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Hereditary cancers aren’t just a women’s problem. Jewish men need to take precautions too.
Bill Harris, a veteran Los Angeles photojournalist, didn’t think much of it when one morning in 2012 he woke up and found a tiny blood spot on the T-shirt he’d slept in. The next morning, he found blood in the same place on his chest — and went straight to his computer.
“Online, I could find only three things that would cause a man’s nipple to discharge blood: being an avid runner, which I wasn’t; having a subtropical fungus, which I didn’t; and breast cancer,” he said. “That was a pretty big shock.”
Harris, then just a few weeks shy of his 61st birthday, immediately called his doctor, who ordered a mammogram and ultrasound. They confirmed a cancerous growth in his right breast. Ten days later, a biopsy came back positive. The next month Harris got a right mastectomy, followed by the removal of his left breast half a year later.
“I walked into a woman’s imaging center and had to get into a pink paper robe,” he recalled. “All the women in the waiting room were staring at me.”
Like many other Ashkenazi men, Harris never had considered that he might have been born with a harmful mutation of the BRCA gene, which elevates the risk not only of breast cancer, but also of melanoma and prostate, ovarian and pancreatic cancer.
“Hundreds of other mutations in the BRCA gene are just as dangerous, but they’re not specific to Ashkenazim,” said Dr. Robert Sidlow, director of the Male BRCA Genetic Risk Program at New York’s Memorial Sloan Kettering Cancer Center. About 1 in 40 Ashkenazi Jews (those of Eastern European descent) carries the harmful mutation, compared to about 1 in 400 in the general population.
“The vast majority of patients I see are relatives of women who have breast or ovarian cancer and then get tested,” he said. Of BRCA mutation carriers, Sidlow added, “Most men are pretty happy to enroll in some kind of surveillance program once they get over the initial shock.”
Sidlow is on the Men’s Leadership Council at Sharsheret, the national Jewish nonprofit organization that educates the community about cancer risks and supports those with breast cancer and ovarian cancer.
Elana Silber, CEO of Sharsheret (Hebrew for “chain”), says it’s crucial that men with a family history of cancer undergo genetic counseling screening for BRCA and other hereditary cancer mutations.
Genetic testing is possible via a standard blood or saliva sample.
While Sharsheret is primarily considered a women’s organization, it has been using November — nicknamed Movember for its focus on men’s health — for an awareness campaign focused on Jewish men’s cancer risks.
“This is not only a women’s issue,” Silber said. “Family history is so important. When a man shares his family history with his doctor, he may not realize that he should mention that his mother had breast cancer or that his sister had ovarian cancer, as these are not generally ‘men’s diseases.’ They are not aware that these cancers could mean that they themselves are at increased risk for cancer and that they can pass on these mutations to the next generation – their daughters and their sons.”
If someone discovers he (or she) is a carrier of one of the genetic mutations with elevated cancer risks — not just BRCA but also such mutations as ATM, TP53, CHEK2, and PALB2 — there are various precautions they can take for themselves and their children. They can monitor their own health more closely, they can get encourage their children to test to see if they are carriers and, for any future children, take steps to prevent the mutated genes from being passed down.
For example, couples can conceive via in vitro fertilization, or IVF, and then test the embryos before implantation to ensure that only those unaffected by the genetic mutation are implanted.
While most women are aware of the risks of breast cancer, men generally are not — even though the disease strikes 2,500 men in the U.S. every year and kills about 500 of them, according to Sidlow. About 1-2% of men with the BRCA1 mutation and 6-7% of men with the BRCA2 mutation will develop cancer by age 80.
“This is why we recommend periodic mammograms starting at about age 50 for men who carry a BRCA2 mutation,” Sidlow said. “We like to educate these men on how to check their chests once a month and have a clinician do a breast checkup on them once a year.”
Since the BRCA1 and BRCA2 mutations also make prostate cancer more likely, men with either mutation should get PSA (prostate-specific antigen) levels in their blood tested annually beginning at age 40, rather than 50, the age at which screening generally begins, Sidlow said.
