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TrumpRx is launched: How it works and what Democrats say about it

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TrumpRx is launched: How it works and what Democrats say about it

The White House’s TrumpRx website went live Thursday with a promise to instantly deliver prescription drugs at “the lowest price anywhere in the world.”

“This launch represents the largest reduction in prescription drug prices in history by many, many times, and it’s not even close,” President Trump said at a news conference announcing the launch of the platform.

Drug policy experts say the jury is still out on whether the platform will provide the significant savings Trump promises, though it will probably help people who need drugs not commonly covered by insurance.

Senate Democrats, meanwhile, called the site a “vanity project” and questioned whether the program presents a possible conflict of interest involving the pharmaceutical industry and the Trump family.

What is TrumpRx, really?

The new platform, trumprx.gov, is designed to help uninsured Americans find discounted prices for high-cost, brand-name prescriptions, including fertility, obesity and diabetes treatments.

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The site does not directly sell drugs. Instead, consumers browse a list of discounted medicines, and select one for purchase. From there, they either receive a coupon accepted at certain pharmacies or are routed directly to a drug manufacturer’s website to purchase the prescription.

The White House said the reduced prices are possible after the administration negotiated voluntary “most favored nation” agreements with 16 major drugmakers including Pfizer, Eli Lilly and Novo Nordisk.

Under these deals, manufacturers have agreed to set certain U.S. drug prices no higher than those paid in other wealthy nations in exchange for three-year tariff exemptions. However, the full legal and financial details of the deals have not been made public, leaving lawmakers to speculate how TrumpRx’s pricing model works.

What does it accomplish?

Though the White House has framed TrumpRx as a historic reset for prescription drug costs, economists said the platform offers limited new savings.

But it does move the needle on the issue of drug pricing transparency, away from the hidden mechanisms behind how prescription drugs are priced, rebated and distributed, according to Geoffrey Joyce, director of health policy at the USC Schaeffer Center for Health Policy and Economics.

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“This has been a murky world, a terrible, obscure, opaque marketplace where drug prices have been inconsistently priced to different consumers,” Joyce said, “So this is a little step in the right direction, but it’s mostly performative from my perspective, which is kind of Trump in a nutshell.”

Still, for the uninsured or people seeking “lifestyle drugs” — like those for fertility or weight loss that insurers have historically declined to cover — TrumpRx could become a useful option, Joyce said.

“It’s kind of a win for Trump and a win for Pfizer,” Joyce said. “They get to say, ‘Look what we’re doing. We’re lowering prices. We’re keeping Trump happy, but it’s on our low-volume drugs, and drugs that we were discounting big time anyway.’”

Where does it fall short?

Early analyses by drug policy experts suggest many of the discounted medications listed on the TrumpRx site were already on offer through other drug databases before the platform launched.

For example, Pfizer’s Duavee menopause treatment is listed at $30.30 on TrumpRx, but it is also available for the same price at some pharmacies via GoodRx.

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Weight management drug Wegovy starts at $199 on TrumpRx. Manufacturers were already selling the same discounted rates through its NovoCare Pharmacy program before the portal’s launch.

“[TrumpRx] uses data from GoodRx, an existing price-search database for prescription drugs,” said Darius N. Lakdawalla, a senior health policy researcher at USC. “It seems to provide prices that are essentially the same as the lowest price GoodRx reports on its website.”

Compared to GoodRx, TrumpRx covers a modest subset of drugs: 43 in all.

“Uninsured consumers, who do not use or know about GoodRx and need one of the specific drugs covered by the site, might benefit from TrumpRx. That seems like a very specific set of people,” Lakdawalla said.

Where do Democrats stand?

Democrats slammed the program this week, saying it would not provide substantial discounts for patients, and called for greater transparency around the administration’s dealings with drugmakers. To date, the administration has not disclosed the terms of the pricing agreements with manufacturers such as Pfizer and AstraZeneca.

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In the lead-up to the TrumpRx launch, Democratic members of Congress questioned its usefulness and urged federal health regulators to delay its debut.

“This is just another Donald Trump pet project to rebrand something that already exists, take credit for it, and do nothing to actually lower healthcare prices,” Sen. Alex Padilla (D-Calif.) said Friday. “Democrats will continue fighting to lower healthcare costs and push Republicans to stop giving handouts to billionaires at the expense of working-class Americans.”

