Medicine and Health

More from our inbox:Revised Drone RulesLiving in Political FearPreparing for Future PandemicsHow Fossil Fuel Donations Sway Climate PoliticsLt. Gov. John Fetterman of Pennsylvania greets supporters following a Senate campaign rally.Kriston Jae Bethel/Agence France-Presse — Getty ImagesTo the Editor:Re “Candidates Must Disclose Medical Issues,” by Lawrence K. Altman (Opinion guest essay, Sept. 30):Dr. Altman correctly calls for the full disclosure of medical issues by major candidates, especially presidential. He has championed this cause for years, but his voice has gone unheeded.The most famous candidate health cover-up was J.F.K.’s adrenal insufficiency, Addison’s disease. But John McCain’s recurrent melanoma, Bill Bradley’s atrial fibrillation, Joe Biden’s cerebral aneurysm in his 1988 campaign and Bernie Sanders’s significant coronary disease requiring a stent were all either downplayed or denied.The most egregious example of health misrepresentation was in 1992, when Paul Tsongas and his physicians declared he was cured of his non-Hodgkin’s lymphoma when he was not. If he had been elected president rather than Bill Clinton, he would have required ongoing cancer treatments while in office, which would have compromised his ability to fulfill his duties. He died on Jan. 18, 1997.With the likelihood of one or more candidates over 75 running for president in 2024, the case for full medical disclosure is more compelling than ever. The country would be well served to remember the advice given by William Safire in 1987, when he wrote, “The president’s body is not wholly his own; that is why we go to such lengths to protect it.”Kevin R. LoughlinBostonThe writer is a retired urologic surgeon and a professor emeritus at Harvard Medical School.To the Editor:I would like to respectfully disagree that candidates owe their voters full medical transparency. Confidentiality of medical records exists for good reason, and to throw it away — citing confusion over John Fetterman’s health in the Pennsylvania Senate campaign — is the wrong approach.For example: Does a female candidate owe it to voters to reveal whether she has ever had an abortion? Some would argue yes, she should. I would argue that it’s none of the voters’ business.What else should a candidate reveal? Therapist’s notes? Past substance use?A real-life example is Thomas Eagleton, who was tapped to be George McGovern’s running mate in 1972 until it was revealed that he had undergone electroshock therapy for depression 12 years earlier. Because of this, he was dropped from the ticket.In the U.S., we are extremely fortunate to have the rights we have, including a right to privacy. We should not be looking for ways to chip away at these rights.Gregory FedynyshynMalden, Mass.Revised Drone RulesAn Air Force Predator drone, right, returning from a mission in the Persian Gulf region in 2016. The new policy suggests that the United States intends to launch fewer drone strikes away from recognized war zones.John Moore/Getty ImagesTo the Editor:Re “Rules on Counterterrorism Drone Strikes, Eased by Trump, Are Tightened by Biden” (news article, Oct. 8):Are we supposed to be assured that the United States is now acting ethically, legally and judiciously with President Biden’s revised drone assassination policy?Our clandestine killing of terrorist leaders outside conventional war zones only provokes greater risk for American citizens and soul-searching trauma for drone operators thousands of miles way. It deeply stains our own sense of national righteousness.This is not a policy that needs to be reformed. It’s a policy that should be abandoned for ethical, tactical and practical reasons.Dave PasinskiFayetteville, N.Y.Living in Political FearHouse and Senate leaders have their own security details, including plainclothes officers and armored vehicles, but it can be more difficult for others to obtain such protection.Andrew Harnik/Associated PressTo the Editor:Re “Lawmakers Fearing the Worst as Intimidation Tactics Grow” (front page, Oct. 2):The appalling acrimony and threats directed against duly elected representatives have a chilling trickle-down effect to citizens as well. I recently received what I considered a banal lawn sign from the League of Women Voters. One side states, “Vote — Our Democracy Depends on It,” and the other, “Vote 411 — Election Information You Need.”In other election years, I would have placed it on my lawn without thinking twice. But after the Jan. 6 insurrection, I’m hesitant. Even though I live in a mostly progressive, blue-voting Westchester community, I know that many of my neighbors hold other political beliefs. There are a surprising number of “Blue Lives Matter” banners and “1776” flags in my neighborhood, which make me wonder how many of these neighbors doubt the legitimacy of the 2020 election.I worry that displaying a message that our democracy depends on voting would be more of a red flag than a civic reminder.And I am ashamed that in our current fractious, and dangerously degraded, political climate, my fear will keep me from exercising my political beliefs.Merri RosenbergArdsley, N.Y.Preparing for Future Pandemics Brynn Anderson/Associated PressTo the Editor:Re “Unprepared for Covid and Monkeypox. And the Next Outbreak, Too” (news analysis, Oct. 1):Apoorva Mandavilli highlights an important issue when she writes that the United States “remains wholly unprepared to combat new pathogens.”Governments do need to be ready for future pandemics when they hit, but their priority must be preventing them in the first place. We know that most infectious diseases can be traced to pathogen transmission between wildlife and people, particularly in our increasingly degraded and exploited natural world.Governments across the globe must prioritize efforts to reduce the risks of future pathogen spillovers, including via trade and at wildlife markets.A critical first step is recognizing the intrinsic links between the health of humans, animals and the ecosystem, and acknowledging the foundational importance of an intact and functioning environment to our well-being.A new international treaty or agreement can help bring governments together to catalyze needed change. With several hundred thousand yet undiscovered viruses in wildlife that can potentially infect humans, this is not the time to ignore the science and avoid action.The adage that “an ounce of prevention is worth a pound of cure” is now truer than ever.Susan LiebermanChris WalzerDr. Lieberman is the vice president for international policy at the Wildlife Conservation Society. Dr. Walzer is its executive director for health.How Fossil Fuel Donations Sway Climate PoliticsFrom left, Florida’s governor, Ron DeSantis, and two senators, Rick Scott and Marco Rubio, in 2019.Kevin Lamarque/ReutersTo the Editor:Re “Republicans Talk About Rebuilding, but Not the Cause of Climate Change” (news article, Oct. 5):Large political contributions from fossil fuel interests are blocking federal action against climate change even in Florida, one of the areas most vulnerable to hurricanes. Its vulnerability is fueled by warmer oceans along with storm surges worsened by rising seas and downpours increased by a warmer atmosphere that holds more moisture.The United States could become the world leader in battling climate change, inspiring and helping other countries to do more while creating millions of jobs. Incredibly, Florida’s Republican governor and two senators have voted against action to mitigate climate change.Why? “If you’re from Florida, you should be leading on climate and environmental policy, and Republicans are still reticent to do that because they’re worried about primary politics,” Carlos Curbelo, a former Republican congressman from South Florida, is quoted as saying.That is, Republicans who stray from the fossil fuel line will face a primary opponent well funded by fossil fuel interests.Public funding of election campaigns must replace big contributions if we want our democracy to stop being distorted. Indeed, if we want to safeguard our planet.Richard BarsantiWestern Springs, Ill. More