My email was active this morning, Wednesday, September 30, the night after the “Cacophony in Cleveland” known as the first Presidential Debate of 2020. Texts were coming in during the debate. People stopped watching it. They couldn’t stand it.

That’s right, friends, there is no Constitutional mandate that your vote for president needs to be counted at all. It has been by convention that the state legislatures have translated the popular vote into the Electoral College numbers. This is not written in stone.

This may well determine who wins. Who actually cares about who wins the presidential race and who does not. You would think everyone cares, but after the debate on Tuesday night, does anyone?

We are about to see the worst of humanity as well as the worst of the American political system following the untimely death of one of my personal heroines, Ruth Bader Ginsburg. She was a pioneer for women and a Jewish woman who represented the best of America in every way.

I am not sure that there has ever been a figure on the U.S. political scene who has both embodied a cause and exemplified it at the same time more than Justice Ruth Bader Ginsburg. If there is someone else, it is Thurgood Marshall. This may be one of those times worth going back to Hollywood to grasp exactly what the people who stood for the cause actually went through to accomplish what they did. In both the films Marshall and On the Basis of Sex, Hollywoodization allows some degree of comprehension of what it must have been like to…

I remember the moment well. In the fall of 1992 upstart “Third Way” Democrat Bill Clinton had managed to get by all the bimbo accusations one candidate could muster (at least until Donald Trump) and was debating the incumbent President of the United States, George H. W. Bush.

The first is a lie. It’s the appearance or perception of something that is not. The second is a disappointment. You had expected one thing and got another, usually producing lesser joy. You were disillusioned. I have been thinking about both of these words a lot of late particularly as it applies to how I try to get at the truth.

Donald Trump is not the cause of the current state of American misery. Had Hillary Clinton won in 2016, we would still have the virus and that’s problem number one. We would still have the fires and climate change. That’s problem number two. The virus would still have caused the economic downturn, but I really doubt Hillary would have done any better although she might have been more honest about it.

In 1995, when I became the Associate VP for Clinical and Translational Research at MD Anderson, I was thoroughly unqualified for such a title. I was a bench scientist who had done very little translational research and no clinical research beyond being a fellow in the Medicine Branch of the National Cancer Institute doing the scut work associated with the clinical research of others. I knew how a clinical study was supposed to be run, but little else. I had a lot to learn and many patient faculty members who were kind enough to teach me.