humans and the environment. It isn't.
Mark Twain supposedly once said, "Never let the truth get in the way of a good story," but there is a difference between a good story told in fun and a story (supposedly backed by independent scientific research) that people are led to believe because, well, science is supposed to be true. And so we come to the story of Roundup, the herbicide developed by Monsanto that swept the world because it worked and was the “safe” alternative to widely used weedkillers like Dicamba and 2,4-D,—it was said to be safer than table salt!
Roundup was developed in the 1970s as a non-selective herbicide, meaning it would kill almost any growing plant it touched. It was an effective burn-down herbicide farmers could apply prior to planting, and it assured an almost weed-free field at the beginning of the growing season. Roundup could be used in non-agricultural situations as well, to kill weeds and grass growing in sidewalk and patio cracks, around buildings, etc, but care was needed because, as noted, it was non-target and could kill whatever plant it touched.
For farmers, it worked well, except while it did kill growing weeds, buried weed seeds were not harmed, so a weed-free field at planting time did not ensure a weed-free field throughout the growing season. Weeds would continue to sprout, and more herbicide applications would be needed during the growing season.
Then Monsanto developed their big fix released in 1996, genetically engineered (GE) soybeans resistant to Roundup, followed by GE versions of other commodity crops: corn, cotton, sugar beet, and canola. Over-the-top spraying of these GE crops would kill everything but the crop, and Roundup became one of the most widely used herbicides in the world and GE crops came to dominate world commodity crop production.
Companies like Bayer have to protect their product and their profit even if they have to tell a few lies to do so.
While Monsanto sold Roundup with the slogan, “One spray is all you’ll ever need,” in time, it became clear that some weeds were developing resistance to Roundup and farmers were right back where they started, looking for herbicides that worked consistently. More genetic modifications were made to commodity crops making them resistant to other herbicides, like Dicamba and 2,4-D, the herbicides Roundup was supposed to have replaced. These multiple GE or “stacked” crops could be sprayed with a cocktail of herbicides, hopefully ensuring weed-free fields for the entire growing season.
Farmers are using more herbicide, even on the GE crops, and costs for GE seed have risen much faster than non-GE seed. Of course, the motive was never to reduce the farmer’s production costs or agricultural herbicide use but to increase it—that's where the profit is.
For farmers who didn’t jump on the GE bandwagon, finding non-GE seed is often difficult. Even more onerous, some farmers have found it necessary to plant GE seed as a preventative measure because non-GE crops can be damaged by chemical drift from neighboring GE fields.
So much for effectiveness, what about the safety of Roundup? In 2000 a study was published in the journal Regulatory Toxicology and Pharmacology that deemed the active ingredient in Roundup (glyphosate) was safe and not a human health risk. Since then, that study has been cited consistently as proof of Roundup’s safety. Numerous other studies have shown that glyphosate could cause cancer and that the inert ingredients that are part of the patented Roundup formulation increase the toxicity of glyphosate. Further, the practice of using Roundup as a desiccant on small grain crops (oats, wheat, and barley) prior to harvest puts Roundup directly on grain that enters the human food chain.
Since acquiring Monsanto in 2018, Bayer has paid out about $11 billion to settle almost 100,000 cancer-related lawsuits with approximately 61,000 still pending. In December of 2025 another blow to the claimed safety of Roundup came when the Regulatory Toxicology and Pharmacology journal withdrew the 2000 article that had touted Roundup’s safety. While the study claimed to be independent and peer reviewed, it has come to light that Monsanto's scientists played a significant role in conceiving and writing the article. Oops.
For decades Roundup has been sold as an effective herbicide, one that was safe for humans and the environment, and without which “consequences would be dire.” Companies like Bayer have to protect their product and their profit even if they have to tell a few lies to do so. They claim to produce safe products that help farmers thrive—real independent research refutes that. Bayer and the agribusiness industry may be thriving, but farmers are not and in these times, too few people seem to care that lies are accepted as truth.
"Is there anything worse than a child dying of cancer when it was preventable?" asked one observer.
