Dorothy,please send me a copy of the letter


 


From: [EMAIL PROTECTED]: [EMAIL PROTECTED]; [EMAIL PROTECTED]; [EMAIL 
PROTECTED]: [CMLHope] Mission Days in DC--and a challenge for US citizensDate: 
Thu, 10 Apr 2008 18:30:14 -0400Hi gang, 

I spent Sunday, Monday and Tuesday in Washington DC for the Leukemia & Lymphoma 
Society Mission Days and while I'm still fired up (this event really does that) 
I want to tell you about this and offer a challenge.

This was my third annual trip to DC to do advocacy for the LLS.  There were 
about 250-300 of us that spent a day or two preparing and then a whole day on 
Capitol Hill meeting with our senators and representatives (or their staff) 
asking primarily for funding for research for blood cancers.   Most of the 
executive directors of the LLS chapters from around the US were there in 
addition to a number of volunteers (like myself).   There were a number of us 
CML survivors there--I think we are luckier than a lot of people with other 
blood cancers so we feel like we need to give back.  I had the pleasure of 
meeting Jonathan from Rhode Island who was diagnosed in 2006.  You can check 
out his blog where he has written about Mission Days 
http://jongershon.blogspot.com

Just to give some background--we all want cures and we all want research to 
move along.  The basic research for CML that we are all familiar with because 
we wait each year for results from ASH etc. is funded by two main sources--our 
US government and the LLS.  The LLS has a lot of amazing people and volunteers 
working very hard to raise money but they can only afford to fund 15-20% of the 
very top notch research at the very top centers.  (There's a lot of other good 
research that doesn't even make it into consideration at the LLS.)  The largest 
part of the remaining 80-85% must come primarily from our tax dollars--either 
that or we just wait another 100 years or more for progress.  Drug companies do 
spend on research as well but not as much as they would have you believe and 
they don't really spend on basic research.   From 1998 thru 2003 we did have a 
large increase in funding for the NIH and NCI (the two government institutions 
responsible for funding research)--in fact funding doubled during that time.  I 
don't think it's an accident that at the end of that time period we saw for the 
first time in history an actual annual decrease in cancer deaths.  That 
decrease lasted 2 years.  For the past 5 years we have seen cuts each year in 
funding (and the cancer death rate stopped declining last year).  Labs have 
shut down and research has been impacted.  For those of you who listened to the 
latest CML teleconference from Dr. Druker--you might have noticed that he said 
if there was a take home message it was that we needed more funding.  This is 
something the entire science community is very concerned about.  

This year the LLS is asking for a 6.5% increase in funding for the NIH and a 
9.5% increase in funding for the NCI.  All the different cancer organizations 
got together and decided how much to ask for so that we would all bring the 
same message.  Each week a different group has visits like we had this week in 
congress and we are all asking for the same increase.  These increases are just 
enough to keep even with inflation--without this amount there will need to be 
cuts in research.

I live in a state and area that are very conservative and the past two years 
we've had very little sympathy for our request for increased funding.  We've 
been a "can't do" country.  We've been told over and over that we can't afford 
to do this funding anymore.  My own congressman says that this needs to be 
picked up by the private sector (we all know that won't happen but it sounds 
good).  We were in for a big surprise this year as we went to our senators' 
offices.  Both of our senators had signed on to a letter going around the 
senate which was asking for a 8.5% increase for the NIH (remember we were 
asking for 6.5%)--we were told the day before that there wasn't any letter or 
support yet.  The letter didn't support any increase for the NCI but they said 
some of the funds from the NIH budget would go to the NCI.  The NIH budget is 
quite a bit larger than the NCI budget so there might be enough with this 
increase to fund the NCI to the extent that is needed.  We were all very 
pleasantly surprised and I talked with people from other states and they were 
all getting the same response.  I don't know if the change is because it's an 
election year or if they've decided this would jump start the economy but I'll 
take it if it indeed comes thru.  But--this doesn't mean it will actually 
happen.  We still need to hold their feet to the fire so to speak.  It just 
means our chances are much better than we expected.  It was nice to leave 
Washington actually feeling like we might get some of our "asks" instead of 
getting nothing at all like we have been getting the past couple years.

We had two other requests.  One is kind of an odd request and I doubt if we 
will get it.  Up until last year there was a program at the Department of 
Defense that funded research for CML.  This program started when a brother of 
some congressman died of CML and he was able to get this special funding thru 
the DOD (this is an earmark).  So last year when they dropped the earmarks we 
lost our research program.  Now the LLS is trying to get it back but it would 
be for all blood cancers and not just CML.  They are using as justification the 
fact that exposure to toxins in war zones can lead to leukemias.  

The final request isn't for money--it's for a law mandating that insurance 
companies be required to pay for all normal care expenses for people in 
clinical trials.  So if you went into a trial for say SKI-606 they would be 
forced to pay for your BMB, bloodwork, doctor's visits etc.  Currently 22 
states have laws that require this but people in the other 28 states often get 
turned down by insurers when they try to participate in a trial.  This slows 
progress as it's hard to recruit enough patients for trials.   I had this 
happen when I got a trial slot for Gleevec in 2000.  I had a big fight with my 
insurance company as they were refusing to pay anything toward my visit to 
MDACC if I did this.  It made no sense as I was on interferon and that was a 
very expensive drug.  My drug costs would go to zero in the trial and I would 
have to get biopsies and bloodwork no matter which way I went so they would 
actually save a bunch if I was in the trial (in the short run--they could spend 
more if I lived a lot longer).  I had to threaten to get a transplant in order 
for them to finally relent.  We heard a very sad story from a young (around 20) 
daughter who lost her mom in December to Multiple Myeloma.  She spent her last 
year fighting unsuccessfully for access to a clinical trial.  It was her only 
hope but the costs of picking up all her own costs would have bankrupted the 
family.  The whole room was in tears when we heard this story (as was the poor 
girl telling it).  This seems like a no-brainer and I told Congresswoman Sue 
Myrick's staff assistant that.  She said there is always another side to the 
story.  I said if she found out what it was she should let me know.  As far as 
I could tell the only other side of the story I could see is that patients 
might live longer and cost the insurance company more.   I don't know if we'll 
get this one or not.  We had some sympathy but only 1 commitment.  As a side 
note on this issue--some of the state laws that have this mandate were brought 
about by the work of LLS advocacy volunteers--I know that Wisconsin's law is 
the result of a very strong LLS advocacy volunteer.  

Now here's my challenge--I would like all of you that live in the US to write 
your senators and your representative and ask them to support these 
initiatives.  I will write the letter for you (and leave space for you to tell 
your own story) and send it to anyone interested if I get 50 people to show 
interest in doing this.  All you would need to do is make a few changes to your 
own story and print it off and mail it to your 2 senators and 1 representative. 
 They are much more interested in letters like this than you might imagine and 
they really do make a difference.  It's likely that your senators had a visit 
this week and know what this is about and your letter would help emphasize the 
importance of this.  Your congressional representative got a visit this week 
only if there was someone there from his/her district.   Believe me this is a 
chance to really make a difference.

If you aren't interested in taking this challenge that's fine--but I don't want 
to hear any complaining about why "they" don't come up with cures in that 
case;>)
Let me know if I should write a letter.

Best wishes,
Dorothy
dx 5/2000
pcru

"Never doubt that a small group of thoughtful, committed citizens can't change 
the world.  Indeed, it's the only thing that ever has."  Margaret Mead 
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