In case you haven’t noticed, there’s lots of pink on display this month, especially in things that aren’t usually pink. The pink reflects a campaign to “raise awareness about breast cancer”, and I’ve been pondering what about it bugs me the most. . . .One good argument for breast cancer awareness would be that breast cancer used to be stigmatized. I'd agree that erasing this stigma is important. But have we not reached the point where the stigma has been successfully erased?
I think I’m . . . bothered by the campaign being less about doing something and more about “awareness”, which translates mostly into social pressure to get other folks to show pink, buying pink products, wearing pink clothes, etc. Much of the money donated goes not to tests or research but to paying celebrities to make more publicity.
Now this social pressure couldn’t really work if it weren’t pretty widely known that showing pink is associated with the breast cancer, which seems at odds with the claim that there is a lack of awareness of breast cancer. Even more at odds is the fact that pink campaigns rarely offer concrete arguments that theirs is an especially worthy cause; it is just assumed that listeners pretty much agree. Really, what fraction of folks don’t know breasts can get cancer, tests might detect it, and academics research it? . . .
[A]nti-breast-cancer is framed as being pro-women. Thus one can insinuate that folks who resist social pressures to support the campaign are anti-women. Since folks fear seeming anti-women much more than seeming anti-health, a breast-cancer campaign can tap into far more social pressure than can an exercise or sleep campaign.
Think pink gets much of its energy by offering a way for folks to be indirectly political; one can seem pro-women, and insinuate that others are anti-women, while only ever explicitly talking about health and medicine. AIDS awareness gets a similar political punch; one can talk only health, yet insinuate that others are anti-gay. Much of medicine is not about health, but about showing that you care, in this case caring about the right political groups.
A commenter on Hanson's post notes the irony that the more beneficial an awareness campaign would be, the less likely it is to happen:
There are diseases that are not well known where wider knowledge could significantly improve the lives of those who suffer from it (such as Coeliac). However, because most people are ignorant of them and thus would require a larger time commitment in explaining them, they have little signaling value.Another commenter says pink culture is actively harmful:
Someone who had breast cancer told me she hates it because it served as a ubiquitous reminder of her illness. Even after she was better, everything from tyres to water bottles made it impossible for her to move on. This seems like a significant cost to sufferers.This is similar to the critique given by Barbara Ehrenreich, who devotes the whole first chapter of her book Bright-Sided to analyzing pink culture. She argues:
[T]here is a problem when positive thinking "fails" and the cancer spreads or eludes treatment. Then the patient can only blame herself: she is not being positive enough; possibly it was her negative attitude that brought on the disease in the first place. At this point, the exhortation to think positively is "an additional burden to an already devastated patient," as oncology nurse Cynthia Rittenberg has written. (42)Ehrenreich gives her first-hand experience:
I, at least, was saved from this additional burden by my persistent anger—which would have been even stronger if I had suspected, as I do now, that my cancer was iatrogenic, that is, caused by the medical profession . . . .What I'd like to know is why certain kinds of cancer seem to be privileged over others. How do the people with less glorified kinds of cancer feel? Maybe they'll turn down a hospital blanket, saying, "'No, not for me . . . . That's for the other people.'"
Breast cancer, I can now report, did not make me prettier or stronger, more feminine or more spiritual. (43-44)
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