Iran Daily

50% of cancer patients burn through entire life’s savings in just two years

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The new study by researcher­s at the Universiti­es of Oklahoma and Arizona, as well as Vector Oncology in Tennessee, was one of the ¿rst to look at how that works on an individual basis.

It was also one of the ¿rst to assess ¿nancial toxicity across all cancers, whereas most others a speci¿c to the type of cancer.

Even after controllin­g for economic factors, like the economic crash in 2008, the ¿nancial burden remained the same.

Lead author Grant Skrepnek, associate professor of pharmacolo­gy, at the University of Oklahoma Health Sciences Center, told Dailymail. com that he was stunned by the numbers, even after 20 years in cancer research.

“It’s shocking,” Skrepnek said.

“[The ¿gures] were higher than we expected, and higher than previous work had alluded to as well.

“The bottom line is, our goal should be to eliminate as much uncertaint­y as possible for people in the most uncertain period of time in their lives.”

He added, “Clearly, we’re not doing a very good job.”

The paper, published in the American Journal of Medicine, is the follow-up from a study Skrepnek and colleagues published ¿ve years ago, showing cancer is cited for 33 million sick days a year in the US, particular­ly for breast cancer.

That is a signi¿cant blow to the nation’s productivi­ty as a whole.

Crucially, it pointed to the cruel reality that cancer patients struggle to keep up with the demands of the US economy, weakened physically, emotionall­y and ¿nancially by the very thing that is meant to be a lifeline.

The team decided to look at it from a personal angle - something, Skrepnek said, is not common for an economic paper (“we don’t do a very good job as researcher­s at looking at the broader picture”).

They found half the patients in the nationally-representa­tive study were driven into bankruptcy within a couple of years.

It’s a story that’s been told before, but something that appears to be either worsening or, at best, holding steady.

“Every clinician is as concerned as I am; incredibly concerned for the immediate time being,” Skrepnek said.

“We can and we should be doing better.”

There are no ¿gures on cancer costs past 2014, so the future is murky.

Skrepnek warned that one thing hampering our prediction­s is the advent of immunother­apy, the wonder drug that turns patients’ own cells into killers that hunt and kill cancer cells. It is tipped to save thousands if not millions of people who previously had no options. But it costs a cool $475,000 per case.

We still haven’t seen the large-scale impact of immunother­apy on patients’ survival rates and pockets, which injects yet more uncertaint­y into a historical­ly complicate­d ¿eld.

But Jennifer Singleterr­y, senior policy analyst at the American Cancer Society/cancer Action Network who authored last year’s report on cancer costs, warned that something else demands more attention: Short term healthcare plans.

The current administra­tion has promoted short term healthcare plans as a cheaper, more accessible way to get coverage for day-to-day ailments.

However, these plans rarely cater to cancer patients, kicking patients off the plan after a diagnosis or refusing to accept people in remission because their previous battle with cancer is classi¿ed as an ‘underlying condition”.

“We are very concerned,” Singleterr­y told Dailymail. com.

“Patients who buy these plans [often] don’t realize that they don’t cover a lot of things, or have caps. If someone gets cancer while enrolled in these plans, they could get kicked off. That’s when you’re going to see asset depletion because your insurance doesn’t cover your cancer care.”

What’s more, she warned, if more healthy people turn to short term plans, the minority of chronicall­y ill people will be left with much higher insurance premiums than usual on the standard plans.

“If these plans continue to proliferat­e, we might see this [trend] continue.”

It is dif¿cult to overstate “how hard it can be for a cancer patient to be hit with a bunch of bills in some two or three months”, Singleterr­y said.

“Often it’s before they have been diagnosed, because it’s all the diagnostic tests. It comes hard and fast at a time that is really dif¿cult.

“It’s scary to be diagnosed with cancer, [and often] it’s even more scary to be thinking about the ¿nancial implicatio­ns.”

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