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Obama To Review Court Picks Over Weekend
President Obama on Wednesday said he would review potential Supreme Court nominees to replace retiring Justice David Souter over the weekend, prompting those involved with the process to believe he will make an announcement within days, the Washington Post reports. Obama was speaking to a group of senators that included Majority Leader Harry Reid (D-Nev.), Minority Leader Mitch McConnell (R-Ky.), Judiciary Committee Chair Patrick Leahy (D-Vt.) and the committee"s ranking Republican Sen. Jeff Sessions (R-Ala.). According to White House spokesperson Robert Gibbs, Obama told the senators that he "would choose a nominee who respects the Constitution and judicial precedent and also has the good judgment and common sense to reach fair decisions" (Murray, Washington Post, 5/14). Although a list of six to eight potential names has been circulating in public, a White House official said an official pick is not likely to be announced before Memorial Day (Weisman, Wall Street Journal, 5/14).During the meeting, the president also urged senators to act quickly during the confirmation hearing so the new justice is confirmed prior to the court"s next session, which begins in October. Obama told Reid that the goal was to hold the confirmation vote before the Senate leaves for its summer recess, for which the official adjournment date is Aug. 7 (Washington Post, 5/14). However, Republican members at the meeting "poured cold water on that idea," the Journal reports. According to McConnell, 60 days usually passes between the naming of a nominee and the first confirmation hearing in the Judiciary Committee. According to the Journal, Obama is aiming to avoid partisan controversy over the summer and "ease his choice onto the court." Obama "got a lift" from Sessions during the meeting when the senator indicated that a filibuster attempt is not in the works, the Journal reports (Weisman, Wall Street Journal, 5/14).Court Watchers Say Next Pick Likely To Be a WomanWhile there has been much speculation on who will be nominated, court watchers have said Souter"s successor likely will be a woman, as the "lack of women [on the court] is widely perceived as the gap that most needs to be addressed," the Journal reports. Advocates for a female nominee argue that the need for a woman on the court is not only a matter of perception. Hannah Brenner, executive director of the University of Texas Center for Women in Law, said that the U.S. and the court benefit from justices with differing experiences and viewpoints. She added that "there is no one who can argue there is not (an) overwhelming number of qualified women who could be nominated to the court" (Forsyth, Wall Street Journal, 5/14).NPR"s "All Things Considered" reports that a list of potential nominees circulating in the public includes the following names: Sonia Sotomayor, a federal appeals judge in New York; Diane Wood of Chicago"s federal appeals court; Elena Kagan, the new solicitor general and former Harvard Law School dean; Michigan Gov. Jennifer Granholm (D); and Department of Homeland Security Secretary Janet Napolitano. Merrick Garland of the Washington, D.C., federal appeals court is the only male included on the list. The "triumvirate mentioned most often" is Sotomayor, Wood and Kagan, "All Things Considered" reports (Totenberg, "All Things Considered," NPR, 5/13).However, some critics -- namely conservatives -- say that there is danger in using gender or race as the primary criteria for selecting a nominee, arguing that such an approach could cause justices to believe they need to reflect the views of a particular group instead of act as a neutral figure. Stephen Presser, a legal historian at Northwestern University, said, "You have to be very careful of having the court be a representative body and thinking about it in political terms, because that weakens the rule of law." Deborah Rhode, director of the Center on the Legal Profession at Stanford University, said that studies show a justice"s legal ideology to be a greater predictor of decisions than his or
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EU Authorizes $11M In Humanitarian Aid For Zimbabwe; Prime Minister To Meet With Members Of Congress Next Week
The E.U. on Tuesday authorized $11 million in humanitarian aid to Zimbabwe, VOA News reports (VOA News, 6/2). The E.U."s actions come one day after U.N. agencies expressed the need for $718 million in foreign donations to help meet the urgent needs of the people of Zimbabwe (Kaiser Daily Global Health Report, 6/2).
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Swine Flu Daily Update Issued At: 11am Thursday 2 July 2009, Wales
-- 34 confirmed cases in Wales, with 4 new cases:
Health Insurance

