Thursday, December 3, 2009

plus 4, Senate Bolsters Preventive Care For Women - Post Chronicle

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plus 4, Senate Bolsters Preventive Care For Women - Post Chronicle


Senate Bolsters Preventive Care For Women - Post Chronicle

Posted: 03 Dec 2009 12:48 PM PST

The Senate backed a plan on Thursday to make it easier for women to get preventive health services such as mammograms as it cast its first votes on a sweeping healthcare overhaul.

On the fourth day of a sometimes bitter debate, the Senate voted 61-39 for an amendment to improve access to women's screenings for diseases like cancer and diabetes by eliminating insurance co-pays and deductibles for them.

The move follows last month's controversy over federal task force recommendations that women delay regular mammograms for breast cancer and from a doctor's group that women delay pap smears for cervical cancer.

On a 59-41 vote, the Senate rejected a companion Republican amendment to ensure the task force recommendations could be ignored, which Democrats said was "too tepid" and would not remove cost barriers to screenings.

The votes broke a two-day Senate stalemate that had stalled progress on the healthcare reform bill, which is President Barack Obama's top domestic priority. On Wednesday night, party leaders finally agreed on a timeline for the votes.

Senate Democratic leaders have vowed to pass the healthcare bill by the end of December but Republicans want to prolong the debate into the 2010 campaign season in hopes public opposition to the plan will grow.

The Senate bill is designed to rein in costs, expand coverage to about 30 million uninsured Americans and halt insurance practices such as denying coverage to those with pre-existing medical conditions.

National polls show opinion is divided on the overhaul. A Thomson Reuters poll on Thursday found most Americans back a government-run public insurance option in the plan but doubt if the bill will improve their healthcare in the short-term.

The Senate bill would require everyone to have insurance, provide federal subsidies to help them pay for coverage and create a government-run insurance option to compete with private industry.

DELICATE COALITION

Senate Democratic leader Harry Reid faces a difficult task keeping his fragile coalition together for potential votes on the public option and on language restricting use of federal funds to pay for abortions.

Democrats control 60 votes in the 100-member Senate -- the number needed to overcome Republican opposition -- but a handful of moderate Democrats have objected to the public option and abortion provisions.

The amendment to ease access to preventive health screenings like mammograms, authored by Democrat Barbara Mikulski, drew support from three Republicans -- Olympia Snowe, Susan Collins and David Vitter. Two Democrats, Russ Feingold and Ben Nelson, voted against it.

The first few days of the debate featured heavy political skirmishing. The Senate votes later on Thursday on a Republican amendment highlighting the bill's more than $400 billion in cuts in Medicare, the health program for the elderly.

Democrats accused Republicans of scare tactics for claiming the cuts will reduce benefits for seniors, a key voting bloc that polls show have great concerns about the overhaul.

Democrats say the cuts would simply reduce the growth in payments to Medicare providers and would extend the program's solvency by five years.

"They've apparently decided there's no way to defend these Medicare cuts so they'll just deny they're doing it," Senate Republican leader Mitch McConnell said. "It hardly passes the smell test."

The House of Representatives passed its version of the overhaul last month. If the Senate passes a bill, the two versions will have to be reconciled in January and passed again by each chamber before being sent to Obama for his signature.

(Editing by Bill Trott)

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MSHSL board meeting: That's a wrap - Minneapolis Star Tribune

Posted: 03 Dec 2009 12:34 PM PST

By John Millea

12:45 update

The meeting is winding down as committee reports are being heard. This is boilerplate stuff. The gavel should drop in a matter of minutes.

The "news" from this meeting was encapsulated in the 12:01 update, seen below.

That's a wrap

 

12:01 update

The MSHSL board has moved throuugh some issues and corresponding votes pretty quickly. Here's a summary:

-- Uniform adornments. Athletes will be allowed to wear things such as wristbands, shoelaces, socks, helmet decals, etc., in support of causes such as breast cancer awareness.

--If H1N1 or a similar outbreak occurs, as much flexibility in scheduling as possible will be used in ensuring games take place. If competitors in individual events are unable to compete due to illness, or if teams cannot put together enough players to compete, events will be forfeited.

 

11:23 update

MSHSL associate director Jody Redman has given the board an update on the "Anyone Can Save a Life" program. It's a program devoted to educating school staff and students on life-saving skills needed in the case of sudden cardiac arrest.