Three other Democratic senators — Dick Durbin, Elizabeth Warren and Peter Welch — raised another concern in a Jan. 29 letter to Thomas March Bell, inspector general for the Department of Health and Human Services.

The three senators pointed to potential conflicts of interest between TrumpRx and an online dispensing company, BlinkRx.

One of Trump’s sons, Donald Trump Jr., joined the BlinkRx Board of Directors in February 2025.

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Months before, he became a partner at 1789 Capital, a venture capital firm that holds a significant stake in BlinkRx and led the startup’s $140-million funding round in 2024. After his appointment, BlinkRx launched a service to help pharmaceutical companies build direct-to-patient sales platforms quickly.

“The timing of the BlinkRx announcement so closely following the administration’s outreach to the largest drug companies, and the involvement of President Trump’s immediate family, raises questions about potential coordination, influence and self-dealing,” according to an October 2025 statement by Democrats on the House Energy and Commerce Committee.

Both BlinkRx and Donald Trump Jr. have denied any coordination.

What’s next?

The rollout of TrumpRx fits into a suite of White House programs designed to address rising costs, an area of vulnerability for Republicans ahead of the November midterms.

The White House issued a statement Friday urging support for the president’s healthcare initiative, dubbed “the great healthcare plan,” which it said will further reduce drug prices and lower insurance premiums.

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For the roughly 8% of Americans without health insurance, TrumpRx’s website promises that more high-cost, brand-name drugs will be discounted on the platform in the future.

“It’s possible the benefits will become broader in the future,” Lakdawalla said. “I would say that the jury remains out on its long-run structure and its long-run pricing effects.”

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Freaked out by the news? Tips for staying calm from ex-refugees, hostages and ‘uncertainty experts’

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Freaked out by the news? Tips for staying calm from ex-refugees, hostages and ‘uncertainty experts’

War in Iran. Sleeper cells. Soaring gas prices. A new virus. ICE arrests. The acceleration of AI. And a rogue food delivery robot. Is your heart racing yet?

Amid one of the highest-stakes, most chaotic news cycles in recent memory, it’s hard to keep calm while scrolling through the day’s doom-saturated headlines.

Fear not. A team of British scientists, two authors and a group of thought leaders once deemed societal outcasts are here to help. Sam Conniff and Katherine Templar-Lewis’ new book, “The Uncertainty Toolkit: Worry Less and Do More by Learning to Cope With the Unknown,” presents evidence-based strategies to help you not only tolerate uncertainty, but thrive in the face of it.

Conniff, a self-described author and “social entrepreneur,” and Templar-Lewis, a neuroscientist, partnered with the University College London’s Centre for the Study of Decision-Making Uncertainty as well as real world “uncertainty experts” — former prisoners, drug addicts, hostages, refugees and others — to execute the most extensive study to date on “Uncertainty Tolerance,” which published in 2022. Their web project, “Uncertainty Experts,” is an interactive “self development experience” that includes workshops and an online Netflix-produced documentary, through which viewers can test their own uncertainty tolerance.

Their “Uncertainty Toolkit” book, out April 7, addresses the three emotional states that uncertainty puts us in — Fear, Fog and Stasis — while blending personal stories from the subjects they interviewed with the latest science on uncertainty, interactive exercises and guided reflections.

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“The Uncertainty Toolkit” aims to help you keep calm amid chaos.

(Bluebird / Pan Macmillan)

“We are scientifically in the most uncertain times,” Templar-Lewis says. “There’s something called the World Uncertainty Index, which charts uncertainty [globally]. And it’s spiking. People say life has always been uncertain, and of course it has; but because of the way we’re connected and on digital platforms and our lives are so busy, we’re interacting with more and more moments of uncertainty than ever before.”

We asked the authors to relay three strategies for staying calm in challenging times, as told to them by their uncertainty experts.

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This interview has been edited for length and clarity.

Advice from an ex-addict: Be grateful: Morgan Godvin is an ex-addict and human rights activist from Oregon who served four years of a five-year sentence in a federal prison, Conniff says.

