Every year, the American Cancer Society reviews each of the 50 states’ cancer-fighting programs.  The report, How Do You Measure Up, was released last week and identified some good news and bad for New Yorkers.

As we all know, cancer is a classification of many types of diseases.  According to the National Cancer Institute, cancer is “the name given to a collection of related diseases.  There are about 100 different types of cancer.  In all types of cancer, some of the body’s cells begin to divide without stopping and spread into surrounding tissues.”  As those cells spread, they can damage other parts of the body and may form growths called tumors.

Virtually all New Yorkers have had an experience with cancer.  According to the U.S. Centers for Disease Control and Prevention (CDC), cancer is the second leading cause of death in America.  Outside of the relatively benign skin cancers, there are five cancers that constitute roughly half of all cancer cases in New York and that also constitute half of all of the cancer deaths.  Those are cancers of the prostate, female breast, lung, pancreas, and colon.

Breast cancer is the leading form of cancer affecting women and the second biggest killer.  Yet, it is not the leading cause of cancer deaths for women.  Prostate cancer is a leading cause of cancer in men, but it is not the leading cause of cancer deaths in men.  That terrible distinction belongs to lung cancer.  Nearly one quarter of all cancer deaths result from lung cancer.

The American Cancer Society’s report reviewed how the state combats cancer using the best practices that are available.  In some areas, like colon cancer screening, the programs show strong positive results.  While there are always risks to undergoing any more invasive screenings, generally the risks are far outweighed by the benefits of identifying and treating colon cancer.

When it comes to lung cancer, the screening programs’ successes are more limited.  Yet we know how best to avoid lung cancer: by reducing the use of tobacco products.

The leading cause of lung cancer is tobacco use. Today nearly 9 out of 10 lung cancers are caused by smoking cigarettes.  Not only are smokers at risk, but even non-smokers can be afflicted by exposure to tobacco smoke.  In the U.S., more than 7,300 nonsmoking lung cancer patients die each year from exposure to secondhand smoke alone.

The American Cancer Society report reviewed the state’s tobacco control efforts and essentially gave it a failing grade.  It’s not that the program doesn’t follow the best practices, it’s because the program is starved for funds – funds which are readily available.

And that’s where New York State policy comes in.

The federal government has offered blueprints to the states on how to design their tobacco control programs to have the most beneficial impact.  And here is where the wheels start to come off in New York.

The experts at the federal government’s U.S. Centers for Disease Control and Prevention recommend that New York State spend roughly $200 million on its tobacco control program.  But New York never has.

What is most inexplicable is that the state has the money for the program.  It collects over $1 billion in tobacco taxes and still receives hundreds of millions from the Master Settlement Agreement.  The Master Settlement Agreement was a deal between the tobacco companies and the states to compensate taxpayers for the health care claims that resulted from tobacco use.

Instead of investing some of these tobacco revenues into programs to help reduce the health care carnage caused by smoking, the state’s program has suffered from devastating cuts during the Cuomo Administration, and has lost more than half of its funding.

So despite receiving well over a billion dollars from tobacco companies – who take it from their addicted customers – the Cuomo Administration has slashed funding for programs to keep kids from starting and to help smokers to quit.  They’ve spent the money elsewhere.

The American Cancer Society’s report should be a wake-up call to the Administration and to all New Yorkers – invest tobacco revenues into health prevention; if that is done many lives will be saved.

The nation’s Capitol seems gripped in the absurd.  The Congressional majorities in each house are hell-bent to take away health insurance from millions of Americans.  Despite promising to make health care better and more affordable, the President and the Republican majorities in both the Senate and the House of Representatives seemingly cannot rest until they have torn away health insurance coverage from low and moderate income citizens.  An effort, by the way, that would lead to misery, financial insecurity and a much greater risk of serious illness and early deaths for those without coverage.

The latest effort came in the Senate, which has spent weeks secretly scheming how to take away health insurance. Their plan, which came after House Republicans voted to take away health insurance from over 20 million Americans, has been to twist the rules of the Senate to make it easier to get a majority vote to take away coverage.

