[Congressional Record Volume 156, Number 15 (Tuesday, February 2, 2010)]
[Senate]
[Page S433]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]




                       CERVICAL CANCER AWARENESS

  Mr. CARDIN. Mr. President, I rise today to call attention to a 
disease that is devastating to women nationwide. In 2009, the National 
Cancer Institute at NIH reported that cervical cancer was diagnosed in 
11,250 women, and more than 4,000 women died from the disease. The U.S. 
Centers for Disease Control and Prevention, CDC, estimates that $2 
billion per year is spent on treatment of cervical cancer. Access to 
regular screening would not only prevent the disease in most cases, but 
would be a mere fraction of the cost of treatment.
  Cervical cancer is mainly caused by HPV, a virus that currently 
infects about 20 million Americans. Another 6 million people become 
newly infected each year. By educating women and making regular Pap 
tests, HPV tests and the HPV vaccine affordable and accessible, we can 
significantly decrease the number of cases of cervical cancer in this 
Nation.
  This message was brought to me last week by one of my constituents, 
Ms. Tamika Felder, and her ``friends,'' a remarkable group of women who 
visited Capitol Hill to promote awareness of cervical cancer. Tamika 
was a successful young television producer in Washington, DC. At the 
age of 25, Tamika went to the doctor for a routine Pap test. She hadn't 
been to the doctor for a few years, partly due to a lack of health 
insurance. Her results came back, and the diagnosis was what she calls 
``the shock of her life''--advanced cervical cancer. As Tamika 
struggled to come to terms with her diagnosis, she became depressed and 
retreated from most of her friends. She could only think about the end 
of her life, and the dreams that would go unfulfilled.
  Doctors recommended a radical hysterectomy, which left Tamika 
heartbroken, knowing that she would never be able to give birth to 
children. Rounds of chemotherapy and radiation followed, and Tamika 
struggled to stay positive. She credits amazing family, friends, and 
coworkers with helping her through this difficult time. She emerged 
cancer-free, and is a 5-year survivor.
  As Tamika was undergoing treatment, she spent a lot of time educating 
herself about HPV and cervical cancer, and her friends did the same. 
They learned that the disease was preventable, and they needed to get 
that message out to women around the country. Thus, the nonprofit 
organization Tamika and Friends was born. Tamika and Friends is based 
in Upper Marlboro, MD, and is dedicated to raising awareness about 
cervical cancer and its links to HPV.
  Using the network of survivors and friends that they have 
established, they spread the essential message that through education, 
prevention, and treatment, cervical cancer can be entirely eliminated. 
They share their message in creative ways, including house parties that 
create a comfortable environment for women to have open discussions 
about HPV and cervical cancer and its causes. Their Web site has many 
survivors' stories to encourage other women that share their diagnosis.
  When I learned that one of the reasons that Tamika did not have a 
regular Pap test was that she lacked health insurance, my conviction 
that we must achieve universal health coverage was strengthened. Her 
story is one of many that we have heard over the past year that 
emphasizes the critical need to cover the uninsured. If Tamika had had 
access to proper preventive testing, then her cancer might have been 
caught at an earlier stage. She may not have needed a radical 
hysterectomy, and her ability to have children, which she held so dear, 
might have been preserved.
  The health care reform legislation passed by the Senate would ensure 
that women can afford a yearly Pap test. In the bill, preventive 
services for women, including a yearly exam and cervical cancer 
screenings are covered at no cost to patients. In addition, as part of 
the managers' amendment, the provision that I introduced as part of a 
Patients' Bill of Rights will allow women to designate an OB-GYN as 
their primary care physician. This will enable women to receive care 
from a physician that specializes in women's health and can reinforce 
efforts to educate women about the causes of cervical cancer and the 
importance of getting regular Pap and HPV tests.
  To successfully eradicate cervical cancer, we must acknowledge and 
address that racial and ethnic minorities are disproportionately 
affected. Cervical cancer is diagnosed at an early stage more often in 
Whites than in Blacks, and Black women have higher rates of mortality 
from cervical cancer than White women. According to the Centers for 
Disease Control and Prevention, Hispanic women were twice as likely as 
White women to be diagnosed with cervical cancer, and the rates of 
cervical cancer among Vietnamese American women are higher than those 
for any other ethnicity--more than five times higher than White women. 
These statistics highlight why it is so important to codify the Offices 
of Minority Health within HHS and its agencies. I advocated for this to 
be part of the managers' amendment to the Senate health care bill, and 
I will continue to push for it to be included in the health care reform 
legislation that is signed by President Obama.
  I come to the floor today to raise awareness about cervical cancer 
and the need to cover preventive services for women, and to commend and 
thank Tamika and her friends for their efforts to educate all women 
about what they can do to remain healthy. Tamika's story could have 
been one of tragedy, but instead, she has turned it into a story of 
inspiration, strength, and hope.
  In one of the informational brochures that Tamika and Friends hands 
out to women is a message from Tamika herself. It says ``No matter how 
busy or broke you think you are--whether you have insurance or not--you 
must never, ever skip your Pap test and HPV test.'' As Members of the 
U.S. Senate, it is within our power to help women like Tamika and make 
sure that a lack of health insurance is not a barrier for women's 
health. We can all do our part to prevent cervical cancer and other 
diseases that can be caught early with proper preventive care.

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