Sharsheret has been promoting the importance of learning one’s family history, genetic counseling and screening among both men and women. The 20-year-old organization also runs various peer support networks, offers financial assistance to cancer patients, provides mental health counseling and guidance to patients, caregivers, and their friends, and seeks to educate the broader Jewish community about cancer risks and support.
Peggy Cottrell, a certified genetic counselor at Sharsheret, said men in general are more reluctant to get regular checkups than women.
Ashkenazi Jewish men are at elevated risk not just of breast and prostate cancer but also of pancreatic cancer. Pancreatic cancer is particularly difficult because it’s tough to detect early enough and hard to treat. The five-year survival rate is only 11%. About 2% of BRCA1 carriers and 4% of BRCA2 carriers will develop pancreatic cancer, Sidlow estimated.
“Usually by the time pancreas cancer is clinically detected it has already spread microscopically to the liver,” Sidlow said. “But pancreas cancer is potentially curable if caught when the tumor is extremely small.”
Even among those with elevated risks, certain behaviors can improve one’s odds, such as avoiding obesity, smoking and excessive alcohol consumption.
Harris, the California photojournalist, is still fighting at age 71. While he overcame breast cancer 10 years ago, last year he was diagnosed with ampullary cancer, a rare disease related to his BRCA2 status that was discovered thanks to his participation in a UCLA study. Surgeons have removed his gall bladder, half his pancreas and part of his small intestine, and he has had to endure eight rounds of chemotherapy.
“I’m still working through the aftereffects of the chemo. I have to eat smaller quantities than before and take enzymes to supplement my digestive processes,” Harris said.
Meanwhile, his 37-year-old son discovered that he, too, carries the BRCA2 mutation, and he had a double prophylactic mastectomy and reconstruction at age 30 — just to be on the safe side.
“If there’s any history of breast, ovarian or prostate cancer in your family, get tested genetically so that you’re informed,” Harris advised. “Diagnoses happen way too late for men, and the danger is too big.”
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The post Hereditary cancers aren’t just a women’s problem. Jewish men need to take precautions too. appeared first on Jewish Telegraphic Agency.
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The woodcutter and the water carrier in the Torah portion, Nitzavim
לעילוי נשמת מײַן באָבע מנוחה וויטקא ע״ה לזרוב, לכבֿוד איר יאָרצײַט, ט״ו אלול
איינער פֿון די שטאַרקסטע קעגנער מיט וועמען אַ מענטש דאַרף זיך אויסקעמפֿן איז…זיך אַליין.
די סיבה איז פּשוט: די געדאַנקען און געפֿילן וואָס אַ מענטש קען צום בעסטן, זענען זײַנע אייגענע. און ווײַל דאָס זענען זײַנע פּערזענלעכע געדאַנקען און נײגונגען, איז מען נאַטירלעך גענייגט זיי צו געבן אַ גרויסע חשיבות. אויב איך פֿאַרשטיי אַזוי, אָדער איך פֿיל אַזוי, איז דאָס שוין לכאורה אַ גענוג גוטע סיבה צו טאָן אַלץ וואָס איך קען כּדי אויסצופֿירן מײַנע געדאַנקען און באַפֿרידיקן מײַן ווילן.
אָבער זייער אָפֿט טרעפֿט דווקא דאָס פאַרקערטע. דער מענטש וואָס שטעלט אויס זײַן לעבן בלויז לויט דעם וואָס אים דאַכט זיך ריכטיק אָדער באַקוועם, קען צום סוף שאַפֿן געלעגנהייטן וואָס גייען ווײַט העכער פֿון זײַנע באַגרענעצטע און פֿאַרבײַגייענדיקע פּערזענלעכע געפֿילן.
מיט אַנדערע ווערטער, באַקוועמלעכקייט און צוגעוווינטקייט קענען זײַן די גרעסטע שׂונאים פֿונעם מענטשן, אַנשטאָט זײַנע מיטהעלפֿער.
אין דער סדרה פֿון דער וואָך, נצבים־וילך, ווענדט זיך משה רבינו צום ייִדישן פֿאָלק אַזוי:
„אַתֶּם נִצָּבִים הַיּוֹם כֻּלְּכֶם לִפְנֵי ה׳ אֱלֹקֵיכֶם… מֵחֹטֵב עֵצֶיךָ עַד שֹׁאֵב מֵימֶיךָ“ — איר שטייט הײַנט אַלע פֿאַר דעם אייבערשטן, אײַער ג־ט… פֿון דײַנע האָלצהעקערס ביז דײַנע וואַסער־שעפּערס (וואַסער־טרעגערס).