Redman has given presentations about the program all over the state and in several national settings.The MSHSL, in partnership with the Medtronic Foundation, will begin offering information about the program to similar state associations around the nation.

The meeting is continuing ...

 

10:23 update

Still no big headlines out of this meeting. But there is this interesting tidbit ...

MSHSL staff members are giving brief reviews of the fall state tournaments. The most interesting comment came from associate director Kevin Merkle, who is in charge of the state football playoffs. He didn't name which schools were involved, but it was clear he was talking about the Class 4A quarterfinal game between Sartell and St. Thomas Academy at the Metrodome when he said, "We would have had to admit we made a mistake."

 

Original post

Good morning from MSHSL headquarters in Brooklyn Center. The MSHSL board of directors' December meeting will begin in a few minutes.

In perusing the information packet that is at each board member's seat, it looks like the following will be discussed:

--A policy for dealing with uniform adornments, such as during Breast Cancer Awareness month in October.

--Contingency plans in case an H1N1 outbreak affects subsection, section and state tournaments.

I'll post any pertinent updates. This should be a quiet meeting.

John Millea is on Twitter at twitter.com/stribjohn

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Senate Affirms Screening Mammography for 40-Year-Olds - MedPage Today

Posted: 03 Dec 2009 12:27 PM PST

WASHINGTON -- After a slow start to floor debate on the healthcare reform bill, senators approved an amendment on Thursday that would require health insurers to cover mammograms for women ages 40 to 49.

In a 61 to 39 vote, the Senate dealt a significant blow to the power and credibility of the U.S. Preventive Services Task Force (USPSTF), by essentially deciding to disregard the task force's recent recommendation that women under 50 shouldn't undergo routine mammograms.

The bipartisan amendment, sponsored by Barbara Mikulski (D-Md.) and Olympia Snowe (R-Maine), would increase coverage and eliminate copays for more women's preventive services than was contained in the underlying bill. Snowe, two other Republicans, and the two independents joined the Democrats in voting for the amendment.

But it was an amendment to that amendment that trumped the USPSTF's latest recommendations. Late Wednesday, senators quietly approved, without a roll-call vote, an amendment to Mikulski's amendment offered by David Vitter (R-La.).

The Vitter amendment specifically set aside the most recent USPSTF guidelines, noting that "those issued in or around November 2009" were not to be used in determining coverage requirements.

The USPSTF recommendations on any given procedure are important because the healthcare reform bill that was passed by the House and the bill being considered by the Senate would require insurance companies to cover all medical services that receive a grade of "A" or "B" from the USPSTF.

In its recent recommendations, the task force downgraded mammography in women under 50 to a "C" grade, which means there is limited evidence to support its use.

That would mean that insurance plans wouldn't be required to cover screening mammography for those women, unless the secretary of Health and Human Services (HHS) used her discretionary power to require plans to cover services with lower grades.

The Vetter amendment to Mikulski's amendment would make the USPSTF's 2002 guidelines, which gave a "B" grade to screening mammography in women ages 40 to 49, the operative ranking -- thus requiring their coverage, without a copay.

"My amendment guarantees screening for breast cancer, yes, mammograms," Mikulski said in prepared statement issued when she first introduced her amendment earlier in the week. "We don't mandate that you have a mammogram at age 40. What we say is discuss this with your doctor, but if your doctor says you need one, my amendment says you are going to get one."

The underlying bill already eliminates copays for certain preventive services and requires insurance plans to cover preventive services recommended by the USPSTF.

Under the Mikulski amendment, insurance plans would also have to use recommendations from the Health Resources and Services Administration (HRSA) to determine which preventive services to cover.

"As I reviewed the bill, I felt we could do more to enhance and improve women's healthcare," Mikulski said in a statement.

According to Mikulski, her amendment would direct insurance plans to cover annual mammograms for women under 50, "cervical cancer screenings for a broad group of women," pregnancy and postpartum depression screenings, screenings for domestic violence, and other annual health screenings, which could include testing for heart disease and diabetes.

Planned Parenthood, which lauded the amendment's approval, said the underlying bill didn't eliminate copays for regular well-women visits, breast exams, and contraceptive services, but the Mikulski amendment does.