The twist is called “budget reconciliation.” Under that process, the Senate only needs a majority of its members (or just half with the Vice President casting the tie-breaker) to approve a proposal.  Under the Senate’s normal rules, in order to prevent a filibuster, 60 Senators need to agree.  Republicans control the Senate with a slim majority of 52 senators, and on most legislation, Democrats can force a 60-vote threshold, making it difficult, if not impossible, for Republican leaders to pass a bill with only partisan appeal.  Budget reconciliation allows the Republican majority to avoid a filibuster.

When Congress chooses to use the reconciliation process, a special set of procedures must be followed.  Without getting into the details too much, the process places strict limits on what can be included in a reconciliation bill in the Senate — unless 60 senators vote to agree to override those limits. With just 52 GOP senators and virtually no hope of attracting Democratic support on their effort to repeal the Affordable Care Act, Republicans had to comply with limits on the reconciliation process.

In the end, the Senate Republican leadership cobbled together an eight-page “skinny bill” to advance. They knew that the bill would not become law, but they knew that if something passed the Senate, they could go to negotiations with the House – which has already passed a bill to strip health insurance from millions of Americans – and come up with a final deal more like the House version.

The final product, no doubt, would have taken away health insurance from millions of Americans.  The only thing unclear would be how many millions.

But the Senate strategy failed.  After initially getting 50 Senators to vote in support of moving ahead with a floor vote, adding a 51^st tie-breaking vote from the Vice President, the eight-page “skinny bill” was voted down when three Republican Senators (Collins of Maine, McCain of Arizona and Murkowski from Alaska) decided to vote no.  Their three votes, added to the 48 Democratic Senators in opposition, killed the proposal.  At least for now.

That’s not to say that the current system is perfect, far from it.  A combination of a cumbersome structure coupled with years of unceasing opposition to any positive changes have resulted in a health insurance system that does not provide universal coverage and is financially weakened.  That system does need to be strengthened.

Improved, not repealed.

Ironically, last week offered a relevant historical milestone.  It was 52 years ago that the Senate passed legislation creating Medicare and Medicaid, which guaranteed health insurance coverage for those over 65 years old, people with disabilities and those who are too poor to afford coverage.

And that is what government is supposed to do – solve problems, not create them.  Until the 1960s, it was virtually impossible for older Americans to get health insurance.  So, the government created a program – Medicare – to ensure that older Americans were covered.

In today’s America, the political elite seem to view solving problems as the problem.  The fight over health care is just one example.

New Yorkers have a big decision to make in three and a half months: A decision whether to overhaul their state constitution.  That document requires that every 20 years voters get an opportunity to decide whether they want to rewrite the state’s foundational document.  This November, voters will get that vote.

Having such a provision is unusual, but not rare in America.  Fourteen other states have similar mechanisms in place to periodically ask voters about convening a convention.

Not surprisingly, since it only occurs once every 20 years, the vast majority of New Yorkers don’t know about the vote.  In a recent poll, fully two thirds of New Yorkers were unaware of the upcoming vote to revamp New York’s state constitution.

The decision on whether to convene a convention will likely turn on two questions: (1) How New Yorkers feel about the state of their state; and (2) How concerned they are about provisions of the current constitution that could be put at risk if a convention is convened.  If voters are more unhappy with the direction of New York than they are worried about jeopardizing popular constitutional provisions that exist, then they’ll vote yes.

The process for convening a constitutional convention contains four basic steps:

• New Yorkers vote on whether they want to convene a convention. That will happen this November.  If voters choose no, then the process ends.  If voters approve the convention, then…
• New Yorkers choose delegates to the convention at the November 2018 election. The constitution says that voters will choose three delegates for each of the state’s 63 senate districts and then vote on 15 statewide fora total of 204 delegates.
• Those delegates will convene the convention in the following Spring. The delegates can make whatever changes they want to the constitution, there are no restrictions.
• Finally, the changes drafted by the delegates goes to the voters for final approval.

This vote is a contentious one, with organizations lining up to battle over the pros and cons.  Under New York law, politicians and interest groups that raise or spend campaign donations must periodically report their activities.  Last week, New Yorkers got a peek into the efforts to influence the upcoming question to be put to voters on whether they want to convene a state constitutional convention.