דער גרינדער פֿון חב״ד, רבי שניאור זלמן, באַקאַנט ווי דער אַלטער רבי, דערקלערט אַז דאָס האָלצהאַקן און וואַסער־שעפּן האָבן, אויסער זייער פּשוטן באַטײַט, אויך אַן אינערלעכן טײַטש אין דער פּערזענלעכער עבֿודה פֿונעם מענטש.
דער אויסדרוק „עֵצֶיךָ“, דײַן האָלץ, קען מען אויך פֿאַרשטיין ווי „עצותיך“, דײַנע אייגענע עצות, געדאַנקען און חשבונות.
דאָס „וואַסער“ איז מרמז אויף דעם יסוד המים פֿונעם נפֿש הבהמית — דער מקור און טרײַבקראַפֿט פֿון קערפּערלעכע תּענוגים.
די לערנונג, זאָגט רבי שניאור זלמן, איז אַז אַ מענטש דאַרף „אויסהאַקן“ די אייגענע חשבונות און „אויסשעפּן“ די תּאוות וואָס צילן בעיקר אויף פּערזענלעכע קערפּערלעכע הנאות.
ערשט ווען אַ מענטש קען נייטראַליזירן אָט די צוויי כּוחות און זיך נישט לאָזן פֿירן פֿון זיי, קען ער צום בעסטן מקיים זײַן זײַן שליחות אין לעבן — אָן דעם שוחד פֿון פּערזענלעכער באַקוועמלעכקייט. שוחד פֿאַרבלענדט דאָך די אויגן און לאָזט ניט זען קלאָר און אָביעקטיוו. דאָס זעלבע טרעפֿט מיט באַקוועמלעכקייט. עס לאָזט ניט טראַכן אָביעקטיוו.
מען וואָלט אָבער געקענט מיינען אַז אַזאַ דיסציפּלין איז שייך בלויז צום תּורה־לערנען, צו מענטשן וואָס פֿירן אַ רוחניותדיק לעבן, אָדער בלויז ווען אַ מענטש וויל מצליח זײַן אין זײַן אייגענער גײַסטיקער זוכעניש.
וואָס איז אָבער מיט מסחר, פּרנסה אָדער אַ פּראָפֿעסיע — מיט די לכאורה „נישט־רעליגיעזע“ געביטן פֿון לעבן? דאָרט מעג מען דען נישט טאָן וואָס מען אַליין האַלט פֿאַר ריכטיק און וואָס גיט פּערזענלעכע צופֿרידנקייט?
דער ליובאַוויטשער רבי — זכותו יגן עלינו — ווײַזט אָן אַז דער ענטפֿער אויף דער פֿראַגע ליגט שוין אינעם פּירוש רש״י אויפֿן פסוק.
ווער זענען געווען די דאָזיקע האָלצהעקערס און וואַסער־שעפּערס?
רש״י דערקלערט אַז זיי זענען געווען כּנענים וואָס זענען געקומען צו משה רבינו ע״ה מיט דער כּוונה זיך מגייר צו זײַן, און משה האָט זיי באַשטימט צו דינען ווי האָלצהעקערס און וואַסער־שעפּערס.
דער רבי ווײַזט אן אַז דאָס וואָרט „כּנעני“ מיינט אויך אַ סוחר.
דער רמז איז, אַז נישט בלויז ווען עס רעדט זיך וועגן הימלישע און רוחניותדיקע ענינים — „רעליגיעזע“ באַשעפֿטיקונגען — דאַרף מען זיך באַפֿרײַען פֿון פּערזענלעכע אינטערעסן, צי שׂכלדיקע צי פֿילעוודיקע.
אויך אין מסחר, אין אַלע ענינים וואָס האָבן צו טאָן מיט גשמיות און מאַטעריע, דאַרפֿן די „האָלצהעקערס“ און „וואַסער־שעפּערס“ גיין צו דער אַרבעט.