Infant mortality is on the rise in Cuba as the Trump administration tightens a decadeslong economic embargo on the island nation in hopes of toppling a socialist government that's outlasted a dozen US presidents.
According to the United Nations Inter-Agency Group for Child Mortality Estimation, infant mortality in Cuba—which plummeted dramatically in the decades after the 1959 triumph of the Cuban Revolution—has increased from 4 to 7.4 per 1,000 live births since 2018, an 85% increase.
The rise in infant mortality comes amid a deadly surge in mosquito-borne illness, including dengue and chikungunya, that has inundated already struggling hospitals suffering shortages of staff and even basic supplies. Hospitals in Cuba—which in 2015 became the first country in the world to eliminate mother-to-child transmission of HIV and congenital syphilis—are now reliant upon donations and the black market for their needs.
The crisis is particularly dire among children with cancer. Cuba's free healthcare system—which prioritizes the health of the people instead of industry profits, as in the United States—once boasted a pediatric cancer survival rate of 80%, on par with the world's wealthy nations. Now that's down to around 65% as the blockade has forced healthcare providers to modify treatment protocols and medications.
“The situation is very serious at the moment. It was already in terms of acquiring supplies and medicines. But now it is intensifying and complicated with other aspects," Dr. Forteza Saéz, an oncologist at Havana's University of Medical Sciences, told La Jornada in an interview on Wednesday.
Dr. Luis Curbelo Alonso, former longtime director of the National Institute of Oncology and Radiology in Havana, told La Jornada: "You have the knowledge, the expertise, the team to face something that can be curable or can be controllable and yet not have the drug. It's a very lacerating thing as a professional, very cruel."
The situation is also driving Cubans to extreme measures to find treatment. Two-year-old Mía Rey Jiménez and her family left their home in Cardenas, Matanzas last May weeks after the child was diagnosed with metastatic stage 4 neuroblastoma, an extremely aggressive childhood cancer requiring complex treatment.
The family left Cuba to seek treatment in Nicaragua and then Costa Rica, where Jiménez underwent chemotherapy and high-risk surgery. Still left with a tumor in her lung and cancer in her bone marrow, Jiménez's family sought help from Nicklaus Children's Hospital in Miami, one of the world's leading specialized facilities.
The hospital agreed to evaluate Jiménez and estimated her chances of survival with proper care at up to 80%—more than double her prognosis in Costa Rica. However, the humanitarian visa for which Jiménez's family applied was denied by US authorities due to what they claimed was "lack of evidence," even though the girl's father resides legally in the United States.
The family successfully appealed their denial and Jiménez and her mother Liudmila Jiménez Matos arrived in Miami in January.
“I can’t be happier," Jiménez Matos told Cuba Noticias 360 last month. "My daughter will be treated by doctors who have been waiting for her for a long time. That’s a love for the profession and for saving another life."
As President Donald Trump tightens the blockade on Cuba following a similar strangulation of Venezuela that ended with last month's US invasion and kidnapping of Venezuelan President Nicolás Maduro to face dubious "narco-terrorism" charges in the United States, critics are renewing calls to end Washington's embargo.
Imposed in the early 1960s after a successful revolution that overthrew a brutal US-backed dictatorship and replaced it with a socialist government, the blockade—which accompanied a decadeslong campaign of terrorism by US-based Cuban exiles—has claimed thousands of Cuban lives and cost the country's economy more than $1 trillion, according to official estimates.
The United Nations General Assembly has overwhelmingly condemned the blockade 33 times.
UN Secretary-General António Guterres warned Wednesday of a potential "collapse" of Cuba's economy if the US keeps blocking oil from entering the country.
On Thursday, Congresswoman Ilhan Omar (D-Minn.), who visited Cuba in 2024 as part of a delegation of progressive US lawmakers, called the ramped-up embargo, which is now targeting fuel imports, as "cruel and despotic."
Back in Havana, Cuban doctors vowed to do the best they can for their patients under the harrowing circumstances.
