THE BLADE: TOLEDO, OHIO ■ SATURDAY, AUGUST 24, 2019
SECTION A, PAGE 4
NATION
Ginsburg completes radiation
to treat tumor on her pancreas

WASHINGTON — Supreme Court Justice Ruth Bader Gins­burg has com­pleted ra­di­a­tion ther­apy for a can­cer­ous tu­mor on her pan­creas and there is no ev­i­dence of the dis­ease re­main­ing, the court said Fri­day.

It is the fourth time that the 86-year-old justice has an­nounced that she has been treated for can­cer over the last two de­cades and fol­lows lung can­cer sur­gery in Decem­ber that kept her away from the court for weeks.

Decem­ber’s sur­gery was her first ill­ness-re­lated ab­sence from the court since be­ing ap­pointed by Pres­i­dent Bill Clin­ton in 1993 and prompted even closer at­ten­tion to her health.

As the court’s old­est mem­ber, Justice Gins­burg has been asked ques­tions for years about her health and re­tire­ment plans.

She also has at­tracted en­thu­si­as­tic fans in re­cent years as the leader of the lib­eral wing of the court, which in­cludes four mem­bers ap­pointed by Dem­o­crats and five by Re­pub­li­cans.

The court kept Justice Gins­burg’s lat­est can­cer se­cret for three weeks, un­til she fin­ished ra­di­a­tion treat­ment.

There is no ob­li­ga­tion for justices to dis­close de­tails about their health, and Justice Gins­burg has gen­er­ally made more in­for­ma­tion avail­able than some of her col­leagues.

Re­tired Justice An­thony Ken­nedy, for ex­am­ple, had a stent in­serted to open a blocked ar­tery in 2005 but the pub­lic only learned about it 10 months later when he re­turned to the hos­pi­tal to have it re­placed.

The Supreme Court in­di­cated Fri­day that a rou­tine blood test led to the de­tec­tion of Justice Gins­burg’s tu­mor.

A bi­opsy per­formed July 31 con­firmed a “lo­cal­ized ma­lig­nant tu­mor,” and Justice Gins­burg started out­pa­tient ra­di­a­tion ther­apy Aug. 5.

She un­der­went three weeks of ra­di­a­tion ther­apy and as part of her treat­ment had a bile duct stent placed, the court said. Justice Gins­burg “tol­er­ated treat­ment well” and does not need any ad­di­tional treat­ment but will con­tinue to have pe­ri­odic blood tests and scans, the state­ment said.

The tu­mor was “treated de­fin­i­tively and there is no ev­i­dence of dis­ease else­where in the body,” the court said.

The state­ment did not say if the new tu­mor is a re­cur­rence of the pan­cre­atic can­cer Justice Gins­burg was di­ag­nosed with in 2009, or a new can­cer that arose.

She was treated for col­orec­tal can­cer in 1999.

“It’s cer­tainly not un­heard of for the can­cer to come back,” but it’s a more dire sit­u­a­tion if it’s that rather than a new tu­mor that was found early enough for ef­fec­tive treat­ment, said Dr. Mi­chael Pish­va­ian, a pan­cre­atic spe­cial­ist at the Univer­sity of Texas MD Ander­son Cancer Center who had no first-hand knowl­edge of Justice Gins­burg’s care.

Pan­cre­atic tu­mors are usu­ally treated with sur­gery, but she or her doc­tors may have

cho­sen not to do that for var­i­ous rea­sons, and ra­di­a­tion is a stan­dard treat­ment if sur­gery is not done, Dr. Pish­va­ian said.

Dr. Alan Ve­nook, a Univer­sity of Cal­i­for­nia, San Fran­cisco, pan­cre­atic can­cer spe­cial­ist who also has no di­rect knowl­edge of Justice Gins­burg’s case, said it’s not pos­si­ble to know much about her out­look with­out de­tails from her doc­tors.

If it is a re­cur­rence that took a de­cade to form, “that tells me it’s not a very ag­gres­sive can­cer,” he said.

The court said Justice Gins­burg can­celed an an­nual sum­mer visit to Santa Fe but oth­er­wise main­tained an ac­tive sched­ule dur­ing treat­ment. She is sched­uled to speak in Buf­falo next week and at the Li­brary of Con­gress Na­tional Book Fes­ti­val in Wash­ing­ton at the end of the month.

Be­fore Fri­day’s an­nounce­ment, Justice Gins­burg’s most re­cent known health scare was in Decem­ber, when she had sur­gery for lung can­cer.

The can­cer­ous growths were found when she un­der­went med­i­cal tests af­ter she fell in her court of­fice and broke three ribs in No­vem­ber.

Justice Gins­burg was ab­sent from the court in Jan­u­ary as she re­cov­ered from sur­gery and missed six days on which the court heard a to­tal of 11 ar­gu­ments. But she re­turned to the bench in Feb­ru­ary and par­tic­i­pated in the court’s work dur­ing her ab­sence.

ASSOCIATED PRESS
No evidence
of disease,
court reports
ASSOCIATED PRESS
Supreme Court Justice Ruth Bader Ginsburg has been treated for cancer four times over the last two decades.
U.S. to allow mining, drilling in parts of Utah monument
Some limits remain for Grand Staircase-Escalante
(salt lake city) deseret news
A new management plans clears the way for coal mining and oil and gas drilling as well as cattle grazing at Grand Staircase-Escalante National Monument in Utah.

SALT LAKE CITY — A new U.S. gov­ern­ment man­age­ment plan un­veiled Fri­day clears the way for coal min­ing and oil and gas drill­ing on land that used to be off lim­its as part of a sprawl­ing na­tional mon­u­ment in Utah be­fore Pres­i­dent Trump down­sized the pro­tected area two years ago.