מען דאַרף זיך העכערן איבער די אייגענע חשבונות און תּאוות, און זיך אָפּגעבן מיט די גשמיותדיקע טעטיקייטן מיט דער כּוונה, אַז דורך זיי זאָל מען אַרײַנברענגען הייליקייט און ג-טליכקייט אין דער וועלט — דורך דעם ליכט פֿון דער תּורה און דער נפֿש האלוקית.
עס זענען דא מענטשן וואָס קענען דאָס באַטראַכטן ווי אַ באַגרענעצונג: „מען לאָזט מיר נישט טאָן וואָס איך וויל.“
מען קען דאָס אָבער באַטראַכטן גאָר אַנדערש — ווי אַן אויסערגעוויינטלעכע געלעגנהייט:
„שטענדיק — אַפֿילו אין די מערסטע וועלטלעכע און לכאורה נישטיקע טעטיקייטן — האָב איך די מעגלעכקייט צו דערגרייכן עפּעס וואָס האָט אַן אומענדלעכע און אייביקע ווערט.“
דעריבער איז די געצײַג פֿון דער וואָך:
אויב דו פֿילסט זיך שלעכט ווײַל עס דאַכט זיך דיר אַז אַ גרויסער טייל פֿון דײַן לעבן האָט נישט קיין באַזונדערן זין אָדער ווערט, געדענק אַז עס ליגט אין דײַנע הענט צו באַשליסן אין וועלכער ריכטונג דו וועסט גיין.
דו קענסט צייכענען דײַן וועג לויט דײַנע פּערזענלעכע געדאַנקען און געפֿילן, וואָס קומען און גייען און לאָזן נישט קיין אייביקע שפּור.
אָדער דו קענסט זיך באַפֿרײַען פֿון זייער הערשאַפֿט און זיך אָפּגעבן מיט עפּעס וואָס איז אַ טייל פֿון אַ ציל וואָס איז אומענדלעך גרעסער — און אומענדלעך מער ווערטפֿול.
The post The woodcutter and the water carrier in the Torah portion, Nitzavim appeared first on The Forward.
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Vance, who’s drawn ire of Jewish conservatives, will speak at Republican Jewish confab
(JTA) — Vice President JD Vance, who has drawn the ire of a number of Jewish conservatives, will speak at the Republican Jewish Coalition’s annual summit in Las Vegas on Monday, the RJC confirmed.
“The Republican Jewish Coalition is proud to welcome Vice President JD Vance to our National Leadership Summit in Las Vegas,” said an RJC spokesperson. “JD Vance is a friend, who is coming back after first joining us in 2022 as a candidate for the US Senate.”
Vance’s appearance comes as a number of Jewish Republicans and major GOP donors have indicated that they would rather support Marco Rubio for the presidential nomination in 2028 than Vance, who is seen as Donald Trump’s likeliest successor. Some of those donors will be in the room on Monday at the Venetian Resort, which is owned by the billionaire Adelson family — a major backer of Trump and various Jewish and Israeli causes.
The vice president has lost the confidence of the pro-Israel crowd with his reprimanding of Israeli officials, indulgence of anti-Israel conspiracy theories and silence on Tucker Carlson, the prominent pundit who has spread antisemitic conspiracy theories. Multiple donors told the Jewish Telegraphic Agency during last year’s confab that they would not support Vance in 2028.
Carlson, meanwhile, was a major focus of the discussion at the RJC’s 2025 summit, where signs reading “Tucker is not MAGA” were handed out to attendees. His son, Buckley Carlson, is a former Vance staffer.
An agenda sent by the RJC lists Vance as a speaker during a Monday evening session that will be closed to press. A spokesperson confirmed that Vance will be speaking in a “fireside chat.”
A number of high-profile Republican candidates are also expected to speak at the RJC confab, which is being held on Sunday and Monday, a few months ahead of the midterm elections. Speakers include U.S. Senate candidates Mike Collins, the Georgia congressman who is challenging Jewish Democrat Jon Ossoff, and former Rep. Mike Rogers, who is running against Abdul El-Sayed in Michigan.
Collins has faced accusations of antisemitism and having ties to the far right. He has said that some of his statements were misunderstood, and has defended himself by citing his support for Israel.
