The cost of care
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Today a patient of mine came to the ofice and left after she was told she needed to see our financial counselor because of a out standing bill. She told the receptionist that she would not be back because she couldn't afford to pay. She had just finished a 7 week course of radiation for lung cancer. she will need long term follow up but it seems money will stand in my way of taking proper care of her. It seems that this is a problem that many patients and their doctors are struggling with. I will do my best to try to work with this patient in order to for her to get the care she needs. The study below shows how wide spread the problem is. Study: Many cancer patients forgoing care because of cost |
By Liz Szabo,
At a time when they're already fighting for their lives, more cancer patients are now struggling to pay for their medicines.
One in eight people with advanced cancer turned down recommended care because of the cost, according to a new analysis from Thomson Reuters, which provides news and business information. Among patients with incomes under $40,000, one in four in advanced stages of the disease refused treatment.
Of late-stage colon cancer patients, 12% spent more than $25,000 out of pocket, according to the survey, in which 1,767 people answered an online questionnaire. This type of survey isn't considered scientifically rigorous, because it didn't use a random sample of people. But its findings are similar to a 2006 study in Cancer, which found that cost caused more than 20% of all cancer survivors — not just those with advanced cases — to delay or miss needed care.
Experts say the signs of stress are everywhere:
• Nearly 20% of Americans have problems paying their medical bills, according to a report in September from the Center for Studying Health System Change.
• One in four cancer patients or their families said they used up all or most of their savings to pay for treatment, according to a 2006 survey of nearly 1,000 survivors and their families by
• One in 10 in that survey said they were unable to pay for basic necessities, such as food, heat and housing.
Many of the medical advances that allow cancer patients to live longer come at a high cost, says Joseph Singer of HealthCore, a Delaware-based health research company.
As costs rise, insurers are shifting a greater share to patients, says Neal Meropol of
Charities that assist cancer patients say they're straining to keep up with the demand.
At CancerCare, a national group that provides social work and small grants for transportation expenses, requests for financial help increased 30% this summer compared with last, says executive director Diane Blum.
David Johnson, director of hematology and oncology at
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