Deena stepped out of the shower and opened her towel in the steam. “Does my breast look weird?” These words irrevocably change the lives of writer Ariel Gore and her wife. As they descend into a world of doctors and tests, medications and insurance, sickness and treatments and hope and pain and more, they discover just how little they truly knew—despite the awareness campaigns and hyper-visible pink ribbons—about the reality of breast cancer. Over the four years following Deena’s terminal diagnosis, Ariel Gore does what she always does, no matter how difficult or personal the subject: she writes about it.

Written with keen insights, empathy, and humor, Rehearsals for Dying braids together the story of Deena’s experience, her own role as a caretaker, narratives from others living with breast cancer, literary reflections on illness, and reportage on the history of breast cancer and the $200 billion industry that capitalizes on and profits from breast cancer screenings and treatments. Rehearsals for Dying investigates and challenges everything we think we know about breast cancer. It goes beyond awareness to knowledge, presenting a rich, nuanced, heartbreaking, and hopeful portrait of what it is to be diagnosed with, treat, and live with breast cancer in the twenty-first century.

Our guest is: Ariel Gore, who is the founding editor and publisher of the Alternative Press Award–winning magazine Hip Mama and the author of ten books of fiction and nonfiction, including Rehearsals for Dying. She teaches writing online at Ariel Gore’s School for Wayward Writers at the Literary Kitchen.

Our host is: Dr. Christina Gessler, who works as a writing coach and developmental editor. She is the producer and show host of the Academic Life podcast.

Memoir playlist for listeners:

Welcome to Academic Life, the podcast for your academic journey—and beyond! You can support the show by downloading and sharing episodes. Join us again to learn from more experts inside and outside the academy, and around the world. Missed any of the 250+ Academic Life episodes? Find them here. And thank you for listening!

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Joseph Gfroerer spent nearly 40 years working as a statistician for the National Institute on Drug Abuse (NIDA) and the Substance Abuse and Mental Health Services Administration (SAMHSA). Starting in 1988, when the American drug war was taking its current shape, he led the National Survey on Drug Use and Health (NSDUH), one of the federal government’s largest and most important ongoing health surveys that tracks Americans’ use of illegal drugs, prescription drugs, alcohol and tobacco. War Stories from the Drug Survey: How Culture, Politics, and Statistics Shaped the National Survey on Drug Use and Health (Cambridge UP, 2018), written after he retired, shows where the survey came from, details how it gathers information, and tracks the impact that the shifting cultural and political climate surrounding drug use played on how these statistics were understood. Gfroerer provides necessary insight on what drug use statistics have meant, how they’ve been used (and misused), and what this means for our understanding of drug use in America today.

Emily Dufton is the author of Grass Roots: The Rise and Fall and Rise of Marijuana in America (Basic Books, 2017). A drug historian and writer, her second book, on the development of the opioid addiction medication industry, is under contract with the University of Chicago Press.

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Dr Nick Fancourt is a Horizon Fellow and Senior Lecturer in the Sydney Medical School. He also works as a paediatrician at the Children’s Hospital at Westmead. Nick researches childhood pneumonia, particularly in low and middle income countries. He lived in Timor-Leste from 2018-2020, working with local partners on intitiatives to strengthen communicable disease surveillance. As this episodes guest he will discuss child health issues and outcomes in Timor-Leste.

Timor-Leste has made significant progress in child survival, with deaths among young children reduced by 50% in the 20+ years since independence. Further progress is needed to achieve Sustainable Development Goal targets and meet strategic health priorities of the Timor-Leste government. Prevention and treatment of pneumonia and malnutrition are essential to these efforts, given the high burden of these conditions. Novel approaches will be needed, especially to reach high-risk groups, and will have global significance.

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In Seminal: On Sperm, Health, and Politics, Rene Almeling, Lisa Campo-Engelstein, and Brian T. Nguyen come together across disciplines to offer a kaleidoscopic view of the relationship between sperm, health, and the intersecting politics of gender, race, and reproduction. Always insightful and often provocative, the essays in this unprecedented collection cover a broad range of issues related to male reproductive and sexual health—including the latest technological developments for creating sperm; the specter of eugenics in contemporary medical markets; emerging approaches to male contraceptive methods, male infertility, and trans healthcare; controversies surrounding sperm donors and sperm banking; disparities in sexual health education for teens—all the while attending to the enormous variation in how individuals and societies understand, embody, and experience sperm.

