Today Carl Bialik, who writes the "Numbers Guy" column for The Wall Street Journal turns his eye toward outwardly negative data about cancer survival rates in the U.S. and breaks them down to show why they are misleading.
At the same time, veteran drug industry reporter Andrew Pollack of The New York Times provides an extensive look at the economics of developing cancer drugs as part of a review on the "40 Years War on Cancer."
Both articles attack the complexities of treating cancer and the difficulty of measuring success in novel ways that stand apart from other reporting on the subject.
Bialik's column opens by noting the stubborn resistance of cancer survival rates to move - but immediately cautions readers not to see this as futility. He measures years gained by cancer patients - yes the mortality is the same but it obviously shows improvement if the average time from diagnosis to death is longer. His story features several quotes from both government health and private hospital and University researchers. He notes that because cancer is an amalgamation of many diseases there will never be one "cure" as with polio.
Pollack's article focuses on the implications of that last observation, taking a novel tack to reporting the subject - the difference between drugs that offer marginal improvements vs. home runs that stop tumors in their tracks.
As he analyzes the investment portfolios of the major drug companies, he notes that drugs that are expensive and easier to deliver to market - ones that might extend life by three-five months - can be more profitable than drugs that provide longer-term benefit. One stark example is a drug that costs $3,500/month and extends the life of pancreatic cancer patients for an average of 12 days.
While the article leads with a review of a massive oncology lab set up by Pfizer, Pollack quotes several doctors, medical experts and drug company executives about motivations, what's possible and why subtle variations in molecular activity among even the same type of cancer make it so difficult to treat.
Bialik is a high-risk/high-reward reporter to pursue because his column on statistics doesn't have a true peer, so if you spend weeks putting together ideas and data to craft the right idea to catch his attention and he doesn't like it, there isn't another reporter you can send it to. On the other hand, if he does like it, you'll end up with a large feature column.
A lesson from Pollack's article is to engage in media opportunities with your eyes open. The New York Times' health care reporters as a group trend negative toward the drug industry and health insurers, so Pfizer's team was probably somewhat nervous about dealing with Pollack. However, what's clear is that by participating, they were able to temper what could have been a hostile article and inject their hope and commitment into it.