The campaign filings last week showed just how intense the upcoming debate will be.  A coalition of groups urging a “no” vote on the constitutional convention, which they call “New Yorkers Against Corruption,” disclosed that it had raised $635,000 so far.  Much of that was raised from unions: $50,000 from the teachers’ union and $250,000 from a health-care union.

The strange-bedfellow coalition includes Planned Parenthood, the United Federation of Teachers, the Rifle and Pistol Association, the Conservative Party, and many environmental organizations.  It’s not just advocacy groups weighing in:  In addition, the majority party leaders of the Senate and Assembly have urged opposition.  The Senate Democratic minority leader is opposed, and the governor has expressed concerns.

A competing odd couple coalition which calls itself the Committee for a Constitutional Convention, is urging a “yes” vote and has raised $67,000, mostly from individual donors giving small amounts.  In addition, a donor to many liberal causes, Bill Samuels, has spent more than $100,000 to support a “yes” vote.  Lastly, the leader of the Republican Assembly minority has urged support for the convention.

Supporters argue that Albany’s a mess – corrupt, operating in secret, costing too much and that the state’s basic document is old, anachronistic, and contains provisions that are now considered unconstitutional under the U.S. Constitution.  Opponents argue that the current state constitution includes provisions that protect the Adirondack Park, require a sound, basic education for children, require that the poor are protected, and guarantee the pensions of public employees.

At New York’s last referendum for a constitutional convention, in 1997, the issue was voted down.  Voters were unwilling to accept the risks.

As the battle over convening a convention heats up, with corruption trails upcoming and with a wobbly administration in Washington, we’ll see if New Yorkers have changed their minds.

Last week a gigantic portion of the Antarctica ice sheet broke off.  This isn’t the first time an enormous chunk collapsed into the sea, but it may be the biggest.  This gigantic iceberg is part of the “Larsen C” ice sheet and measures 6,000 kilometers in size, or roughly the size of the state of Delaware.

While there is no disagreement among climate scientists about whether humans are warming the Earth by burning fossil fuels, there is some disagreement on whether this particular collapse is the direct result of global warming.  The debate is over how such an event could be tied to climate change when Antarctica is experiencing its winter.  Some scientists have described it as a natural event, others that it is too early to tell. Still others say that the action can only be explained by climate change.

There have been other colossal icebergs that have broken off from the ice sheets of Antarctica and in those cases, it was directly attributable to climate changes.  While the reason for the most recent collapse may not yet be definitive, it is crystal clear that global warming is dramatically changing the landscape of the area around the South Pole.

It’s also a stark reminder about how rapidly the burning of fossil fuels is altering the whole planet.

As of early 2017, the Earth had warmed by roughly 2 degrees Fahrenheit since 1880, when weather records began being collected across the world.  That increase also reflects the increasing temperature of the ocean. The warming is greater over land, and greater still in the Arctic and parts of Antarctica.

The substantial warming that has already occurred explains why much of the world’s land ice is starting to melt and the oceans are rising at an accelerating pace. Scientists believe that probably all of the warming since 1950 was caused by human activities tied to the release of greenhouse gases resulting from the burning of coal, oil, and gas. If those emissions continue without change, scientists say that the resulting global warming could ultimately exceed 8 degrees Fahrenheit, which would result in devastating consequences for the world – both its people and its environment.

The melting ice caps are raising sea levels.  The ocean is rising at a rate of about a foot per century. That causes severe effects on coastlines, raising costs for wealthy countries and devastating low lying poorer nations, the nations who had the least to do with increasing the world’s temperature.  Those countries will see staggering human suffering, and the displacement of millions of their residents.

Experts have known for decades that the burning of coal, oil and gas – fossil fuels – would trap in the Earth’s heat and warm the globe.  Even the scientists at the oil companies have known this, but instead of acting, policymakers have allowed the problem to reach a boiling point.

It has been the concerted public relations and lobbying campaign of the fossil fuel industries that has sown doubt on the science of global warming among the American public and installed sympathetic elected officials.  Those efforts have succeeded in the election of a national government being controlled by those opposed to responding to the growing global catastrophe.