“She developed a practice of ‘Radical Gratitude.’ Even in a world that feels so overwhelming, we can all find an object from which to derive a sense of gratitude,” he says. “As an emotion, gratitude provides a counterweight to anxiety that is almost as powerful as breath work or any of the other [anti-anxiety] well-known interventions.”

In prison, Godvin — who suffers from anxiety — created a daily practice to help her cope. “She began being grateful for the blankets, the only thing she had — and they were threadbare blankets,” Conniff says. “And by digging deep and really emphasizing the warm sensation we know of as gratitude, it became a biological hack. When the body starts to feel grateful, the hormones the body releases brings it back into what’s known as homeostasis or a sense of equilibrium; it activates the parasympathetic nervous system. It’s a very humbling and very healthy practice when the world’s just too much.”

Advice from a survivor of suicidal depression: Lean into the unknown. Vivienne Ming is a leading neuroscientist based in the Bay Area who faced a web of personal challenges in her early 20s. Ming, who was assigned male at birth, dropped out of the Massachusetts Institute of Technology, became homeless and was “living out of their car with a gun on their dashboard,” Conniff says. “They faced homelessness and near suicidal depression before finding a path that took them through gender transition to a place of real identity, marriage, family and success as a scientist.”

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How? They developed and cultivated an awareness of “negativity bias,” Conniff says. “We all have a predetermined negativity bias. And in times of uncertainty, that negativity bias goes off the charts and we start to limit ourselves and shut ourselves down. By understanding this, we begin to be able to make a choice: Am I shutting myself down to the opportunities of life? Am I not getting back to people? Am I not taking the chances that are presented to me?”

What’s more, uncertainty, Dr. Ming pointed out, is actually good for you. It unlocks parts of your brain.

“Uncertainty drives neuroplasticity, our ability to learn,” Conniff says. “So [it’s about] resisting negativity bias — that this is all dangerous and difficult and we’re told not to trust each other — and instead, Dr. Ming’s response is to lean into the unknown. She says ‘the best way forward is to all walk slowly into the deep end of our own lives.’”

Advice from an ex-refugee: Reflect on your gut. Rez Gardi grew up in a refugee camp in Pakistan, before her family relocated to New Zealand. She’s now a lawyer and human rights activist working in Iraq.

“Rez correctly identified the scientific explanation for what we all call ‘gut instinct,’” Conniff says. “It’s known as ‘embodied cognition.’ The idea is that we have two brains — the gut instinct is an incredibly complex system of data points and it literally is in our gut and it’s connected to our brains via the vagus nerve. What it does is it brings your intuition in line with your intellect.”

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So how to tap into it? “Rez talked about reflecting on her gut instinct,” Conniff says. “So when you have a feeling that you are right or wrong, go back to that feeling: What color was it? What shape was it? Where was it in your body? What temperature was it? Rez honed her gut instinct to become incredibly accurate: Should she trust this person? Was she safe? And that gut instinct became a highly tuned instrument. When we are trying to solve problems, when we are trying to communicate, these signals are as accurate as the best of our cognitive problem-solving abilities.”

Conniff and Templar-Lewis spoke to nearly 40 uncertainty experts in all. And with all of them, Conniff adds, “they kind of learned these techniques themselves, but the scientific evidence really backs it up.”

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How a Melting Glacier in Antarctica Could Affect Tens of Millions Around the Globe

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How a Melting Glacier in Antarctica Could Affect Tens of Millions Around the Globe

Scientists spent the first weeks of the year on an expedition to Antarctica to study Thwaites Glacier, which is melting at an alarming rate. If it breaks apart entirely, it could push up global sea levels by two feet over the course of several decades, affecting tens of millions worldwide, according to a New York Times analysis.

The maps below show some of the coastal cities at risk and populated, low-lying areas that could be threatened if the glacier were to collapse today.

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Kolkata, India

1.7 million

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Note: Areas below high tide may be protected by seawalls, levees or other coastal defenses. Sources: Climate Central; Worldpop; Jerry Mitrovica, Harvard University.

These are just the minimum effects that Thwaites’s disintegration would be likely to have on the world’s coastlines. As the glacier breaks apart, global warming will raise sea levels even higher by melting the ice from Greenland and causing oceans to expand in volume. And Thwaites acts as a plug, holding back many of the Antarctic glaciers on land around it. If it collapses, they could break apart and spill into the sea as well.

