We can change our thinking. Rather than viewing the chemical adulteration of our environment and our bodies as the inevitable practice of convenience and progress, we can decide that cancer is inconvenient and toxic pollution archaic and primitive. We can start seeing the creation of carcinogens as the result of outmoded technologies. We can demand green engineering and green chemistry. We can let our systems of industry and agriculture know that they are suffering from a design flaw.

I have come to believe that extracting natural gas from shale using the newish technique called hydrofracking is the environmental issue of our time. And I think you should, too.

I'm beginning to perceive motherhood as a long, slow letting go, of which birth is just the first step.

The scientific analysis that is supposed to provide our Governor the facts and information he needs to make a crucial decision was crafted with the guidance of the gas industry, not of the state's scientists.

As currently written, the laws require certain manufacturers and users of such chemicals to report any and all environmental releases-either accidental or routine-to air, water, or soil. The Toxics Release Inventory is the main registry of such events, and it is available to the public through the Environmental Protection Agency. It is hardly comprehensive. Toxic emissions reported to the federal government are thought to account for only 5 percent of all chemical releases.

The study of how substances alter gene expression is part of the field of epigenetics. Some chemical exposures appear to turn on and turn off genes in ways that disregulate cell growth and predispose for cancer. From this perspective, our genes are less the command-and-control masters of our cells and more like the keys of piano, with the environment as the hands of the pianist.

Industrialized countries have disproportionately more cancers than countries with little or no industry (after adjusting for age and population size). One half of all the world's cancers occur in people living in industrialized countries, even though we are only one-fifth of the world's population. Closely tracking industrialization are breast cancer rates, which are highest in North America and northern Europe, intermediate in southern Europe and Latin America, and lowest in Asia and Africa.