The Bureau of Land Man­age­ment plan also would open more lands to cat­tle graz­ing and rec­re­ation and ac­knowl­edges there could be “ad­verse ef­fects” on land and re­sources in the mon­u­ment.

While al­low­ing more ac­tiv­i­ties, the plan also would add a few safe­guards for the cliffs, can­yons, wa­ter­falls, and arches still in­side Grand Stair­case-Es­ca­lante Na­tional Mon­u­ment that weren’t in a pro­posed plan is­sued last year.

Among them are open­ing fewer acres to ATVs and can­cel­ing a plan that would have al­lowed peo­ple to col­lect some non-di­no­saur fos­sils.

The Bureau of Land Man­age­ment said no land will be sold from the 1,345 square miles that were cut from what had been the 3,000 square miles of the mon­u­ment.

Harry Bar­ber, act­ing man­ager of the na­tional mon­u­ment, said the plan re­flects changes made af­ter con­sid­er­ing in­put from the pub­lic and con­sid­er­ing an as­sess­ment that there are enough pro­tec­tions al­ready in place.

“There are peo­ple who graze live­stock, peo­ple that like to hunt, peo­ple that like to hike, peo­ple that like to trail run,” said Mr. Bar­ber, who has worked at the mon­u­ment since it was cre­ated. “We’re try­ing to be fair.”

The plan is ex­pected to go into ef­fect af­ter a pub­lic re­view.

The mon­u­ment has had a 63 per­cent in­crease in vis­i­tors over the past de­cade, host­ing 1.1 mil­lion peo­ple from Oc­to­ber, 2017, through Sep­tem­ber, 2018, ac­cord­ing to U.S. gov­ern­ment fig­ures.

Con­ser­va­tion and pa­le­on­tol­ogy groups have filed law­suits to stop the down­siz­ing.

They say the new plan lacks ade­quate pro­tec­tions for the land and re­it­er­ated their con­cern that the years spent cre­at­ing the plan were a waste of tax­payer re­sources be­cause the law­suits re­main un­re­solved.

Steve Bloch, le­gal di­rec­tor at the South­ern Utah Wil­der­ness Al­liance con­ser­va­tion group, said it’s un­for­giv­able to cut the mon­u­ment in half and down­grade the ex­cluded lands to what he calls “gar­den va­ri­ety pub­lic lands.”

“Grand Stair­case-Es­ca­lante is one of the na­tion’s pub­lic land crown jew­els and from the out­set the Trump Ad­min­is­tra­tion was hell-bent on de­stroy­ing this place,” he said.

The al­low­ance for coal, oil, and gas ex­trac­tion on the lands cut was ex­pected as the Trump Ad­min­is­tra­tion car­ried out a “reck­less” plan to undo pro­tec­tions on pris­tine lands, said Heidi McIn­tosh, man­ag­ing at­tor­ney of Earth­justice’s Rocky Moun­tains of­fice.

“First, they ripped in half and now they are of­fi­cially open­ing the door to all kinds of de­struc­tive ac­tiv­i­ties,” she said. “It’s re­ally a give­away to the fos­sil fuel in­dus­try.”

Mr. Bar­ber said that pro­tec­tions will re­main even though the lands are no lon­ger within the mon­u­ment.

“It’s not a free-for-all,” he

said. “That seems to be what I hear a lot, peo­ple feel­ing like now any­body can go out and do any­thing they want to do on these lands. But they need to re­al­ize that we still have our rules and pol­i­cies.”

Thus far, mar­ket dy­nam­ics have lim­ited in­ter­est in a large coal re­serve found in the now un­pro­tected lands.

But an eco­nomic anal­y­sis es­ti­mates coal pro­duc­tion could lead to $208 mil­lion in an­nual rev­e­nues and $16.6 mil­lion in roy­al­ties for the U.S. gov­ern­ment. Oil and gas wells in that area could pro­duce $4.1 mil­lion in an­nual rev­e­nues, it says.

Mr. Bar­ber said he’s ex­cited that com­pet­i­tive events would be al­lowed in the mon­u­ment un­der the bu­reau plan.

Pres­i­dent Bill Clin­ton cre­ated the mon­u­ment in 1996 us­ing the An­tiq­ui­ties Act, which sets guide­lines call­ing for the “small­est area com­pat­i­ble with proper care and man­age­ment” of ar­ti­facts to be pro­tected.

Mr. Trump cut the size of Grand Stair­case-Es­ca­lante amid a re­view of 27 na­tional mon­u­ments by then-In­te­rior Sec­re­tary Ryan Zinke. Mr. Trump also down­sized Bears Ears Na­tional Mon­u­ment in Utah by about 85 per­cent.

Mr. Trump said scal­ing back the two mon­u­ments re­versed fed­eral over­reach. The move earned cheers from Re­pub­li­can lead­ers in Utah who lob­bied him to undo pro­tec­tions by Demo­cratic pres­i­dents that they con­sid­ered overly broad.

Con­ser­va­tion groups have called Mr. Trump’s de­ci­sion the larg­est elim­i­na­tion of pro­tected land in U.S. his­tory.

David Polly, a pa­le­on­tol­o­gist at In­di­ana Univer­sity and past pres­i­dent of the So­ci­ety of Ver­te­brate Pa­le­on­tol­ogy, said he’s re­lieved no fos­sil col­lec­tion will be al­lowed in­side the mon­u­ment but he’s wor­ried that al­low­ing peo­ple to take non-di­no­saur fos­sils in the lands cut from the mon­u­ment could lead to prob­lems.

Some items such as pet­ri­fied wood can be hard to dis­tin­guish from a di­no­saur bones, he said.

ASSOCIATED PRESS