Aug 16, 2018

Axios PM

By Mike Allen
Mike Allen

Situational awareness: The Vatican says it feels "shame and sorrow" over the horrific abuses detailed by a Pennsylvania grand jury. This ends two days of silence after the report's release.

1 big thing: An American Queen

Aretha Franklin performing at the New Orleans Jazz Festival in 1994. Photo: Leon Morris/Getty Images

Aretha Franklin was more than an American icon, she was among its queens — and her death was mourned by multiple American presidents, along with millions of fans.

  • Barack and Michelle Obama: "America has no royalty. But we do have a chance to earn something more enduring... For more than six decades since, every time she sang, we were all graced with a glimpse of the divine."
  • President Trump: "She worked for me on numerous occasions. She was terrific." He later added that she was a "great woman, with a wonderful gift from God, her voice. She will be missed!"

It became even sadder when we learned the cause: pancreatic cancer — one of the deadliest kinds.

The big picture: Pancreatic cancer is infamous because of its low survival rate: just 9% of those who get it survive for five years. It's rare, painful and devastating, Axios managing editor David Nather reports.

  • And there has been less progress against it than other kinds of cancer, because it's harder to detect early — which can be the key to survival.
  • It's already the third-leading cause of cancer-related deaths in the U.S., according to the Pancreatic Cancer Action Network, and it's projected to become the second-leading cause by 2020.
  • The risk factors include family history, obesity, diabetes and smoking, the group says — but it's also up to 61% more common among African-Americans than among whites, Hispanics and Asians.
  • There has been some progress against the specific kind of pancreatic cancer Franklin had, as Matthew Herper writes in a smart piece in Forbes. It was the neuroendocrine type, according to the statement from her publicist. A drug called Afinitor has had some effect on that kind of cancer, Herper writes.
  • But the big problem is that pancreatic cancer is almost never detected early. Unlike other kinds that have seen more progress, like breast or prostate cancer, pancreatic cancer usually isn't detected until it's too late for surgery or other treatment options, according to the Pancreatic Cancer Action Network.

The bottom line: The progress against most kinds of cancer has been slow, but it has been especially slow against the kind that took Aretha Franklin from us.

Go deeper:

  • Jesse Jackson, in the Detroit Free Press, on Franklin's civil rights legacy
  • The New Yorker's postscript includes many of her most famous performances
  • The N.Y. Times' obituary, by Jon Pareles
2. What you missed
  1. Retired Navy Admiral William H. McRaven, who oversaw special forces during the Navy SEAL raid that killed Osama bin Laden, is challenging Trump to revoke his security clearance. Highlights.
  2. President Trump urged Attorney General Jeff Sessions today to bring a new lawsuit against opioid suppliers, and to crack down on the flow of opioids into the U.S. from Mexico and China. Go deeper.
  3. There are still around 30,000 ISIS fighters across Iraq and Syria, according to two new reports from the Pentagon and the U.N., far higher than previous estimates. Go deeper.
  4. About 1,000 Google employees have signed a letter asking for more transparency from Google about the expected rollout of Dragonfly, a censored search engine designed for the Chinese market, The N.Y. Times reported today. Go deeper.
  5. The Boston Globe received a threatening telephone call that is being taken seriously by local and federal authorities. Go deeper.
3. Her great hits

Photo: Dimitrios Kambouris/Getty Images

The New Yorker's David Remnick gathered a collection of Franklin's greatest live performances.

Worthy of your ears.

Mike Allen