Today, my oldest child begins first grade. I can't tell you how sad and happy this makes me. I'm sad because I realize my first baby boy is truly on his way to growing up. School has him now; I don't. I can't help but predict he will need me less and less as he takes on the world in his own independent way. This makes me happy too. I am eager to see how he fares on his own, how he develops, grows, and soars. And I must admit, I am pretty thrilled about having five mornings per week all to myself -- my youngest little boy begins school today too.

On Friday, we went to six-year-old Joey's elementary school for a meet-the-teacher event. Joey was right at home. He sat at his assigned desk, did a little drawing, and snuggled up in a pile of pillows in the reading corner. I felt right at home too, after reading a parent memo about public school physical education.

Fitness has become an everyday ritual for me. Along with eating right, it's my weapon for staying healthy and keeping cancer far away. I want this same ritual for my boys. It looks like Joey will get to embrace this way of life not only at home but while in the care of his teacher too.

Connecticut Governor M. Jodi Rell is a cancer survivor. And so she knows the pain and heartbreak associated with the disease. Still, she vetoed a bill that would have allowed people with serious illnesses to use marijuana for medicinal purposes. It's just too problematic and sends mixed messages to children, Rell said in a statement last Tuesday.

The decision was a struggle for the Republican Rell, who was diagnosed with breast cancer in 2004 and underwent a mastectomy just after taking office. Had she not vetoed the bill, those older than 18 with medical conditions such as cancer, multiple sclerosis, and AIDS would have been permitted to grow and use medical marijuana plants with written permission from a doctor and after registering with the state.

Twelve states allow patients to use medical marijuana despite federal laws forbidding it. Connecticut, for now, will not be joininig these states.

California Democratic Rep. Juanita Millender-McDonald, subject of an April 20 post, died of cancer early Sunday. She was 68.

"Juanita Millender-McDonald was a trailblazer, always advocating for the full participation of all Americans in the success and prosperity of our country," said House Speaker Nancy Pelosi. "The dignity with which she faced her illness was an indication of the determination with which she always served the people of her district."

Millender-McDonald, a native of Birmingham, Alabama who served a district including Compton, Long Beach, and parts of Los Angeles, is the second member of Congress to die this year of cancer. Republican Rep. Charles Norwood Jr. of Georgia died in February after his battle with both cancer and lung disease.

Governor Arnold Schwarzenegger has 14 days to set a date for a special election to fill Millender-McDonald's seat.

The congresswoman is survived by her husband, James McDonald, Jr., and five adult children.

Merck, maker of the cervical cancer vaccine Gardasil, is backing off its lobbying campaign following pressure from medical groups and parents who believe the vaccine should not be mandated as a school attendance requirement for adolescent girls.

The public outcry that caused Merck to announce its stop order on Tuesday stems from the fact that the vaccine protects against the sexually transmitted human papilloma virus (HPV), which causes cervical cancer. School-mandated vaccines are typically for diseases spread through casual contact, such as measles and mumps.

Merck's medical director for vaccines, Dr. Richard M. Haupt says, "We're concerned that our role in supporting school requirements is a distraction from that goal, and as such have suspended our lobbying efforts," adding that the company will continue providing information about the vaccine upon request.

Gardasil, launched in June and the first vaccine to prevent cervical cancer, has inspired controversy since day one. There's the cost -- $360 for three required shots -- and all sorts of insurance concerns and conservative groups who worry the vaccine encourages premarital sex and interferes with parental rights. Even those in support of the vaccine -- like the American Academy of Pediatrics and the American Academy of Family Practitioners -- question Merck's quick push to market this drug, especially in light of the company's withdrawn painkiller Vioxx.

"I believe that their timing was a little bit premature so soon after (Gardasil's) release, before we have a picture of whether there are going to be any untoward side effects," says Dr. Anne Francis, who chairs an American Academy of Pediatrics committee.

Legislatures in 20 states have taken steps to mandate the vaccine for young girls. And with the exception of Texas governor Rick Perry's February 2 executive order requiring Texas girls entering the sixth grade in 2008 get vaccinated, nothing has been made official so far.

Come September 2008, 11 and 12-year-old girls in Texas entering the sixth grade will receive three shots of the Gardasil vaccine used to prevent cervical cancer.

Texas is the first state to require that young schoolgirls receive the cervical cancer vaccine, approved for use by the FDA in June and proven to protect against the most common strains of the human papilloma virus (HPV) -- the cause of most cervical cases cervical cancers.

Texas governor Rick Perry (R), who just signed an executive order making this mandate official, believes the high cost of treating diseases and ensuring the health and well-being of our population justifies the vaccine requirement.

Perry, who has been met with opposition from those concerned that HPV vaccination of young girls promotes premarital sex and interferes with parental rights, will allow parents to opt out of the vaccination requirement with documentation citing religious or philosophical reasons. But he hopes most will comply with the cervical cancer vaccine he believes is no different than immunization against diseases such as polio.