This article originally appeared on JTA.org.
The post Vance, who’s drawn ire of Jewish conservatives, will speak at Republican Jewish confab appeared first on The Forward.
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Israeli expats push for voting rights in Oct. 27 election
(JTA) — When Ilana Mittman, a retired social scientist with American and Israeli citizenship, began arranging a trip to Israel from her home in Baltimore, she planned to observe her late father’s Yahrzeit and cast her ballot in the national elections on Oct. 27. Checking her voter registration status online, she made a startling discovery: She had been excluded from the voter registry and was ineligible to vote.
The discovery came as a shock. Mittman’s mother was born in pre-state Palestine. Her parents had drained swamps in order to create arable land and served in the Haganah pre-state military organization.
Mittman has lived in the United States since 1980, having moved for her husband’s medical studies and career. But she has never viewed her life abroad as severing her ties to Israel. She watches television in Hebrew, follows the country’s news, stays in frequent contact with family, donates to the country’s emergency services and engages in pro-Israel advocacy efforts.
“I didn’t really choose to leave the country; I fell in love with a man who came from overseas, and I followed him,” she said. “I’ve grieved for the loss of my country and my friends … It’s been a constant, chronic sorrow.”
Puzzled by the discovery of her voter status, Mittman reviewed her records through the Ministry of Interior online portal and noticed that on March 7, 1986, her residency status had been altered under administrative “Code 51.”
That date matched a visit to the Israeli Consulate in San Francisco shortly after the birth of her son, where she went to register him as an Israeli citizen in accordance with consular requirements. She said that during that routine appointment, consular staff took away her state-issued ID card without explanation, leaving her with only her passport for foreign travel.
“I remember how bad of a feeling it was to give that document away,” Mittman recalled. “I felt I gave a part of myself away when that happened. But I didn’t know that my biggest right as a citizen – the right to vote – was just robbed from me.”
When she spoke with friends in the expat community, it turned out that others had found themselves in a similar situation. Some only made the discovery after they had already made expensive travel arrangements to return to Israel for the election, since voting must be done in person.
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Under Israel’s Basic Law: The Knesset, every Israeli citizen aged 18 or older has the right to vote, unless a court has deprived them of that right. In practice, however, voting is limited to those included in the voter registry.
Israelis whom the government classifies as nonresidents are assigned a designation known as Code 51 and removed from the voter registry, even though they retain their citizenship.
As expats across North America, Europe, Australia and South Africa began to realize in the lead-up to the October vote that they were no longer in the voting registry, they began comparing their experiences in a WhatsApp group that grew to some 120 members.
Some, like Mittman, had not voted in Israel for decades. Others, like kibbutz-born Ayala Graham, had returned to vote in the previous elections, held just four years ago. Yet others retained their eligibility, such as Graham’s husband, who hadn’t cast a ballot in Israel in four decades.
“My blood is boiling from this situation,” said Graham, who left Israel in 1986. “I am a citizen through and through, and I was very offended by this arbitrary rejection. I feel that in these elections, the situation is even more acute than in 2022.”
With the grounds for rescinding voting eligibility opaque and no easy path to appeal the exclusion, the disenfranchised Israelis decided to pursue legal action. They are calling the grassroots initiative to restore their voting eligibility “Our Right to Vote – Code 51.”
To challenge the Code 51 exclusions, the group raised money for legal representation through crowdfunding. Then they initiated a multi-stage legal strategy designed to exhaust administrative remedies before escalating to Israel’s Supreme Court.
Represented by attorney Gilead Sher, they submitted a Freedom of Information request to compel the Israeli Ministry of Interior to disclose the criteria behind the administrative “Code 51” designations. Then they sent letters to the Ministry of Interior, the attorney general and the Central Elections Commission requesting the immediate restoration of their status.
The Israeli Ministry of Interior has not yet responded to the group’s letter about Code 51, the criteria used to remove expats from the voter registry, or the total number of citizens affected by the regulation.
Israeli Ministry of Interior spokesperson Yaffa Shai did not address questions about the meaning of Code 51 posed by the Jewish Telegraphic Agency. Instead, she pointed to Israeli election law, which requires voters to be listed in the Population Registry as residents, with an address in Israel, and stressed that the ministry had conducted “an extensive multilingual campaign” urging citizens to check their voter status.