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“Eventually it would take out all of the West Antarctic,” said Richard Alley, a professor of geosciences at Penn State.

Seaside cities all over the world are at risk, but the threat is especially acute in Asia, and includes some of the world’s fastest-growing urban areas, as the map below shows:

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Source: New York Times analysis of data from Climate Central CoastalDEM 3.0, Worldpop and Jerry Mitrovica, Harvard University.

The costs of guarding against higher storm surges and more frequent flooding would be huge. One proposal from the U.S. Army Corps of Engineers to protect parts of New York City would cost more than $52 billion, a price tag that would be out of reach for much of the world.

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“We’ll defend the highest-value places that are defensible, but there will be other places that we don’t,” said Benjamin Strauss, Chief Scientist at Climate Central, a nonprofit science organization that produced the elevation models used in this article.

In city after city, the Times’s analysis found that heavily populated areas tend to be near the coasts, as opposed to higher, safer areas.

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Shanghai, one of the major cities under threat, already has more than 600,000 residents living below sea level. If average sea levels rose two feet, an additional 4.7 million people would be affected.

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Shanghai’s population at each elevation

Like many of the most vulnerable places, Shanghai is situated on a soft, marshy delta, a landscape naturally prone to sinking, although humans often speed up the process by building structures and draining the groundwater below. The city has also been adding and reinforcing seawalls, and replacing concrete with wetland parks to absorb stormwater.

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Note: Coastal defenses not mapped.

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For places like Shanghai, the cost of defending the city is relatively modest compared with its value, said Jochen Hinkel, director of the Global Climate Forum, an international research organization based in Germany. “There’s so much capital concentrated on a small piece of land,” he said.

But not all places have the resources to protect themselves. Dhaka, the capital of Bangladesh, is expected to swell to over 50 million people by 2050, and will rely extensively on borrowed money to prepare for the worst.

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Dhaka’s population at each elevation

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Bangladesh, a low-lying delta nation, is experiencing more volatile monsoons and stronger cyclones as the planet warms. Villages have already been erased as the tides rise and rivers in the region change shape. Saltwater tides have ruined farmland, driving rural residents to the already-crowded capital.

The limits to adaptation

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In the United States, a two-foot increase in sea levels wouldn’t affect as many people as in parts of Asia, but the price of adaptation would be astronomical. And even in the wealthiest country in the world, flood defenses aren’t bulletproof.

When the network of pumps and levees failed during Hurricane Katrina in 2005, the catastrophe killed 1,400 people and displaced more than a million. Recovery in New Orleans has cost about $140 billion. Dozens of smaller communities along the Gulf Coast may not be so lucky.

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New Orleans

120,000 people within 2 feet of high tide



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Areas protected

by levees

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Miami metropolitan area

125,000

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Coastal cities elsewhere are bracing for higher sea levels. It would cost $13.6 billion to shield part of the San Francisco waterfront. Farther inland in California, it would take $2 billion to improve protections in Stockton. Across the country, a giant barrier at New York City’s harbor could cost $119 billion.

Yet people and buildings continue to accumulate in harm’s way. Miami’s population and real estate values have exploded in recent years, despite the fact that the city is notoriously difficult to protect.

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Clearer answers about if, and when, Thwaites could collapse may make all the difference in how well coastal areas are able to adapt. “The value of the information is grotesquely higher than what we’ve invested in it,” Dr. Alley said.

Under President Trump, the United States has abandoned research that could better forecast the effects of Antarctica’s melting ice. It has also promoted the use and burning of fossil fuels, adding to the greenhouse gas emissions that are dangerously heating the planet. That could speed up the glacier’s collapse.

The fallout from decisions made today may not be felt immediately, Dr. Strauss said, but “this is what we’re signing up the future for.”

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Methodology

The Times’s analysis includes cities with 300,000 residents or more and within 100 miles of the coast.

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It used elevation data from Climate Central’s CoastalDEM 3.0 to calculate the average high tides at each location. This model reflects local water levels more accurately than global averages. It used data from the European Commission’s Global Human Settlement Layer (GHS-UCDB) for city boundaries and Worldpop’s 2026 data for population estimates.

