Orlando Sentinel

Ginsburg says her cancer has returned

Justice: Treatment working, no plans to exit Supreme Court

- By Adam Liptak

Supreme Court Justice Ruth Bader Ginsburg announced she has been undergoing chemothera­py and said she would remain on the court.

Justice Ruth Bader Ginsburg said Friday that she had had a recurrence of cancer but had been undergoing chemothera­py that had shown “positive results” and would remain on the court.

“I have often said I would remain a member of the court as long as I can do the job full steam,” she said in a statement issued by the Supreme Court. “I remain fully able to do that.”

Ginsburg, who is 87, said she had begun a course of chemothera­py May 19, after “a periodic scan in February followed by a biopsy revealed lesions on my liver.”

“Immunother­apy first essayed proved unsuccessf­ul,” she said. “The chemothera­py course, however, is yielding positive results. Satisfied that my treatment course is now clear, I am providing this informatio­n.”

She said a scan this month showed the liver lesions had been significan­tly reduced.

“I am tolerating chemothera­py well and am encouraged by the success of my current treatment,” she said.

Ginsburg has had both colon cancer and pancreatic cancer. When cancer spreads to the liver from another organ, it is considered advanced. Usually, it cannot be cured, but treatment may shrink the tumors and help control the disease.

Ginsburg did not say where the tumors in her liver are thought to have originated, but she did say her chemothera­py was called gemcitabin­e. That drug is generally used for pancreatic cancer, which is more difficult to treat than colon cancer.

Ginsburg is the senior member of the court’s fourmember liberal wing. Were she to leave the court, President Donald Trump would have the opportunit­y to nominate a third justice, joining Justices Neil Gorsuch and Brett Kavanaugh. A successful nomination would almost certainly move the court further to the right.

Ginsburg has had surgery for lung cancer and radiation treatment for pancreatic cancer in recent years.

She has also had surgery for early-stage pancreatic cancer in 2009 and treatment for colon cancer in 1999.

More recently, in May, Ginsburg underwent a gallbladde­r procedure, and she participat­ed in oral arguments from her room at Johns Hopkins Hospital in Baltimore. On Tuesday, she was treated for a possible infection at the same hospital after experienci­ng chills and a fever, and she underwent an endoscopic procedure to clean out a bile duct stent that was placed in August.

She was released from the hospital Wednesday and was “home and doing well,” a Supreme Court spokeswoma­n said.

“My recent hospitaliz­ations to remove gall stones and treat an infection were unrelated” to the recurrence of cancer, Ginsburg said in her statement.

“I will continue biweekly chemothera­py to keep my cancer at bay, and am able to maintain an active daily routine,” she said. “Throughout, I have kept up with opinion writing and all other court work.”

Dr. Wasif Saif, deputy physician-in-chief and medical director of the Northwell Health Cancer Institute in Lake Success, New York, said it was crucial for people receiving chemothera­py for advanced pancreatic cancer to also be treated for loss of appetite and digestive problems, to help keep up their strength and avoid weight loss.

“With supportive care, they do better,” he said.

If Ginsburg were to die or step down from the court there is little question that Senate Republican­s would try to confirm a third Trump nominee even in the waning days of his first term.

“Oh, we’d fill it,” Sen. Mitch McConnell of Kentucky, the majority leader, said last year.

Senate Republican­s took a different approach after the death of Justice Antonin Scalia in 2016, refusing to consider the nomination of Judge Merrick Garland in the last year of President Barack Obama’s second term.

McConnell and his allies say the two situations are different. When one party controls the Senate and the other the presidency, as in 2016, they say, vacancies should not be filled in a presidenti­al election year. When the same party controls both the Senate and presidency, they argue, confirmati­ons may proceed.

Democrats say this is hairsplitt­ing hypocrisy that damages the legitimacy of the court. But their power to stop a third Trump appointmen­t was diminished after changes in Senate rules on filibuster­s on nomination­s. All it takes now is a majority vote to confirm judicial nominees.

During the Obama administra­tion, some liberals urged Ginsburg to step down so Obama could name her successor. She rejected the advice.

“I think it’s going to be another Democratic president,” Ginsburg told The Washington Post in 2013. “The Democrats do fine in presidenti­al elections; their problem is they can’t get out the vote in the midterm elections.”

Trump, whose election proved her wrong, has been critical of Ginsburg, saying in 2016 that “her mind is shot” and suggesting that she resign. His sharp words came after Ginsburg criticized Trump in a series of interviews. She later said she had made a mistake in publicly commenting on a candidate and promised to be more “circumspec­t” in the future.

More recently, Trump urged Ginsburg and Sonia Sotomayor to recuse themselves in all cases involving him.

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 ?? T.J. KIRKPATRIC­K/THE NEW YORK TIMES ?? Ruth Bader Ginsburg said she is being treated for lesions on her liver. She has had pancreatic cancer and colon cancer.
T.J. KIRKPATRIC­K/THE NEW YORK TIMES Ruth Bader Ginsburg said she is being treated for lesions on her liver. She has had pancreatic cancer and colon cancer.

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