• Breast cancer screening in Israel: opportunity or not?
In Israel, a push to screen for a breast cancer gene leaves many women conflicted, according to an article in The New York Times. Israel has one of the highest rates of breast cancer in the world, and many scientists are advocating what may be the first national screening campaign to test women for cancer-causing genetic mutations that are common among Jews. But the tests mean that women have to choose between what they want to know, when they want to know it, and what to do with the information.
Jews of Ashkenazi, or central and eastern European, backgrounds, make up about half of the Jewish population in Israel and the vast majority of those in the U.S. They are much more likely to carry mutations that pose risks for breast and ovarian cancers, according to the National Cancer Institute.
The debate about screening is economic — will the state cover the costs of testing — and ethnic — will only Ashkenazi Jews be routinely tested? Israel is a melting pot of both Arab citizens and Jews from all over the world, and only half of the country’s six million Jews are of Ashkenazi ancestry.
Moreover, even though the testing would be voluntary, women could feel pressured to participate, said Barbara A. Koenig, a professor of medical anthropology and bioethics at the University of California, San Francisco. “When you institute mass screening, you’re making a collective decision that this is a good thing.”
• Sharing amidst poverty in the U.S.
An article in The Los Angeles times described how L.A.’s close-knit Tongan community struggles with poverty while maintaining their strong cultural tradition of sharing. Statistics show half of Tongan Angelenos live in poverty. But, they say, a culture of sharing means “no Tongan is here to get rich”—because even the smallest thing is given.
Scholars believe the numbers of people in the Tongan diaspora is larger than the population of Tongans on the islands. The article quotes Cathy A. Small, a Northern Arizona University anthropology professor who has long studied Tongan communities. When visiting a classroom in Tonga a few years ago, children were told to write letters to their mothers in New Zealand, saying what they wanted for their birthdays. “Nobody found the assignment strange.”
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