“We will continue to resist," Dr. Carlos Alberto Martínez, head of the Ministry of Health's cancer control section, told La Jornada. "We will continue to look for alternatives that allow the sustainability of what has been achieved."
Cancer and other noncommunicable diseases remain chronically underfunded in low- and middle-income countries. This neglect is not only unjust; it is destabilizing.
As the year draws to a close, I find myself thinking about what lingers after the headlines fade.
I am thinking about the corridors of a cancer conference in Tunisia, where doctors, nurses, scientists, students, and patients from across Africa gathered with a shared purpose: to reduce the burden of cancer in places too often overlooked. In conversation after conversation, I heard stories of ingenuity and quiet endurance; clinicians delivering chemotherapy with limited supplies, researchers building cancer registries on borrowed computers, patients selling what little they own to stay alive.
One young oncologist from Rwanda told me he is learning to speak differently with his patients about cancer. Not just about treatment protocols, but about fear, dignity, and hope. He explained how language itself can heal, how empathy can ease suffering even when resources are scarce. I called him the prophet—not because he predicted outcomes, but because he understood that healing begins with trust.
A breast cancer survivor from Gaza spoke of women forced to leave home in search of treatment, only to face drug shortages and fractured care across borders. Their struggle is not only against disease, but against politics and geography that interrupt therapy and shorten lives.
If the year ahead is to mean progress, it will depend on whether we choose to align wealth with wisdom and urgency with solidarity.
These stories stayed with me when I returned home; and when I read, almost casually, about tens of millions of dollars spent to influence a single political race in New York City. I could not stop doing the math. How many nurses could that money train? How many pathology labs could it equip? How many mothers could it help live long enough to watch their children grow?
We live in a moment when the science to dramatically reduce cancer and other noncommunicable diseases already exists. Prevention works. Diagnostics work. Treatment works. Yet survival remains a cruel lottery of birth. A child with leukemia in Boston, Heidelberg, or Tokyo has more than an 80% chance of survival. The same child in Kampala, Dhaka, Sana’a, or Gaza faces odds closer to 20%; not because science has failed, but because access has.
This inequity is not academic for me. I am living with stage IV cancer. My treatment is possible not because I am exceptional, but because of where I live. My ZIP code granted me specialists, hospitals, and medicines that millions of people around the world cannot access. In an era of breathtaking biomedical progress, this disparity is increasingly difficult to defend.
Meanwhile, vast sums continue to flow effortlessly toward political influence, luxury consumption, and fleeting spectacle; multimillion-dollar celebrations, couture collections, brief trips to the edge of space. Excess has always existed, and it always will. The question is not whether extravagance can be eliminated, but whether it must remain our highest expression of success.
History shows us another option. Coordinated global investment transformed the trajectory of HIV, tuberculosis, and malaria. Millions of lives were saved not because the science was perfect, but because resources were mobilized with urgency and moral clarity. When funding aligns with purpose, outcomes change—quickly and dramatically.
Yet cancer and other noncommunicable diseases, now responsible for most deaths worldwide, remain chronically underfunded in low- and middle-income countries. This neglect is not only unjust; it is destabilizing. Untreated cancer weakens families, strains health systems, and erodes trust in institutions. The consequences ripple far beyond individual patients.
As the year ends, it is worth asking what our spending reveals about our values. Conferences like the one I attended in Tunisia are not only scientific gatherings; they are moral ones. They confront us with the gap between what is possible and what we choose to prioritize.
We live in a world of abundance and absence, sometimes within the same news cycle. One story celebrates money deployed for influence; another recounts lives lost for lack of basic medicine. These are not separate realities. They are the result of collective choices.
As the new year begins, we will make choices—about budgets, priorities, and what we choose to celebrate. Those choices will determine who receives care and who waits, who lives and who is left behind. Science has already shown us what is possible. If the year ahead is to mean progress, it will depend on whether we choose to align wealth with wisdom and urgency with solidarity, deciding, at last, that saving lives deserves the same resolve we devote to influence, attention, and prestige.