Shedding Light On Racial Disparities In Cancer Survival - 2 Studies

Black women diagnosed with breast cancer have a greater chance of dying from the disease than white women, according to a new study published online July 7 in the Journal of the National Cancer Institute. Age-standardized breast cancer mortality rates in the U.S. have remained higher and declined more slowly among black women. This study was undertaken because the underlying causes of this disparity were unclear. To explore this, Idan Menashe, Ph.D., of the Division of Cancer Epidemiology and Genetics at the National Cancer Institute, in Rockville, Md., and colleagues used the Surveillance, Epidemiology, and End Results program to investigate almost 250,000 women diagnosed with breast cancer from January 1990 through December 2003. Researchers calculated black-to-white ratios of mortality, incidence, hazard of breast cancer death (probability of dying from the disease), and incidence-based mortality, with some analyses stratified by estrogen receptor (ER) status and age. The researchers found a statistically significantly higher hazard of death in black women diagnosed with breast cancer compared to whites, especially in the first few years after diagnosis. Hazard rates of breast cancer death declined substantially for ER-positive tumors and modestly for ER-negative tumors but were persistently higher for blacks than whites. "These differences in hazard may reflect racial differences in response and access to innovations in breast cancer treatment, as well as other biological and non-biological factors," the authors write. "Hence, greater emphasis should be placed on identifying the reasons for these increased hazards among black women and on developing new therapeutic approaches to address the disparity." In another study, also published in this issue, Kathy S. Albain, M.D., of Loyola University Medical Center in Maywood, Ill., found that even when African American patients received the same care as all other patients, their survival rates were lower for breast, prostate and ovarian cancers, but were equivalent for all other major cancers. Albain and colleagues analyzed records of more than 19,000 patients who participated in phase III cancer clinical trials conducted by the Southwest Oncology Group. "Patients of all races had the same doctors and received the same state-of-the-art treatments," Albain said. "It was a level playing field for everyone. So our findings cast doubt on a widely accepted theory that African Americans" lower survival rates for certain cancers are solely due to such factors as poverty and poor access to quality health care." Albain"s study found no statistically significant association between race and survival for lung cancer, colon cancer, lymphoma, leukemia, or myeloma. The cancers that did show survival gaps -- breast, prostate and ovarian -- are gender-related and the survival disparity persisted after adjustment for treatment factors, tumor variables, and socioeconomic status. The findings therefore suggest that the survival gap for these cancers is most likely due to an interaction of tumor biologic factors, hormonal environment, and inherited variations genes that control metabolism of drugs, toxins and hormones, Albain said. In an accompanying editorial, Otis W. Brawley, M.D., of the American Cancer Society, said results of the Albain et al. study provide evidence that racial differences in the U.S. for certain cancers can be attributed to unequal care. He points out that blacks are less likely to have disease detected early and less likely to receive adequate treatment when it is detected. The Menashe et al. study, according to Brawley, showed clear differences in mortality by race. "Taken together, the two studies and others do not suggest that blacks have a different kind of breast cancer, but rather that there are multiple kinds of breast cancer and a higher proportion of black breast cancer patients have the worse kinds," the editorialist writes. "No race has a monopoly on the good kind, nor the bad kind of breast cancer, but the prevalences differ." Citations: Article: Menashe et al. Underlying Causes of the Black - White Racial Disparity in Breast Cancer Mortality: A Population-Based Analysis. J Natl Cancer Inst 2009, 101: 993-1000. Article: Albain et al. Racial Disparities in Cancer Survival Among Randomized Clinical Trials of the Southwest Oncology Group. J Natl Cancer Inst 2009, 101: 984-992. Editorial: Brawley O. Is Race Really a Negative Prognostic Factor for Cancer? J Natl Cancer Inst 2009, 101: 970-971. Steve Graff Journal of the National Cancer Institute


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