The amendment would cost $940 million over a decade, the Associated Press reported.

Immediately following the Mikulski vote, senators rejected a Republican amendment by a vote of 41 to 59. That amendment, sponsored by Sen. Lisa Murkowski (R-Alaska), would have essentially banned the government from relying on the guidelines from the USPSTF.

Although the USPSTF has been accused of playing politics in deciding to downgrade mammograms from women under 50, the two chairs of the task force told a congressional panel on Wednesday that politics played no role in their decision. Diana Petitti, MD, MPH, vice chair of the USPSTF, said she didn't even know that the task force was referenced in the healthcare reform bills.

The American Cancer Society (ACS), which opposed the new USPSTF guidelines, also opposed Murkowski's amendment. A spokesman for the ACS said the group doesn't want to see the USPSTF eliminated.

"We're supportive of the task force per se, but we'd like to see provisions that clarify the way they operate," said Stephen Finan, senior director for policy for the American Cancer Society Cancer Action Network. "What we want to see is an essential benefits package that is evidenced-based."

The Senate will continue to vote on several other amendments throughout the day, and Sen. Harry Reid said debate on the healthcare bill is expected to last weeks. He told senators to plan to work through upcoming weekends.

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'In the pink' Little Elm firefighters help the fight against breast ... - Star Community Newspapers

Posted: 03 Dec 2009 10:54 AM PST

Members of the Little Elm Professional Firefighters Association presented a check for $2,000 to Susan G. Komen for the Cure Executive Director Mirchelle Louis on Tuesday.

The firefighters raised the money by selling pink T-shirts with Komen and LE Firefighters Association logos on the shirts. They all wore their pink T-shirts for the check presentation.

Louis said she wished she had worn pink as well. She thanked them for the donation and mentioned a few statistics. She said in 2009 200,000 people, mostly women, will be diagnosed with breast cancer, 40,000 of those will die.

Less than one percent of the 200,000 will be men. The treatments for breast cancer for men are the same as for women.

You're helping us in a significant way in our mission, she said. Two thousand dollars is a significant amount of money. It costs $150 to provide a mammogram. There are resources out there. If you know someone that needs assistance, give us a call.

Driver and paramedic James Connor headed the fundraising effort. He is also vice president of the Association of Little Elm Professional Firefighters.

The national Texas Firefighters Association voted to donate funds to the Susan G. Komen for the Cure. Connor involved the Little Elm Fire Department and the town of Little Elm in the effort.

He ordered the pink shirts from a local merchant and wasn't sure they'd be abble to seel all of them. They were sold in a week and a half. LEISD teaches bought shirts. So did Denton County dispatchers and other fire departments.

We'll do this every year until a cure is found, Connor said. Why are we willing to put on pink shirts? It's the right thing to do. We wanted to stand up front. We wanted the community to see that outside of work firefighters care about what happens.

Komen Executive Director Louis agreed with the effort. When you see men out there wearing pink people will give you a second look. You really have done something most significant, she said.

Every year Little Elm firefighters will be wearing their pink T-shirts on Oct. 25, 26, and 27.

For information on Susan G. Komen for the Cure call 1-877-465-6636 or visit www.komennorthtexas.org.

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Daily Iowan Paper Implies Catholic Doctors Uninformed on Abortion ... - LifeNews.com

Posted: 03 Dec 2009 12:05 PM PST

On two occasions early in November, The Daily Iowan's opinion editor, Shawn Gude, invited a reader by the name of Rebecca Curtis to send him a 600-word rebuttal in response to a guest opinion written by University of Iowa law students, Amber Fricke and Amy Hirst, on October 27, 2009 that incorrectly stated that abortion does not increase breast cancer risk. [1]

Curtis sent The Daily Iowan a rebuttal, but Gude rejected it on November 5 and invited her to re-write it. She quickly responded by sending him a revised rebuttal, but on November 9, he rejected that too. Gude explained to Curtis, "While I appreciate your submission, I remain skeptical of some of your sources."

Gude objected that Curtis had cited research published in The Linacre Quarterly, a publication of the Catholic Medical Association, and the Journal of American Physicians and Surgeons, a publication of the Association of American Physicians and Surgeons, even though both publications are peer-reviewed medical journals and the authors of the research papers in question are esteemed, international experts on the abortion-breast cancer link. [8,9] (The term "peer-reviewed" means that the scientific papers have been evaluated by an impartial panel of experts who recommend the papers for publication or rejection.)