Since the law requires that the voting registry be finalized on Sept. 3, the legal team set a one-week deadline for administrative responses. If the matter remains unresolved, they intend to file an emergency petition directly with the Central Elections Commission and the High Court of Justice.
There is no known official count of how many Israeli expats have been excluded from the voter registry. “We received a rough, totally unofficial estimate of several dozen thousands, out of whom we represent about 120,” said Sher, the lawyer.
He stressed that there is also no clarity regarding the criteria used to remove citizens living abroad from the voter registry. “Our argument is that whatever this arbitrary Code 51 stands for or signifies, it cannot override the constitutional right to vote,” he said.
Sher acknowledged the possibility that some expats who travel to Israel to vote may only discover their status on election day. Given the tight timeframe before the election, Sher is seeking both temporary relief and an interim injunction in the petition to ensure eligible citizens are not disenfranchised while bureaucratic procedures are reviewed.
‘Essentially voter suppression’
On the West Coast, another Israeli expat, Silicon Valley attorney Rony Sagy, was struck by the arbitrariness of the system, particularly given her past travels to Israel during election cycles.
For the IDF elite unit veteran, maintaining a close connection to Israel has been consistent over decades of living in the U.S. Her career as a San Francisco–based lawyer has included serving as a legal bridge between Israeli startups and American tech companies, and she travels to Israel several times a year, renews her passport and keeps a permanent address in the country.
She suspects that her name was removed from the voter roll following a routine consulate visit for passport renewal sometime in the 1980s, during which she was required to surrender her domestic Israeli ID card. She noted that the experience was difficult enough for someone with deep connections to the country, but the lack of transparency surrounding the act added insult to injury.
“Voting was always very, very important to me,” Sagy emphasized. “My understanding was that my voting rights would not be hampered by the confiscation of my ID card. The uneven, unidentified way or form of removing certain people from the voter rolls is essentially voter suppression.”
The debate over Israeli citizens’ inability to cast ballots from abroad with limited exceptions (for example, official government representatives stationed abroad), has been ongoing for decades. Proponents of overseas voting note that most Western democracies allow it. Opponents argue that the large number of Israelis living abroad could potentially sway an election, even though those living in Israel bear the consequences of its outcome more directly.
Public opinion in Israel on overseas voting is split, though polls typically focus on whether expats should be allowed to cast ballots from abroad rather than retain their eligibility to vote if their center of life is elsewhere.
A survey last year by the Israel Democracy Institute found that 51% of Israelis opposed allowing citizens living abroad to vote from overseas, while 39% supported it. Opposition was particularly high among Arab respondents – 55% opposed, 36% supported – relative to Jewish respondents. Among Jewish respondents, opinion was evenly divided, with 45% supporting and 45% opposing overseas voting.
Attitudes were also strongly associated with respondents’ own willingness to leave the country. Among Israelis considering moving abroad, 52.5% supported overseas voting and 40% opposed it, compared to 34% support and 55% opposition among those not considering leaving Israel.
Members of the group challenging the denial of their eligibility to vote point to the global economy, which facilitates remote work, as well as the rising number of Israelis who have left the country since Oct. 7, 2023, due to Israel’s enmeshment in several regional wars. Some have deliberately chosen to disconnect. Mittman, however, believes that the number of years spent living abroad should not define the strength of one’s connection.
“What do you mean by center of life?” she asks. “If I spend hours a day immersing myself in Israeli culture, if I am supporting friends and relatives in Israel and charitable causes in every way I can … I feel that my heart is there, that I’ve never ceased to be an Israeli. So, what does it mean to be a citizen if you cannot vote?”
She insisted that this initiative to restore expats’ voting rights is not partisan: “If somebody told me today that I can vote, I don’t know who I’m going to vote for. I have not decided.”
Regardless of whether the legal challenges are resolved ahead of the election, she plans to make the trip, spending election day volunteering to help elderly and mobility-impaired voters reach their polling stations.
This article originally appeared on JTA.org.
The post Israeli expats push for voting rights in Oct. 27 election appeared first on The Forward.
