Leadership and Cancer

When should leaders disclose to their countries thatstage of prostate cancer in February of 2009 and
they have cancer? Should they do so when it is inunderwent two months of successful radiation
the early stage? Mid-stage? Terminal stage? Thetreatment. The diagnosis and treatment was not
recent devastating earthquake in Haiti brought tomade public until October of 2009, because the
mind the battle with prostate cancer of its president,general and his family considered this a "private
Rene Preval. Mr. Preval was first diagnosed in 2001matter" and because it "did not interfere with his
after having completed his first term as president.duties".
After treatment by doctors in Cuba, his cancer wasFidel Castro, former President of Cuba, has been
declared "in remission". Following the disastrousrumored to be ill with cancer, but public disclosures
administrations of Jean-Bertrand Aristide and Bonifaceonly state that he has a "serious illness" and that he
Alexandre, Mr. Preval was persuaded to run foris "fighting a great battle" to regain his health.
president and was re-elected in 2006 after aThe reasons for withholding information of cancer
contentious and divisive election. Shortly afterward,diagnosis and treatment of leaders from the public
the newly elected president announced that theare not complex. In countries that, unlike the United
cancer had returned and that he would once againStates, have no Constitution that details a line of
travel to Cuba for tests and treatment. Since then,succession of its leadership, news of a cancer
the seriousness of Preval's cancer has been adiagnosis can bring about widespread chaos,
mystery, with Preval himself saying only that "heconfusion and, in some cases, coupes and other
feels physically and mentally well".revolutionary actions. The environment created by
General David Petraeus, Commander, US Centralsuch an announcement can become an opportunity
Command and previous Commanding General,for "outside infiltration" by groups seeking to gain a
Multi-National Force-Iraq was diagnosed with an earlyfoothold to promote their ideals.