The sea level rise scenarios in this article focus only on the effects from Antarctica. The continent is expected to lose its gravitational pull on ocean water as it loses ice. As that happens, parts of the Northern Hemisphere, including the United States and much of Asia, will experience higher-than-average effects in sea level rise than places closer to Antarctica.

The maps and total population numbers are adjusted to reflect this dynamic, using data from Jerry Mitrovica, professor of geophysics at Harvard. They do not account for similar dynamics from Greenland’s ice loss, or for any other influences that may cause an uneven distribution of sea level rise.

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I had to man up and get a mammogram

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I had to man up and get a mammogram

I show up for my appointment. A nurse asks me to get undressed from the waist up and put on a gown with the opening in front. For the life of me, I can’t figure out the correct way to tie the gown’s tassels. When I mention this feat of incompetence to the technologist inside the examining room, she tells me I could’ve just taken off my shirt. The nurse, she says, is “not used to male patients for mammograms.”

Thus began my first of what will be many regular mammogram screenings, screenings that, as a man, I never expected I’d need. I guess that nurse didn’t expect it either.

Let’s be clear, the breast cancer statistics for women are downright frightening: One in eight women will be diagnosed with breast cancer in their lifetime. For men, it’s only 1 in 726. Looking at those numbers, it’s obvious and even reasonable to understand why breast cancer is treated as a greater health threat for women. But much of the culture surrounding the disease seems ensconced in a gendered mold, including those pink awareness ribbons, pink merchandise, wigs, sisterhood and the general idea that men don’t have breasts in the first place, so why on earth would they have to worry about getting breast cancer?

In fact, some of us do have to worry. Breast cancer in men isn’t so rare that it hasn’t affected a few male celebrities, like KISS drummer Peter Criss, actor Richard Roundtree (star of “Shaft”), and famous by association, Beyoncé’s father, Mathew Knowles. Despite these high-profile diagnoses, the perception of breast cancer as a threat to men’s health has struggled to go mainstream.

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Cheri Ambrose founded the Male Breast Cancer Global Alliance more than a decade ago after learning her friend’s husband received a breast cancer diagnosis. She looked on the internet for some information about it. “And to my surprise, there was nothing out there for men,” she tells me. “It was crickets.”

Dr. Aditya Bardia is a UCLA breast cancer oncologist who’s been in the field for 15 years and, in that time, has treated over 20 men. He says that men should watch out for lumps, pain, discomfort or nipple inversion. “If you have any of that, get it checked out with an ultrasound,” says Bardia. “Otherwise, if a man is only at average risk, then a mammogram is not necessary. But if he has BRCA and a family history, then a mammogram is recommended.”

The genetic risk factor

Those major risk indicators are what ushered me into my own cancer prevention safari. My mother was diagnosed with breast cancer in 2000, and my grandmother was diagnosed around a decade earlier. Add to this the fact that I have an Ashkenazi background, and I’m about as at-risk for breast cancer as any man can be.

To get a more accurate genetic indicator of cancer risk, my mother encouraged me to get my DNA tested for the BRCA1 gene mutation. Sure enough, I tested positive for BRCA1, and now my doctors and I are on high alert not just for breast cancer but also linked cancers like prostate and pancreatic cancer. (While it’s not public record if Richard Roundtree was BRCA1 positive, he survived his bout with breast cancer only to pass away decades later from pancreatic cancer, suggesting that he possibly carried the gene mutation.)

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The mammogram experience

After testing positive for BRCA1, the geneticist I spoke with emphasized that my biggest new health concern would be prostate cancer, so I was a little bit surprised when my general practitioner gave me a referral for my first mammogram. I had no idea what to expect.

This is where I have to say that the scope of what I don’t know about women’s health is probably wider than I’d care to admit. My first exposure to the realities of what a mammogram procedure actually entails came from watching the pilot episode of “Girls5eva.” We first meet Sara Bareilles’ character while she’s in the middle of getting one, latched in somewhat medieval fashion to a mechanical vice that towers high over her head. I knew uncomfortable breast squeezing was involved; I just didn’t realize a machine did all the work. “Girls5eva,” if you’re unfamiliar, is not an old show, which means I’ve been unaware for most of my life how a mammogram actually works.

