Inside Medical
Special Section
Medical A Special Section of The Washington Diplomat
VOLUME 24, NUMBER 8
This month, the U.S., Canada and Mexico can formally begin to renegotiate NAFTA, the landmark trade pact that President Trump has called a disaster. Despite Trump’s disdain for NAFTA, negotiators are likely to modernize, rather than abandon, a deal that has integrated the North American market. / PAGE 9
Africa
Kenya, Rwanda Gear Up for Key Elections There are two elections in August that will decide the next presidents of two critical East African countries — Rwanda and Kenya, whose politics have long been plagued by ethnic rivalry and division. / PAGE 14
August 2017
AUGUST 2017
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Tough Opponent
North America
U.S., Canada, Mexico Prepare To Update NAFTA
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Senator McCain Faces Aggressive The median survival for glioblastoma
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Brain Cancer Foe in Glioblastoma
patients is about 15 months,
en. John McCain (R-Ariz.) faces an uphill battle fighting the aggressive cancer discovered in his brain last month, experts say. The cancer, glioblastoma, is the most common malignant tumor that originates in brain cells, as opposed to cancers that spread to the brain from elsewhere in the body, said Dr. Manmeet Ahluwalia, dean of the Cleveland Clinic’s Rose Ella Brain Tumor and Neuro-Oncolog Burkhardt y Center.
U RUGUAY
Sen. John McCain (R-Ariz.) speaks before re-enlisting them during to a group of soldiers an Independence Day celebration in Kabul, Afghanistan, on July 4, 2013. The longtime senator was recently diagnosed with an aggressive form of brain cancer known as glioblastoma.
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oncologists say
But it’s a very tough cancer difficult to surgically remove, to treat. Glioblastoma is eye. The following Wednesday, resists attempts to kill it with radiation and chemotherapy, the blood clot was associated his office reported that with glioblastoma. and nearly always comes back, cancer experts Until last year there was said. no medical evidence that “The tumor many times responds to treatment ini- people older than 70 benefited from the standard tially but it tends to grow back,” said Dr. Kurt Jaeckle, treatment for glioblastoma, said Dr. J. Leonard a neuro-oncologist and Lichtenfeld, deputy chief medical co-director of the Gerald officer for the American Glasser Brain Tumor Center J. Cancer Society. Center’s Atlantic Neuroscience at Overlook Medical But a study presented in Institute in New JerJune 2016 at the Amerisey. “It’s not unusual to have can Society for Clinical to Oncology’s (ASCO) annual It’s the same type of cancer treat it again.” meeting was the first to show that killed Sen. Ted Kennedy at age 77 in 2009. otherwise good health could that people over 70 in McCain, 80, underwent treatment, Lichtenfeld said. benefit from aggressive a remove a blood clot from procedure on July 14 to his brain just above his left SEE CANCER t PAGE 28
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HARD-HITTING MAVERICK Tiny Uruguay, wedged between relative giants Brazil and Argentina, has been punching way above its weight for years. The small country took on big tobacco — and won — while at the same time legalizing marijuana use, same-sex marriage and abortion, firmly establishing itself as a beacon of liberalism on a continent where some countries only recently allowed divorce. PAGE 17
Culture
Stirring ‘Revival’ Of Female Art The bold but somewhat unwieldy “REVIVAL” at the National Museum of Women in the Arts stirs a range of emotion. / PAGE 30
People of World Influence
Diplomatic Spouses
Troubleshooter Reflects On Life of Service
Indian Doctor Straddles Two Worlds
When James Dobbins joined the Foreign Service in 1967, the Vietnam War was in full swing. When he retired in 2014, U.S. troops were bogged down in Afghanistan. In between those two conflicts, Dobbins played a leading if behind-the-scenes role in some of the world’s nastiest trouble spots, from Haiti to Bosnia to Somalia. / PAGE 6
India’s Avina Sarna, who married her husband through an arranged marriage yet whose medical career has tackled progressive issues such as HIV prevention among sex workers, is a fascinating dichotomy of modernity and tradition. / PAGE 31