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How aggressively we deal with cancer hinges in part on age and whether the disease threatens to truncate a life dramatically or merely lop off some years in the final decade or two. And cancer in a septuagenarian can be more indolent than cancer in a young woman. Thus, an older person like my mother faces a different mental calculation than someone who is in the prime of her life. Cancer at 76 doesn鈥檛 feel like a tragedy.My mother first had breast cancer two years ago; she had a lumpectomy and no further treatment. She insisted that she didn鈥檛 need chemotherapy or radiation or a combination thereof. A plausible scenario is that she was stunned by the high cost of the procedure, and lacked Medicare Part B coverage, because back when she was 65 she felt no need to sign up for something that would be useful only on the very off chance that someday she would have a medical problem. (鈥淚 was healthy!鈥?she told me when I pressed her on it.) What鈥檚 indisputable is that the cancer came back in the same breast.
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