Still, as I headed to my appointment, I wondered, because I’m a man, how my own mammogram would differ from the one I saw Sara Bareilles getting on TV. It turns out, it wasn’t very different at all.

After getting rid of that gown, the technician positioned me chest-forward against her own mechanical vice. I was instructed to hold my breath while the machine gave me two tight squeezes on the left and two tight squeezes on the right, each squeeze lasting a few seconds. Yes, this was uncomfortable, but comparatively breezy as far as medical procedures go — simple, brief and noninvasive. My greatest irrational fear was that the machine might squeeze far tighter than necessary and I’d just be stuck there in immense pain until someone unplugged the cord. Of course, that did not happen. Actually, nothing else happened. I was in and out of the building in under 15 minutes.

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The results? “No significant masses, calcifications or other findings are seen in either breast.” Good to know.

Navigating, and breaking down, the gender stigma

The mammogram itself was a piece of cake, yet I have to acknowledge that there were times on this journey of cancer risk self-discovery when I felt like a tourist prying into someone else’s health narrative. It wasn’t just the incident with the gown, or the geneticist assuring me that prostate cancer would be my major BRCA-related concern. While filling out a required questionnaire before scheduling my mammogram, I had to answer questions like, “Have you had an entire breast removed?” and “Does your bra size exceed 42DD?” I answered no, but if there had been an “N/A” option, I would’ve gone with that instead.

Bardia acknowledged the disconnect. “Because it’s relatively rare for men, guidelines and management for men are informed by the guidelines and management for women,” he tells me.

In a different context, some people could misinterpret these gendered hiccups as microaggressions. I don’t personally feel that way, but I’m trying to be fair, taking into account both the overwhelming impact breast cancer inflicts on women’s bodies in much greater numbers and the stigmatic pain points that men might be experiencing in their own breast cancer journeys.

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Let’s face it: The stigma for men is real and it has consequences. “Even though it’s much more rare, the mortality rate for men is 19% higher for breast cancer than for women,” says Ambrose. “That’s because of lack of awareness and, I think, the stigma.”

A big part of that stigma, Ambrose believes, is the unfortunate proliferation of associating breast cancer with the color pink. “Pink is not a cure,” she says. “Sadly, it’s become a moneymaker for everyone during October, and not just the breast cancer organizations. People are making pink bagels, pink pens and even little pink ducks. People are making money off of it. And honestly, it’s not pink, it’s not fluffy, it’s not a happy disease. It’s breast cancer. And anyone going through it, male or female, or any gender, the pink ribbon is definitely stigmatizing.”

Even Mathew Knowles has publicly fiddled with the true name of his diagnosis, opting instead for the not-quite-accurate “chest cancer” and also “male breast cancer,” which falsely implies a masculine version of the disease.

But I can’t help but wonder if some of the stigma comes from other places as well. In parts of America, the idea of a man doing anything that can be perceived as feminine is politically charged. I also don’t need to point out that we live in a time of aggressive transphobia, which factors heavily in today’s divisive politics. For some political leaders, there’s nothing scarier than the possibility of sharing a public restroom with a woman who was born a man. Even drag queens can’t read books to children at the library without getting political blowback. Under this societal construct, how are men supposed to take seriously a disease that bears the name of a body part so associated with the opposite gender?

Then again, Peter Criss spent his entire career wearing makeup to look like a glam kitty cat, but if that didn’t stop him and his KISS bandmates from earning Kennedy Center Honors last year from our current president, then I don’t think it should stop anyone from heeding Criss’ advice to take charge of our own health.

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I’m grateful to not feel bothered by this perceived stigma. I can understand it, but I can also roll with the feminized aspects. I guess if I’ve learned anything from this experience, it’s that everyone has breasts — just different kinds and all of them prone to disease. After all, what part of my body went into those mechanical vices during my mammogram?

In the days after my appointment, I saw a few friends I hadn’t seen in a while. When they asked what was new, I told them I’d just had my first mammogram. Some of them, men and women, thought I was kidding, but I assured them it was no joke.

I share this anecdote with Ambrose and she dives right in, “You helped spread awareness and break down the stigma,” she says, with some gratitude I wasn’t expecting. “That’s what each person who tells their story does.”

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