Not too many years ago, I got breast cancer. I call it chance, coincidence, fate and on some days, even luck. For today's purposes, I'll call it foreshadowing.

I didn't know it then -- way back in 1993 when I did a genogram project in grad school for a counseling class -- but it seems cancer was in my cards. I hinted at the possibility in my research paper and commented on how my family history might put me in the direct line of fire. But my suspicions in no way caused me any worry for the 10 plus years that followed. And still, even after my breast cancer diagnosis and subsequent treatment, I didn't remember I'd predicted this might happen to me. Not until I pulled my yellowed, faded assignment from an old box in the garage a few days ago did I realize it's not all that odd that cancer headed right for me.

A genogram is a graphic representation of a family tree that displays detailed data on relationships among individuals. It contains names, genders, birth dates, death dates, levels of education, occupations, major life events, and chronic illness. It's not uncommon to find on a genogram patterns of alcoholism, depression, divorce, remarriage, and yes, cancer.

Americans are urged to know their family medical histories -- and to share them with their doctors.

Spearheaded by the U.S. surgeon general's office and other public and private agencies, this urging is critical -- because knowledge of family history can lead to more frequent and earlier screenings for particular cancers, to changes in diet and exercise to combat onset of heart disease and diabetes, to more formal genetic counseling and testing if warranted.

This Thanksgiving marked the third anniversary of Thanksgiving National Family History Day, a day the surgeon general's office has reserved for family discussion and documentation of medical histories.

"Family history itself is the first and best genetic test," says Sharon Terry, president of Genetic Alliance, a non-profit group in Washington, D.C.

Brigham and Women's Hospital in Boston has started a work-place initiative regarding medical family history. In the past year, about half of the 13,000 employees -- from physicians to file clerks -- have completed the computerized family history forms developed by the surgeon general's office.

Acting surgeon general Kenneth Moritsugu says, "knowing your family history can help you make better health choices. Much of what we do in American health care is treat chronic diseases, many of which involve choices over a lifetime."

On Saturday, my three-year-old threw a tantrum like never before. His daddy was departing for a football game, and he was not happy. He wanted him to stay home. He wanted to go with him. He just wanted him.

Danny clung to my husband with every ounce of energy he could muster, and his full-force fit came just as I peeled his strong little fingers off my husband's hand, allowing him to escape through the garage door. Danny tried to escape too so I locked and chained the door. He responded by hitting, banging, and beating the door and screaming with all his might. No amount of reasoning could penetrate this all-out display of emotion, so I carried Danny like a sack of kicking potatoes into his room where I plopped him into his bed. I told him he could come out of his room when he was ready to be nice, when he could say something other than, "Mommy, you are not my best friend anymore." It didn't take long for Danny to calm down. But he didn't come out of the room. He fell asleep. And then my house was quiet.

Enter my five-year-old who decided he wanted to watch TV while his brother napped. TV watching would have guaranteed me some down time, but I don't really prefer this mindless activity. Just as I was trying to think of something productive Joey and I could do together -- coloring, painting, reading -- Joey announced, "Let's put up our Christmas tree!" Now? In early November? Almost six weeks before we will actually celebrate this festive occasion? This request was not really consistent with my holiday planning schedule and my initial thought was to squash the idea -- because it didn't fit into my grand plan of putting up the tree just a few weeks before Christmas.

Planning is one of my strengths. And one of my weaknesses. Sometimes it's good. Sometimes it's too stifling, too rigid. So in the spirit of the my new after-cancer-worldview, characterized by the guiding principle of tomorrow is never a guarantee, I considered Joey's enthusiasm for holiday decorating and realized his plan would just give us more time to really enjoy the season that always makes me happy. So I told Joey, "Yes, we can put up our Christmas tree."

After a trip to the attic where I wrestled with all sorts of junk and managed to gather all the necessary Christmas parts, Joey and I spent hours perfecting our tree. And when Danny woke up, he joined us and happily placed ornament after ornament on the same exact tree branch. And when we were done, we admired our sparkling tree in all its glory. On a warm, sunny day in Florida. On November 11.

Tis the season.

Health care coverage for working Americans is like a brittle tree in a hard wind -- and the larger limbs are beginning to snap. Between the years 2000 to 2005, 6.8 million more people became uninsured according to the latest report from the U.S. Census Bureau's Housing and Household Economic Statistics Division. Current data estimates 46.6 million people are without health insurance coverage. As employer-based health insurance continues to fade, government programs are taking up the slack -- up to a point. But given the lack of funding, there is only so much that can be offered.

In a statement issued by the Center for American Progress, "These problems did not just happen: they resulted from flawed economic and health policies which force Americans to work more for less. When it returns after Labor Day, this Congress should act to mitigate these problems by passing a straightforward minimum wage increase and extend health funding for programs like the State Children's Health Insurance Program. Moreover, policy makers should recognize the need for major change, such as providing affordable health care to all Americans and taking action to address growing income inequality."

Some are calling for a government-based universal health care system that guarantees health care coverage for all Americans. Others are suggesting a mix of private and public health care coverage. What ever the solution, there certainly needs to be one.

We can start with a shift in perspective and change in expectation. If you are working full-time for a company, presumably your efforts are helping that company make a profit. Health insurance coverage should not be viewed as a luxury benefit, nor should the largest burden of health insurance premiums be shouldered by the employee whose earnings just meet living expenses. Yet, this is happening every day in this country. The hard wind continues to batter the brittle tree.

Personally, I am not sold on a government-run, government-backed universal health plan simply because I have covered too many horror stories about rationed care in other industrialized countries. It seems a combination of programs might be the solution but the government and our elected officials certainly need to be held accountable for implementing programs that insure all Americans.

American Public Health Association Georges Benjamin is quoted by United Press International as saying, ""This is the worst news we've had all year. Our nation is not secure if we're not healthy."

Although researchers have considered the possibility that the bark of the White Birch tree might contain a compound, known as betulinol, with the ability to fight prostate cancer, until recently there was no way to test it because they did not know how to make the compound water-soluble.

Now that Weill Medical College of Cornell University researchers have solved that problem, laboratory tests on mice are showing it is indeed effective in killing prostate cancer cells.

"Years of research appear to have paid off, and now animal tests on this potential anti-cancer agent can finally proceed. Already, in mouse studies, we've found that our water-soluble compound - called Boc-lysinated-betulonic acid -- has achieved up to 92 percent inhibition of prostate tumor growth compared to controls," states lead researcher Dr. Brij Saxena.

While the study into the cancer-fighting properties of the White Birch tree might be new, the White Birch tree has a history of medicinal uses. According to the Living Memorials Project website White Birch tree information page, Native American Indians used the leaves and bark of the tree as a tea to treat fevers, stomach upset, and rheumatism. The bark was boiled to make poultices for minor wounds, and an oil made from the bark to treat bladder infections, rheumatism, gout and nerve pain. In Europe, the leaves were used to treat skin rashes, hair loss, rheumatic complaints, and to purify the blood. Birch tar oil was used to treat chronic skin diseases.

The Phytochemical and Ethnobotanical Databases of United States Department of Agriculture includes information on betulin and betulinic acid as showing that it inhibits cancer, and the compound is also known to be anticarcinomic; anti-flu; anti-inflammatory; antiviral; and a prostaglandin-synthesis-inhibitor.