Wednesday, February 25, 2009

Finding a Cure for Cancer... Fact or Fiction?

In an episode of The West Wing entitled, "100,000 Airplanes", the fictional president Jed Bartlet debates adding a line in his State of the Union Address that would announce to the world that America was going to dedicate itself to finding a cure for cancer in 10 years. The following are some short scenes from that episode

Cast of Characters:
BARTLET (Jed Bartlet, President of the US)
SAM (Sam Seaborn, Deputy White House Communications Dir.)
TOBY (Toby Ziegler, Senior White House Communications Dir.)
JOSH (Josh Lyman, Deputy Chief of Staff)
C.J. (C.J. Cregg, White House Press Secretary)
JOEY (Joey Lucas, professional pollster who is deaf)
KENNY (Kenny, Joey's interpreter)
LISA (Lisa Sherborne, friend of Sam's)
CHARLIE (Charlie Young, Bartlet's Personal Aide)


JOEY [KENNY]
Did he [Bartlet] find a cure for cancer? 'Cause if he found a cure for cancer, I think that would be interesting. I think that was something we should share.

CHARLIE
Yeah.

JOEY [KENNY]
But he didn't. He wants to find a cure for cancer, and he wants to say that in the State of the Union. You know what my response would be? Me, too, but is this the first time you had that thought?


...

Note: At this point in the series, Bartlet has revealed he has MS and was awaiting a Congressional censure for his actions

BARTLET
A President stood up. He said we will land a man on the moon before the end of the decade. You know what we knew when he said that? Nothing. We didn't know anything. We didn't know about the lunar surface. We didn't know how to land one of these things. All we'd ever done is crash it into the ocean. And God knows we could figure out how to land soft. We didn't know how to blast off again, but a President said we're gonna do it, and we did it. So I ask you, why shouldn't I stand up and say we are going to cure cancer in ten years?

Silence in the room. No one responds.

BARTLET [CONT.]
I'm really asking.

JOSH
Well, how close are we to really being able to do this?

BARTLET
Nobody knows.

JOSH
Then...

BARTLET
Toby.

TOBY
It'll be seen as a political ploy.

BARTLET
Why?

C.J.
It can be seen... [to Toby] Excuse me. [to Bartlet] It can be seen as self-serving.

BARTLET
How?

C.J.
Using cancer to deflect attention from MS.

BARTLET
You think people with cancer care what my motives are? You think their families do?

C.J.
I'm saying...

BARTLET
Joey?

JOEY [KENNY]
I agree with everything that's been said, except, I don't think they'll see it as deflecting the MS. I think they'll see it as deflecting the censure.

BARTLET
Once again, why would somebody...?

JOEY
Everybody cares about motive, Mr. President.

BARTLET
I didn't...

KENNY
She said, "Everybody cares about motive," sir.

BARTLET
Sam.

SAM
Yes sir?

BARTLET
Why shouldn't I do it?

SAM
I think you should. I think ambition is good. I think overreaching is good. I think giving people a vision of government that's more than Social Security checks and debt reduction is good. I think government should be optimistic.


...

JOEY [KENNY]
Do I think people are in favor of curing cancer? Yes, I do.

SAM
So?

JOEY [KENNY]
But federal government shouldn't be directing scientific research.

SAM
Why?

JOEY [KENNY]
Because you stink at it. If it was up to the NIH to cure polio through a centrally directed program instead of an independent investigator driven discovery, you'd have the best iron lung in the world, but not a polio vaccine.

SAM
When did you get an M.D.?

JOEY [KENNY]
I was just quoting Samuel Broder.

SAM
Who's he?

JOEY [KENNY]
The former director of the National Cancer Institute. The speech is gonna work fine. Don't overreact to the censure.


...

SAM
Good evening, Mr. President.

BARTLET
You got it?

SAM
Yeah.

He gives Bartlet a piece of paper, which he reads, all the while pacing the room. Bartlet finds himself seated on a chair.

BARTLET
This is good.

SAM
You know we can't do it.

BARTLET
Yeah.

SAM
We need to line up experts who can face the press, and in just two weeks.

BARTLET
Yeah.

SAM
Sloane-Kettering, Dana-Farber, The Cleveland Clinic, UCLA.

BARTLET
We'd want to include the Society of Clinical Oncology.

SAM
And the NCI.

BARTLET
The OMB would have to score it. We haven't identified the offsets to pay for it. We can barely tell them what the "it" is.

SAM
Clinical trials under Medicare and Medicaid, Science and Technology Democrats, the pharmaceutical companies.

BARTLET
[sighs] It was a good idea though.

SAM
We have other good ideas.

BARTLET
So we don't get water from a rock. We just do our thing and take our chances.

SAM
I think so.

BARTLET
[stands] We're gonna have to do it awfully well this time.

SAM
We've done that before.

Bartlet gives Sam the draft back.

BARTLET
Anything else?

SAM
[shakes his head] Thank you, Mr. President.

Sam exits. Bartlet walks back to his desk.


...

SAM
[pause] Here's something interesting. In 1940, our armed forces weren't among the 12 most formidable in the world, but obviously we were gonna fight a big war. And Roosevelt said the U.S. would produce 50,000 planes in the next four years. Everyone thought it was a joke, and it was. 'Cause it turned out we produced 100,000 planes. Gave the air force an armada that would block the sun.

LISA
Do you still have what you wrote that night?

SAM
About curing cancer?

LISA
Yeah.

Sam walks to his desk and fiddles with his laptop. He shows Lisa his draft on curing cancer.

LISA
Read it to me. [sits]

SAM
[reads] "Over the past half-century, we've split the atom, we've spliced the gene, and we've roamed Tranquility Base. We've reached for the stars, and never have we been closer to having them in our grasp. New science, new technology is making the difference between life and death, and so we need a national commitment equal to this unparalleled moment of possibility. And so, I announce to you tonight, that I will bring the full resources of the federal government and the full reach of my office to this fundamental goal: we will cure cancer by the end of this decade."

LISA
[pause] That was nice. [beat] I'll pass the notes along.

Sam nods and watches Lisa leave his office. As he leans back on his chair, we see his computer screen and the words to his draft. With a touch, he highlights all the words, before he deletes them. For a moment, Sam just sits still, staring at the blank page.



I don't know if there are any great truths in there, but I found it an interesting parallel to Obama's comments about curing cancerin last night's speech to Congress.

Obama also pledged a "historic commitment" to health care and said the recovery plan could lead to a cure for cancer. He also promised the "largest investment ever" in preventive care. (CNN.com)


In this case, "The Economy" could be substituted for fears of politicizing Bartlet's MS and censure.

I wonder if the speechwriters for Obama went through similar discussions?


Thanks to this site for posting the script for the episode. No copyright infringement is intended)

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