In “Welcome to Cancerland,” Barbara Ehrenreich has many concerns
over the “pink-ribbon marketplace” and the “cult of the breast cancer
survivor,” some of which include a shift away from feminist concerns and the
view that early detection of breast cancer is key in becoming a survivor.
Most of Ehrenreich’s complaints deal largely with the fact that
the breast cancer movement has moved away from feminist concerns. She argues
that today, one can find little feminism in the movement. Initially, in the
1970s and 80s, the movement sought more “user-friendly approaches to
treatments,” that gave women more of a voice in how they wanted to fight breast
cancer (FF 41, p 461). Feminists in the breast cancer world in the 1990s not only
wanted a cure but also wanted to find the causes of the disease: studies have
shown that environmental factors, rather than genetics or an unhealthy diet,
are the root cause of breast cancer.
Since then though, Ehrenreich notes the movement has taken a
sentimental and good cheer direction. There is little mention of environmental
causes and barely any criticism of the existing treatments that are available
to women. Ehrenreich believes this sentimentality has caused a somewhat
positive attitude toward the life-threatening disease: many survivors now
believe that breast cancer has made them stronger, more thoughtful and caring,
and less concerned with material things and more focused on family and friends.
Ehrenreich suggests that the good cheer now associated with the movement has
transformed breast cancer into a rite of passage for women, just as menopause
and greying hair are. She notes that “first there is the selection of the
initiates… by mammogram or palpation here. Then comes the requisite ordeals…
surgery and chemotherapy for the cancer patient. Finally the initiate emerges
into a new and higher status… a ‘survivor’” (FF 41 p 463). All of these things
diverge from the feminist aspects that were initially included in the movement.
Ehrenreich also takes issue with the prevailing view in our
society that early detection is the key to fighting a battle with breast
cancer. She notes that the entire breast cancer enterprise focuses much
attention to early detection, when studies have shown that early detection has
only had a “vanishingly small impact on overall breast-cancer mortality” (FF
41, p 464). She notes that first, there are no foolproof methods for early
detection: that false positives happen all the time. Ehrenreich also says that
even if there were a foolproof method, it only serves as a “portal to
treatments that cause damage to the patient” (FF 41, p 465). She notes that not
only does this force women to live a life revolving around a threat of death
and debilitating treatments, but also promotes the obedience of women to
medical procedures with limited efficacy, the suspension of their critical
judgment, and acceptance of whatever measures doctors wish to use to fight the
cancer. Once again, this shows how the breast cancer movement has diverges from
its feminist roots and is not concerned much at all with women making their own
decisions about what is the best way for them to cope with their diagnosis.
Although I am concerned about what the “pink- ribbon marketplace”
and “cult of the breast cancer survivor” focuses on and promotes to women with
breast cancer and society as a whole, I believe that a positive attitude is
important when faced with a life-threatening disease. There are aspects of the
movement that really are helpful to those who have been diagnosed with breast
cancer and need the support of others that have gone through it. For example, I
have participated in the Relay for Life several times and although the focus is
on survivors of cancer and not much respect and tribute are given to those who
have died from cancer, the event gathers together those who are in remission
and those who are still receiving treatments for cancer, which I would think
would important aspect of being able to get through treatments. I believe that
keeping this aspect of the movement (the connection of breast-cancer patients
with each other), as well as regaining the feminist aspects that were part of
the movement initially, would be a great way to change the “pink-ribbon
marketplace” and the “cult of the breast cancer survivor” into a movement that
both supports women in their struggles with the disease and fights for the
rights of women to make the critical decisions that come with having breast
cancer.