At a time when the most basic rights of reproductive autonomy are under severe threat, contributors to this volume argue this is precisely the moment to rethink and reimagine sperm from a variety of medical, political, and cultural perspectives. Ultimately, this volume aims to contribute to a more reproductively just society and broaden conversations around bodies, health and equity in the United States.

Michael O. Johnston, Ph.D. is a Assistant Professor of Sociology at William Penn University. He is the author of The Social Construction of a Cultural Spectacle: Floatzilla (Lexington Books, 2023) and Community Media Representations of Place and Identity at Tug Fest: Reconstructing the Mississippi River (Lexington Books, 2022). His general area of study is at the intersection of space, behavior, and identity. He is currently conducting research about: escape rooms, the use of urban design in downtown historical neighborhoods of rural communities, and a study on belongingness in college and university. To learn more about Michael O. Johnston you can go to his personal website, Google Scholar, Bluesky (@professorjohnst.bsky.social), Twitter (@ProfessorJohnst), or by email ([email protected])

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Ungendering Menstruation by Ela Przybyło discusses why and how menstrual pain needs to be incorporated into discussions of gender, embodiment, and disability. Honing a "cranky" approach to being a menstruating body expected to accept and embrace trauma, Ungendering Menstruation examines menstrual suppression, toxicity, and the cooptation of menstrual positivity rhetoric. Drawing on their own experiences as a toxic shock survivor and a menstrual pain and period dysphoria sufferer, Ela Przybyło questions why, on what terms, and for whom menstruation has been fixed around experiences of pain. Instead, they present a vision for menstrual justice that refuses the womaning of bleeding and the further erasure, dismissal, and denial of menstrual pain as real pain. If menstruating is framed as somatechnically elective, Przybyło contends, it provides avenues for both celebrating and appreciating cultures of bleeding as well as for remaining critical of the ways in which bleeding has been used as a transphobic and sexist tool to fix gender in place.

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Ben Westhoff is an award-winning investigative journalist whose best-selling 2019 book Fentanyl, Inc.: How Rogue Chemists Are Creating the Deadliest Wave of the Opioid Epidemic (Grove Press, 2019), was one of the first to take fentanyl seriously as both a social phenomenon and a national threat. Since its release, Westhoff has become a policy expert, advising top government officials on the fentanyl crisis, and continuing to follow the story on his Substack account. The author of two previous nonfiction books and numerous articles in outlets like the Atlantic, The Guardian, and the Wall Street Journal, Westhoff’s fourth book, Little Brother: Love, Tragedy, and My Search for the Truth comes out this spring.

Emily Dufton is the author of Grass Roots: The Rise and Fall and Rise of Marijuana in America (Basic Books, 2017). A drug historian and writer, her second book, on the development of the opioid addiction medication industry, is under contract with the University of Chicago Press.

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Ben Westhoff is an award-winning investigative journalist whose best-selling 2019 book Fentanyl, Inc.: How Rogue Chemists Are Creating the Deadliest Wave of the Opioid Epidemic (Grove Press, 2019), was one of the first to take fentanyl seriously as both a social phenomenon and a national threat. Since its release, Westhoff has become a policy expert, advising top government officials on the fentanyl crisis, and continuing to follow the story on his Substack account. The author of two previous nonfiction books and numerous articles in outlets like the Atlantic, The Guardian, and the Wall Street Journal, Westhoff’s fourth book, Little Brother: Love, Tragedy, and My Search for the Truth comes out this spring.

Emily Dufton is the author of Grass Roots: The Rise and Fall and Rise of Marijuana in America (Basic Books, 2017). A drug historian and writer, her second book, on the development of the opioid addiction medication industry, is under contract with the University of Chicago Press.

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Richard Scheib's A Viewing Guide to the Pandemic (Headpress, 2025) is a film book like no other. It opens with the author's first-hand account of the Covid-19 pandemic and life in lockdown. His sense of dread, and anxiety about his state of health, were experiences shared with millions of others across the world. For author Richard Scheib, already committed to writing a book about plagues and pandemics in popular culture, Covid-19 felt like a perverse twist of fate. Media depictions of deadly contagions had, to this point, been speculative and often off the mark; his book takes an in-depth look at what filmmakers imagined would happen and contrasts it with the reality. International in scope, A Viewing Guide to the Pandemic examines films in a wide variety of genres, from the silent era to the present day. Black Death, Ebola, Mad Cow Disease, Bird Flu -- it explores fictionalized accounts of plague and pestilence such as box-office hit Outbreak (1995), as well as documentary treatments of real-life incidents. Whether the threats depicted have a basis in reality -- the biowarfare of the Cold War era, for instance -- or are, like zombies and vampires, more fantastical, Scheib demonstrates how the fear of contagion has provided a wealth of inspiration for the big and small screen. In addition to his work on the pandemic, Scheib runs Moria Reviews where he posts reviews for horror, science fiction, and fantasy films. 