It appears that Gude and other editors had held Curtis' commentary to a higher standard of scrutiny than the commentary by Fricke and Hirst. The editors permitted Fricke and Hirst to cite the pro-abortion Guttmacher Institute, as well as two studies that have been proven in the New England Journal of Medicine and the Journal of American Physicians and Surgeons to be fatally flawed. [2,3,4,5] Fricke and Hirst, who are members of the euphemistically named University of Iowa Law Students for Reproductive Justice, also cited the American Cancer Society's web page, "Is Abortion Linked to Breast Cancer?" [6]

Had the editors at the paper conducted a 5-minute search on PubMed, they would have learned that one of Fricke and Hirst's citations, a study named Melbye et al. 1997, actually reported a statistically significant 89% risk increase for women who have abortions after 18 weeks gestation, although researchers found no overall increase in risk. [2] (The American Cancer Society insults women's intelligence by using this study to deny an abortion-breast cancer link.)

Furthermore, Melbye's team found a dose effect of 3% per week of gestation until the abortion takes place, thereby fulfilling one of the criteria needed for establishing a cause-effect relationship. In other words, the longer a pregnant woman is exposed to the cancer-causing effects of an elevated estrogen level before her abortion takes place, the greater her breast cancer risk is (provided the abortion occurs before 32 weeks gestation). The breasts grow during a normal pregnancy because estrogen stimulates the mother's cancer-susceptible lobules to multiply. The longer she is pregnant before her abortion takes place, the more places she grows for cancers to start.

Breast cancer risk plunges at 32 weeks and continues to plunge for each week thereafter until delivery at 40 weeks, as the fetus produces hormones that mature an increasing number of the mother's breast lobules into permanently cancer-resistant lobules. [7,8] By 40 weeks, 85% of the lobules are permanently cancer-resistant. Then, the mother is left with fewer places in her breasts for cancers to start. (That explains why full term pregnancy is protective against breast cancer.)

If The Daily Iowan's editors had conducted a PubMed search, they would have discovered a 1999 study by Melbye's team reporting that premature birth before 32 weeks gestation more than doubles breast cancer risk (a finding that supports an independent link between abortion and breast cancer). [7] Early premature birth, like abortion, is a short pregnancy exposing the mother's cancer-susceptible breast lobules to virtually the same pregnancy hormones, which result in the same structural changes and leave her with more places for breast cancers to start.

Instead of considering the scientific evidence on how the breasts develop and function that had been presented in the journal,The Linacre Quarterly, Gude and his colleagues decided to shoot its messengers. [8] Gude wrote to Curtis that he was "uneasy" about the use of a source from The Linacre Quarterly, which "exists to uphold the principles of the Catholic faith and morality as related to the science and practice of medicine."

What was Gude implying? That Catholic doctors can't do science? That they bend science to fit their religious beliefs? The implication is that Catholic doctors are incapable of objectivity when it comes to scientific research on abortion, unlike doctors of other faiths and atheists and agnostics (none of whom could possibly be biased in favor of abortion). If Gude had dared to imply that a Jewish medical journal was not credible because it exists to uphold the Jewish faith in the science and practice of medicine, consider the outrage that would follow.

Bias is not exclusively a one-way street that occurs only in the pro-life camp, but when bias goes the opposite way, in the direction of the pro-abortion camp, abortion enthusiasts in the media are indifferent, even if that bias endangers women's lives. For example, although cancer experts universally consider childbearing to be protective against breast cancer and an independent link between abortion and breast cancer has been studied for 53 years, cancer fundraising groups, like Susan G. Komen for the Cure, Breast Cancer Action and the National Breast Cancer Coalition, have included radicals among their leaders who had previously been associated with Planned Parenthood, NARAL Pro-Choice America and the American Civil Liberties Union. Why would it be in their interest to educate women about the three ways that abortion raises breast cancer risk?

