By all medical accounts, Raphael should have been dead three years ago.

But the 46-year-old trucking-company owner, who suffers from an extremely rare, and deadly, form of skin cancer, is not only alive, but is doing with his life what would be surprising for anyone half his age and 100 percent healthier.

He is founder and manager of the kosher B’nai Raphael Chesed food pantry at 2917 Avenue K off Nostrand Avenue, a lifeline for an increasing number of people in Flatbush and the rest of the Bay area. “I’m convinced this is what is keeping me alive,” said Raphael, who wanted neither his last name nor his picture used, lest anyone think he was being self-aggrandizing.