Most of the attacks on climate science have come from industry-backed organizations which do not like the policies that have been proposed to fight global warming. Instead of negotiating over those policies and trying to make them more subject to free-market principles, they have taken the approach of blocking them by trying to undermine the science.

As a result, the Earth has recently seen its levels of carbon dioxide remaining above 400 parts per million.  Based on scientific research, the last time carbon dioxide reached 400 ppm was millions of years ago.  Carbon dioxide levels were around 280 ppm prior to the Industrial Revolution in the late 1800s, when large amounts of greenhouse gases began to be released by the burning of fossil fuels.  Now it stands consistently over 400 ppm – a level that can lead to runaway global warming.

Yet, the President and the Congress have not only refused to act, but have chosen to undermine what little progress has been made to curtail the burning of fossil fuels.

The likely result will be additional misery for millions of people, mostly poor, across the globe.  History will not look kindly on the greedy interests, the opportunistic and unprincipled political hacks, and callous societies that allowed this to happen.  Hopefully, we can soon reverse the nation’s headlong push toward climate catastrophe.

With timing that was either irony or political tone deafness, just before Independence Day a panel created by the President of the United States issued a directive to all 50 states requesting that they submit a vast amount of information on American voters contained in state databases.

The rationale for this request is that the panel is looking to provide evidence for the President’s claim that there is widespread voter fraud in America.  Since virtually everyone who has looked at this issue has not found any voter fraud of significance, the panel is the President’s effort to find anything that it can to create a false impression of a problem.

Forty-five states and the District of Columbia have refused to fully cooperate with the Presidential Advisory Commission on Voter Integrity, either declining to release any of the requested data or by providing only limited information to the panel.  Governor Cuomo promptly pledged not to cooperate with the panel’s demands.

The panel requested “dates of birth, political party (if recorded in your state), last four digits of social security number if available, voter history (elections voted in) from 2006 onward, active/inactive status, cancelled status, information regarding any felony convictions, information regarding voter registration in another state, information regarding military status, and overseas citizen information.”

In May, President Trump created the panel to look into his claims – asserted without evidence – that millions of votes were cast fraudulently.  Now that panel wants virtually all the nation’s voter information.

The issue of voter fraud has been thoroughly researched.  There is scant evidence that voter fraud is a problem.  Probably the most definitive research in this area was done by a professor at Loyola Law School and an expert on voter fraud.  His research found 31 credible incidents out of more than 1 billion votes cast from 2000 to 2014.

The experts know this to be true, so do state elections officials, yet the Trump Administration presses on.  Why?

Those who peddle the rampant voter fraud lie have been using the claim to build the case for ever-stricter voting laws.  Since there is no evidence of widespread voter fraud, they keep using the few anecdotes and deliberately overstating and misusing the evidence that is available as tools in their efforts to pass stricter voting laws.

It’s an example of propaganda, not policymaking.

It’s their hope that by repeating a falsehood, people will believe you, even when the facts demonstrate the opposite.  Americans have seen this technique coming out of Washington quite a bit recently: a health care plan that is claimed to be better than the status quo, even though it takes away health insurance from millions; or that evidence of climate change is not definitive, even when the world’s experts have concluded otherwise.

Now the President is using this approach when it comes to democracy.

Of course, we all want there to be zero examples of voter fraud, but in terms of a problem, voter fraud is way, way, way down on the list.

What is a big problem, is “institutionalized voter suppression.”  That problem is the result of laws designed to make it harder to vote – a constitutionally-protected right.  The President should be looking at that problem – the way eligible voters are too easily purged from voting lists; the denial of adequate resources to set up polling places in urban areas; the hyper-stringent identification requirements; the ridiculous rule that voting must occur on a Tuesday in November, not when it is most convenient to vote.

New York should not feel smug in this area:  The state is one of the worst offenders when it comes to these problems.  America needs to do a better job and New York must too.  Here are three things to be done:

• Establish a system of automatic voter registration for citizens interacting with all government agencies.
• Allow voters to register and vote on Election Day.
• Eliminate the patronage-controlled New York Boards of Elections by establishing merit selection of permanent Board employees across the state.

Government officials need to be telling the truth about the problems of voting in America, not lying about the scale of insignificant problems in order to advance an un-American agenda.