Dr. Leslie Bernstein's bias in favor of abortion is overt, but no one would ever dream of insulting her by associating her religious faith (or lack of faith) with the way she has conducted herself as a scientist. Bernstein was a leader/moderator at the U.S. National Cancer Institute's phony workshop on the abortion-breast cancer link in 2003. After that workshop, she told CancerPage.com why she doesn't want women to know that abortion raises breast cancer risk. Note that she acknowledged that the younger a woman is when she has her first birth, the lower her breast cancer risk is. (It can't be denied that abortion is used to delay first full term pregnancies.) Bernstein said:

"The biggest bang for the buck is the first birth, and the younger you are, the better off you are. I would never be a proponent of going around and telling them that having babies is the way to reduce your risk.... I don't want the issue relating to induced abortion to breast cancer risk to be part of the mix of the discussion of induced abortion, its legality, its continued availability." [10]

Imagine the howls among abortion enthusiasts in the media if a reverse scenario had taken place. Pretend that Bernstein had been anti-abortion and had said she didn't want women to know there were health benefits associated with having an abortion (not that there really are health benefits). There would be no end to the doleful wailing among those members of the press, and the U.S. National Cancer Institute would resemble the storming of the Bastille during the French Revolution in 1789.

After hearing that The Daily Iowan's opinion editor had objected to a citation from The Linacre Quarterly, one physician declared that if the facts presented in that journal had been published on a bathroom wall, on parchment, on toilet paper or in the National Enquirer, they would still remain biological facts. If The Daily Iowan's editors had bothered to review the secondary references listed at the end of the article in The Linacre Quarterly, they would have found studies published in medical journals with politically correct names, such as the New England Journal of Medicine, Lancet, British Journal of Cancer, and Breast Cancer Research and Treatment. [8]

Gude also objected that Curtis used the Journal of American Physicians and Surgeons as a source. [9] He told Curtis that the Journal is "a political non-profit" (a description that could be applied to the American Medical Association); and he criticized the Journal for publishing articles that challenged scientific hypotheses concerning global warming and HIV/AIDS. He claimed,

"It has also published reports claiming 'increases in (atmospheric carbon dioxide) during the 20th and 21st centuries have produced no deleterious effects upon Earth's weather and climate' and that HIV doesn't cause AIDS."

Gude said both the American Cancer Society and the World Health Organization deny the abortion-breast cancer link. If Gude had been an opinion editor during the 1930's, would he have also rejected a commentary discussing Einstein's theory of relativity because 100 scientists had written essays disparaging it?

Jane Orient, MD, executive director of the Association of American Physicians and Surgeons, commented on Gude's arguments. She wrote:

"How can one respond to this kind of attack? It is not a good faith assessment. But one might say:

"The validity of a scientific paper should be assessed by reading it, not by skimming the table of contents of the journal that published it.

"The Daily Iowan assumes the truth of the catastrophic anthropogenic global warming hypothesis, which is based solely on UN computer models, the predictions of which are refuted by actual observations. Around 32,000 American scientists are on the record as agreeing with the statement that The Daily Iowan quotes.

"The Daily Iowan assumes the truth of the HIV/AIDS hypothesis; the Journal has published a couple of articles pointing to difficulties with it. All scientific hypotheses are subject to efforts to disprove them; that is the nature of science.

"Apparently, the fact that WHO (World Health Organization), a heavily politicized international agency, questioned the abortion-breast cancer link tells The Daily Iowan it must be not worth looking at.

"This is apparently the reasoning process used by The Daily Iowan:

"A peer-reviewed scientific journal's publication of articles criticizing politically correct theories means everything in the the Journal is worthless.

"A political agency's criticism of a politically incorrect hypothesis about an ABC (abortion-breast cancer) link means that all the evidence for an ABC link is worthless.

"What conclusions can one reach about the critical thinking skills, the scientific understanding, or the journalistic standards of The Daily Iowan?"

Breast cancer is an extremely common disease, and abortion is a common, elective procedure. Under these circumstances, what possible right do journalists have to commit journalistic malpractice by ignoring the opinion of eight medical organizations that acknowledge that abortion raises breast cancer risk, independently of the recognized breast cancer risk of abortion - the loss of the protective effect of childbearing?

Consequently, the Coalition on Abortion/Breast Cancer is presenting the The Daily Iowan's editors with two easy challenges that will help them cast light on the cancer fundraising industry's truthfulness.