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In the United States, systemic racism is embedded in policies and practices, thereby structuring American society to perpetuate inequality and all of the symptoms and results of that inequality. Racial, social, and class inequities and the public health crises in the United States are deeply intertwined, their roots and manifestations continually pressuring each other. This has been both illuminated and exacerbated since 2020, with the Movement for Black Lives (BLM) and the disproportionate effects of the COVID-19 pandemic on historically disadvantaged groups within the U.S. Dr. Dayna Bowen Matthew, Dean of the George Washington University Law School, explores and unpacks the public health crisis that is racism in her new book Just Health: Treating Structural Racism to Heal America (NYU Press, 2022). She describes how structural inequality undermines the interests of a thriving nation and the steps we can take to undo the pervasive nature of inequality to create more equitable and just systems.

Dr. Bowen Matthew describes her personal relationship with the concepts of structural inequality and racism in the public health system, opening with a heart-wrenching ode to her father’s experience with poverty and prejudice, which ultimately led to his premature death. Through her family’s story, she explains how structural inequality is perpetuated on a large-enough scale and with a powerful-enough scope so as to virtually guarantee social outcomes that reflect predetermined hierarchies based on race and/or class, hierarchies that remain consistent across generations. These disproportionate outcomes are often dismissed as due to comorbidities without the attention paid to social factors are the primary cause of comorbidities, because oppression in its many forms blocks equitable access to the social determinants of health. These social determinants include, but are not limited to, clean and safe housing, adequate education, nutritious food and fresh water, access to recreational spaces, and mental health services. Individuals who lack these, through no fault of their own, are then obligated to accept disproportionate care, illness, and disturbingly shorter life spans then are the norm for many Americans and are much closer to life spans in impoverished countries. Dr. Bowen Matthew presents evidence of discrimination in housing, education, employment, and the criminal justice system, detailing how law has played a central role in erecting disproportionate access to the social determinants of health, and therefore is a requisite tool for dismantling it. She provides a clear path to undoing structural racism and providing an equitable society to all, encouraging health providers, law makers, and citizens all to fight to dismantle the hurdles that many patients face because of the zip code in which they live.

Emma R. Handschke assisted in the production of this podcast.

Lilly J. Goren is a professor of political science at Carroll University in Waukesha, WI. She is co-editor of the award winning book, Women and the White House: Gender, Popular Culture, and Presidential Politics (University Press of Kentucky, 2012), as well as co-editor of Mad Men and Politics: Nostalgia and the Remaking of Modern America (Bloomsbury Academic, 2015). Email her comments at [email protected] or tweet to @gorenlj.

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At least one hysterectomy is performed every minute of the year, making it the most common gynecological surgery worldwide. By the age of sixty-five, one out of five people born with a uterus will have it removed. So, why do we seldom talk about this surgery? Highly performed yet overlooked, examining the paradox of hysterectomy begins to unravel the various problems with how we medically treat uteruses and the people who have them.
Get It Out: On the Politics of Hysterectomy (NYU Press, 2025) by Dr. Andréa Becker weaves centuries of medical history with rich qualitative data from 100 women, trans men, and nonbinary people who had, want, or are considering hysterectomy. In compelling detail, Dr. Becker reveals how America’s healthcare system routinely deprives people of the ability to control their own bodies along race and gender lines. When people ask for a hysterectomy, they are often met with pushback: Are you sick enough? Old enough? Have you had enough babies? Will you regret this? How will your future husband feel about this? Yet this pushback is not equally experienced. While some people are barred access, others are ushered toward a hysterectomy. These contradictory recommendations reveal the persistent biases entrenched within healthcare.
Get It Out interrogates how little choice people with uteruses ultimately have over their reproductive health, and explores what these “choices” signify amid interlocking systems of inequality.

This interview was conducted by Dr. Miranda Melcher whose book focuses on post-conflict military integration, understanding treaty negotiation and implementation in civil war contexts, with qualitative analysis of the Angolan and Mozambican civil wars. You can find Miranda’s interviews on New Books with Miranda Melcher, wherever you get your podcasts.

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