Gardasil drugmaker Merck stands to make billions if the vaccine is made mandatory across the country. The series of three necessary shots cost $360.

Perry, who received $6,000 from Merck's political action committee during his re-election campaign, has other ties to the company. His former chief of staff is one of Merck's three lobbyists in Texas, and his current chief of staff's mother-in-law is state director for Women in Government -- a group active in introducing bills across the country that affect women.

To the consternation of small business and medical insurers alike, California Governor Arnold Schwarzenegger has announced sweeping reform in health care coverage with a proposal of universal health care for all Californians. Currently, 6.5 million residents who live in the state are without the security and safety of medical health care coverage.

Schwarzenegger, who is now being accused of sounding more Democrat than Republican, suggests his new $12 billion dollar health care plan be paid with fees levied on businesses, insurers, doctors and hospitals, and that 85 percent of every insurance premium dollar be spent on the insured in patient care. Insurers would be required to make all-things-equal in offering health insurance based on a community-rating model, as opposed to charging higher premiums for those who fall into a high-risk category. In addition, insurance companies would not be able to deny coverage. All persons who apply for health insurance would be guaranteed coverage.

Employers would be required to provide health insurance to all workers or pay 4 percent of their payrolls to the state; doctors would pay a new tax of 2 percent; and hospitals would pay a new tax of 4 percent.

The number of medically-uninsured in this country is growing yearly, and it is an issue that cannot be ignored. Those without medical insurance postpone seeing a physician, and when we are talking about cancer, delayed diagnosis and treatment can often mean the difference between life and death.

Recent surveys have indicated that even the insured are beginning to wonder if they will be able to afford quality health care in the future, as the cost of care continues to rise. It is not lost on politicians that health care is an important issue with the voters of this country, and those who wish to garner more votes will tackle these concerns.

In fairness, I am not suggesting politicians are solely motivated to act based on popular vote, but elections do have a way of clarifying the issues that are important to the citizens of this country and the resulting changes that can occur as a result of defined focus.

Schwarzenegger is not alone in his efforts to affect change. In December, Oregon Senator Ron Wyden introduced a new proposal to provide affordable, high quality, private health coverage for everyone regardless of where they work or live with the Healthy Americans Act.

The current system is simply not working for nearly 46.6 million people who are without health insurance coverage, according to statistics provided by U.S. Census Bureau's Housing and Household Economic Statistics Division. The solution will not be an easy one, but a solution is needed. Schwarzenegger has made a bold move, but one that will be made by other political leaders in this country as we lead up to the 2008 presidential elections. For the every day citizen, the time is overdue for the realignment of a health care system that is teetering out-of-balance and in a seriously off-kilter orbit.

Related posts:

Uninsured: the hard wind batters the brittle tree
Cancer survivors not getting medical attention or medications
Two paychecks away and cancer into the abyss
Healthy Americans Act: health insurance for every citizen

Tampa's H. Lee Moffitt Cancer Center & Research Institute, the only comprehensive cancer center in Florida, has just partnered with Merck & Co., one of the world's largest drug companies, to develop personalized cancer treatments using a patient's genetic profile.

The two powerhouse entities will form a for-profit company called M2Gen on donated land near the University of South Florida. And in the span of just a few years, researchers plan to compile a database of tumor tissue and other medical information to determine why some patients respond to treatment while others do not. The database could house information on more than 30,000 patients within five years and will enable researchers to identify biological markers that could help doctors choose the most effective treatment based on the genetic make-up of each patient's tumor.

Blind treatment -- where everyone receives the same thing -- will be a thing of the past as tailor-made therapies replace the one-size-fits-all approach.

Florida Governor Jeb Bush says of the partnership that will create more than 170 high-paying jobs, "Man, I don't know if you can think of a better Christmas present than that."

Ann Richards was the Governor of Texas from 1991 to 1995. She was only the second woman to hold that post. In March of his year she said she was being treated for esophageal cancer. She passed away at the age of 73.

Ann Richards seemed like a spunky lady. When she was nearing sixty she rode a Harley-Davidson motorcycle because she said "I thought I needed to do something kind of jazzy." Ann didn't start her political career until she was in her 40's. She won a seat on the Travis County commission in Austin in 1976.

The 1988 Democratic National Convention is when Ann burst onto the scene. At the keynote address she famously described the syntax-challenged Republican presidential nominee, George H.W. Bush, this way: "Poor George. He can't help it. He was born with a silver foot in his mouth."

She eventually was defeated for the re-election of Governor by Bush's son, and future president, George W. Bush. That was the last time she ran for office. She then worked as consultant and commentator and she served on corporate boards.

One quote she liked that she said summed up the aspiration of women in politics: "Ginger Rogers did everything that Fred Astaire did. She just did it backwards and in high heels."