First, no expert has ever challenged or even attempted to refute the biological basis for the link presented in The Linacre Quarterly or anywhere else, for that matter. If the editors have a sincere desire to protect women's health, then why not ask the American Cancer Society, the U.S. National Cancer Institute and Susan G. Komen for the Cure to review Dr. Angela Lanfranchi's paper in The Linacre Quarterly and identify any errors? Why not challenge them to refute the biological reasons for the abortion-breast cancer link? Cancer groups won't do it because Lanfranchi's presentation is physiologically correct.

Second, since medical texts acknowledge that childlessness, delayed first full term pregnancy and small family size raise breast cancer risk, the editors should ask the cancer fundraising industry two simple questions with two obvious answers. If a woman aborts all of her pregnancies, will she be childless? Also, who has the greater breast cancer risk - the 15-year-old who has an abortion or the one who has a full term pregnancy? The second question has to do with the recognized breast cancer risk of abortion - the loss of the protective effect of childbearing.

Even Dr. Lynn Rosenberg (Boston Medical School), an expert witness for Florida abortion providers in 1999 was forced to set aside the cancer establishment's intellectual dishonesty when she testified under oath as an expert witness for the Center for Reproductive Rights in a lawsuit challenging Florida's parental notification law. Preferring not to perjure herself by pretending that abortion that abortion does not cause women to delay their first full term pregnancies, she said she agreed with this statement:

"A woman who finds herself pregnant at age 15 will have a higher breast cancer risk if she chooses to abort that pregnancy than if she carries the pregnancy to term, correct?" [11]

Breast cancer increases with age at first full term pregnancy. A delayed first full term pregnancy lengthens the period between puberty and first full term pregnancy (the "susceptibility window") when nearly all of the breast lobules are immature and cancer-susceptible and exposed to the cancer-causing effects of estrogen increases during monthly menstrual cycles, resulting in an accumulation of the effects of cancer-causing substances.

Since the loss of the protective effect of childbearing is considered settled science, most studies on the abortion-breast cancer link do not compare the effect of having an abortion with the effect of having a full term pregnancy. Rather, most studies compare the effect of having an abortion with the effect of not having had that pregnancy (thereby addressing the question of an independent link - whether abortion further raises risk by leaving the breasts with more places for cancers to start).

Certainly, it would be bad social policy to encourage unmarried teens and young women to have babies. However, Professor Joel Brind from Baruch College, City University of New York, has rightly argued that the already-pregnant woman has only two realistic choices. Either she aborts, or she has a baby. She doesn't have the choice of never having had that pregnancy. Her doctor is ethically and legally obligated to obtain informed consent from her before performing an abortion. That means telling her that experts agree if she chooses an abortion, her risk of developing breast cancer will be greater than it will be if she chooses to have a baby(because she is delaying her first full term pregnancy). The woman may be able to sue her doctor for medical malpractice if he fails to provide her with this minimal information (as five women have successfully sued their doctors who failed to warn them about the risks of breast cancer and emotional harm). [12]

It takes a special kind of cruelty to cover up a risk that has caused 1.5 million Americans to develop breast cancer and 300,000 deaths since 1973 (based on 50 million abortions, a 30% increased risk of breast cancer for women with abortions, and a 10% lifetime risk for the average American woman without abortion).

The American Cancer Society, Susan G. Komen for the Cure and other cancer groups could have done a great deal of good by telling women the truth about the abortion-breast cancer link. Instead, they use studies that have been proven in medical journals to be significantly flawed (even fraudulent) to make their argument that abortion does not raise breast cancer risk. [13-22]

They didn't tell women the truth about the risks of using the pill and combined hormone replacement therapy, although the data were available in the 1980s. Now they're not telling women the truth about the abortion-breast cancer link. Biased members of the media are their enablers.

References:

1. "Recent DI advertising supplement strikingly inaccurate," By Amber Fricke and Amy Hirst, The Daily Iowan, October 27, 2009. Available at: http://www.dailyiowan.com/2009/10/27/Opinions/13910.html?dsq=21109498#disqus_thread

2. Melbye M, Wohlfahrt J, Olson JH, Frisch M, Westergaard T, Helweg-Larsen K, Andersen PK. Induced abortion and the risk of breast cancer. N Engl J Med 1997;336:81-85.

