
CANCERENCYCLOPEDIA OF POPULAR CULTURE
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cases of cancer started in the eighteenth century. The word cancer
comes from the Latin ‘‘cancer-cancri’’ and the Greek karkinos (used
by Hippocrates in the fifth century B.C.), meaning both cancer and
crab. The two words are linked via images of creeping, voracity, and
obliqueness. Just like crabs, cancers creep inside the organism and eat
away at it. The association of cancers and crabs has lasted throughout
the centuries: Rudyard Kipling used the expression ‘‘Cancer the
Crab,’’ and an American cartoon booklet from the 1950s shows a
giant crab crushing its victims with its huge pincers, the words
‘‘Cancer the killer’’ appearing above the scene. Adopting a typically
apocalyptic mood, Michael Shimkin claimed that American citizens
had defeated the ‘‘pale rider of pestilence’’ and the ‘‘cadaverous rider
of hunger,’’ but that they now had to face two different riders—‘‘one
in shape of a mushroom cloud and one in the shape of a crab’’.
In the United States, cancer made its first big public appearance
with the illness and death in 1884-1885 of the national hero who had
led the Union troops to victory in the Civil War: Ulysses S. Grant.
Public use of the word cancer, as James Patterson has pointed out, had
been uncommon until then. Grant’s cancer received exceptional
newspaper coverage and the readers of the age were fascinated by it.
Unofficial remedies and healers came to the forefront, positing for the
first time what would be a recurrent dichotomy in the history of cancer
research: the orthodox medicine of the ‘‘cancer establishment’’
versus the unorthodox medicine of the ‘‘cancer counter-culture.’’
Cancer, with its slow but unrelenting progression, seemed the very
denial of several developments taking place during the late nineteenth
century (such as higher life expectancy and economic growth) which
contributed to the people’s perception of the United States as the land
of progress and opportunity for a well-to-do life. The denial of death
played an important part in this quest for a well-to-do life, and James
Patterson explains that this particular attitude ‘‘account[s] for many
responses to cancer in the United States during the twentieth century,
including a readiness to entertain promises of ‘magic bullets.’ In no
other nation have cancerphobia and ‘wars’ against cancer been more
pronounced than in the United States.’’ Since the late 1970s, the war
on cancer has been coupled with a fierce battle against smoking
(which medical specialists have singled out as the main cause of lung
cancer), a battle featuring scientific researchers pitted against tobacco
lobbies and their powerful advertising experts.
Military metaphors have been widely used in the battle against
cancer. One of the posters of the American Society for Control of
Cancer from the 1930s urges us to ‘‘fight cancer with knowledge’’;
the message appears below a long sword, the symbol of the Society.
As part of the growing pressure for a national war on the disease
during the 1960s, cancer activists asked for more money to be devoted
to research and prevention by claiming that cancer was worse than the
Vietnam War; the latter had killed 41,000 Americans in four years,
while the former had killed 320,000 in a single year. Nixon was the
first president of the United States to declare war on cancer. In
January 1971, he declared in his State of the Union message that ‘‘the
time has come when the same kind of concentrated effort that split the
atom and took the man on the moon should be turned toward
conquering this dread disease.’’ Later in the same year, two days
before Christmas, Nixon signed the National Cancer Act (which
greatly increased the funds of the National Cancer Institute, or NCI)
and called for a national crusade to be carried out by 1976, the two
hundredth anniversary of the birth of the United States. And yet this
program revealed itself to be too optimistic and the association of
cancer and Vietnam reappeared. People started to compare the
inability of the NCI to deliver a cure to the disastrous outcome of the
Vietnam War. Dr. Greenberg, a cancer researcher, declared in 1975
that the war on cancer was like the Vietnam War: ‘‘Only when the
public realized that things were going badly did pressure build to get
out.’’ Gerald Markle and James Petersen, comparing the situation to
the fight against polio, concluded that ‘‘the war on cancer is a
medical Vietnam.’’
The military rhetoric of wars and crusades has also been applied
to drugs, poverty, and other diseases in our society. Susan Sontag has
claimed that military metaphors applied to illnesses function to
represent them as ‘‘alien.’’ Yet the stigmatization of cancer leads
inevitably to the stigmatization of the patients as well. Many scientific
attempts to explain the causes of cancer implicitly blame patients. As
late as the 1970s, Lawrence LeShan and Carl and Stephanie Simonton
claimed that stress, emotional weakness, self-alienation, depression,
and consequent defeatism were the distinctive features of a ‘‘cancer
personality’’ and could all be causes of cancer. Sontag maintained
that the theory that there was ‘‘a forlorn, self-hating, emotionally inert
creature’’ only helped to blame the patient. This particular focus on
stress was also based on a traditionally American distrust of modern
industrialized civilization and urban life, which were to be blamed for
the intensification of the pace of living and the consequent rise in
anxiety for human beings. The wide circulation of these ideas pointed
to popular dissatisfaction with most official medical explanations of
cancer. Not surprisingly, cancer itself has become a powerful meta-
phor for all that is wrong in our society. Commentators often talk
about the cancer of corruption effecting politics or about the spread-
ing cancer of red ink in the federal budget. No other disease has
provided metaphors for such a wide range of social and economic issues.
‘‘Cancerphobia’’ has been a constant source of inspiration for
popular literature, cinema, and television. While cancer was mainly a
disease for supporting actors (Paul Newman’s father in Cat on a Hot
Tin Roof, 1958) in the 1950s and 1960s, since the 1970s cancer
movies have often served as vehicles for stars such as Ali McGraw
and Ryan O’Neal in Love Story (1970), James Caan in Brian’s Song
(1972), Debra Winger in Terms of Endearment (1983), Julia Roberts
in Dying Young (1991), Jack Lemmon in Dad (1989), Tom Hanks and
Meg Ryan in Joe Versus the Volcano (1990), Michael Keaton in My
Life (1993), and Susan Sarandon and Julia Roberts in Stepmom
(1998). Most of these few-days-to-live-stories are melodramatic,
tear-jerking accounts of cancer which rely on the popular perception
of the illness as mysterious and deceiving. In Terms of Endearment,
Debra Winger discovers she has cancer almost by chance and dies
shortly after having declared that she feels fine. In Dad, Jack
Lemmon’s cancer disappears, giving everyone false hopes, only to
reappear fatally after a short while. These stories are often told with a
moralizing intent: cancer is perceived as providing opportunities for
the redemption of the characters involved in the drama—in Terms of
Endearment, Winger and her husband Jeff Daniels, who have both
been unfaithful, reconcile at her deathbed; in Dad, cancer brings Jack
Lemmon and his son Ted Danson closer together after years of
estrangement; and in Stepmom the disease rekindles female bonds
that had been obscured by misunderstandings and rivalries over men.
And in Love Story and Dying Young, cancer serves as the medium
through which two young people from different economic back-
grounds are brought together despite their parents’ opposition.
The (melo)drama of cancer in American culture is characterized
by an enduring dichotomy of hope and fear. The official optimism for
a cure, such as that placed in the 1980s on interferon, a protein able to
stop the reproduction of cancerous cells, has always been countered
by obstinate popular skepticism. Medical progress has been unable to