3. Michels K, Xue Fei, Colditz G., Willett W. Induced and Spontaneous Abortion and Incidence of Breast Cancer Among Young Women. Arch Int Med 2007;167:814-820.

4. Brind J, Chinchilli VM. Letter. Induced abortion and the risk of breast cancer. N Engl J Med 1997;336:1834-1835.

5. Brind J. Induced abortion and breast cancer: A critical analysis of the report of the Harvard Nurses Study II. J Am Phys Surg 2007;12(2)38-39. Available at: <http://www.jpands.org/vol12no2/brind.pdf>.

6. "Is abortion linked to breast cancer?" American Cancer Society web page. Visited November 24, 2009. Available at: http://www.cancer.org/docroot/CRI/content/CRI_2_6x_Can_Having_an_Abortion_Cause_or_Contribute_to_Breast_Cancer.asp?sitearea=.

7. Melbye M, Wohlfahrt J, Andersen A-M N, Westergaard T, Andersen PK. Preterm delivery and risk of breast cancer. Bri J Cancer 1999;80:609-13.

8. Lanfranchi, A. Normal breast physiology: The reasons hormonal contraceptives and induced abortion increase breast cancer risk. The Linacre Quarterly 2009;76:236-249. Available at:http://www.abortionbreastcancer.com/download/LQ_76_3_2_Lanfranchi.pdf

9. Brind J. Induced abortion as an independent risk factor for breast cancer: A critical review of recent studies based on prospective data. J Am Phys Surg Vol. 10, No. 4 (Winter 2005) 105-110. Available at: <http://www.jpands.org/vol10no4/brind.pdf>.

10. Lowe RM, NCI scientific panel concludes abortion has no impact on breast cancer risk. CancerPage.com, March 3, 2003. Available at:
<http://www.cancerpage.com/news/article.asp?id=5601>. Accessed November 18, 2009.

11. Rosenberg (1999) NW FL Women's Health vs. State of FL, FL Circuit Ct., 2nd circ., videotape deposition of 11/18/99, pp. 77-78. Available at: http://www.abortionbreastcancer.com/rosenberg's_testimony.htm

12. See the Coalition on Abortion/Breast Cancer's Legal Issues web page at: http://www.abortionbreastcancer.com/Your_Rights.htm

13. Brind J. Breast cancer in relation to abortion: results from the EPIC study. Int J Cancer. 2008 Feb 15;122(4):960-1.

14. Brind J. California Teachers Study report on incomplete pregnancy is flawed. Contraception 2009;Mar;79(3):240.

15. Brind J. The abortion-breast cancer connection. National Catholic Bioethics Quarterly Summer 2005; p. 303-329. Available at: <http://www.AbortionBreastCancer.com/Brind_NCBQ.PDF>.

16. Lanfranchi A. The abortion-breast cancer link revisited. Ethics and Medics (November 2004) Vol. 29, No. 11, p. 1-4. Available at:http://www.abortionbreastcancer.com/news/041120/index.htm

17. Furton E. Editorial. The corruption of science by ideology. Ethics and Medics (Dec. 2004) Vol. 29, No. 11, p. 1-2. Available at: http://www.abortionbreastcancer.com/E+MDec2004-EFurtonarticle.PDF

18. Schlafly A. Legal implications of a link between abortion and breast cancer. J Am Phys Surgeons2005;10:11-14. Available at:http://www.jpands.org/vol10no1/aschlafly.pdf

19. Lanfranchi A. The science, studies and sociology of the abortion-breast cancer link. Research Bulletin 2005;18:1-8. Available at: http://www.abortionbreastcancer.com/June2005.pdf

20. Lanfranchi A. The breast physiology and the epidemiology of the abortion breast cancer link. Imago Hominis 2005;12(3): 228-236. http://www.abortionbreastcancer.com/Lanfranchi060201.pdf

21. Brind J. Induced Abortion and Breast Cancer Risk: A Critical Analysis of the Report of the Harvard Nurses Study II. Journal of American Physicians and Surgeons(Summer 2007) Vol. 12, No. 2, p. 38-39. Available at: <http://www.jpands.org/vol12no2/brind.pdf>.

22. Lanfranchi, A. The federal government and academic texts as barriers to informed consent. J Am Phys Surg (Spring 2008). Available at: <http://www.jpands.org/vol13no1/lanfranchi.pdf


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