The Citizen (KZN)

Plan for the lifestyle change, costs of cancer, as well as treatment

- Karen Bongers Karen Bongers is product developmen­t actuary for Sanlam Individual Life

Cancer, regardless of the type and who is affected, is costly in myriad ways.

Annually, a hundred million people globally face poverty because of healthcare expenses, according to a recent forum hosted by the World Health Organisati­on and the government on the cost of medicine.

A US study tracked the finances of 9.5 million people older than 50 at two and four years after diagnosis. A staggering 42.4% had depleted their life’s assets by year two.

By year four, financial insolvency reached 38.2%. It’s not just medicine, it’s the lifestyle costs of cancer as well. Which is why it’s imperative employers start asking if their employees are protected against the obvious – and less obvious – financial impacts of cancer.

While many employers provide medical aid and some insurance cover, it’s also important to help make people aware of the full picture in terms of costs. In the event of cancer, having severe illness and similar policies in place can make a dramatic difference financiall­y.

It’s really important for individual­s to understand all the additional, non-treatment related expenses and how certain policies can help cover these.

These are some of the most significan­t, non-treatment-related expenses: Petrol and transport costs: With yet more fuel hikes on the horizon in SA, this is a very real concern. Transport to and from doctors and treatment centres can add up, especially in rural regions, where patients may need to travel further to receive care. Accommodat­ion costs may also be incurred. Complement­ary therapies: Many patients seek alternativ­e therapies, like counsellin­g and acupunctur­e, for example.

Home care: Currently, a live-in caregiver earns around R54 000 a year, according to PayScale. That’s about R4 500 a month. This can vary considerab­ly depending on experience. St Luke’s Combined Hospices provides free palliative care to patients and their families.

Home adjustment­s: Often homes need to be adapted to make patients more comfortabl­e.

Clothing: Often patients lose weight or want gentle, looser, comfier clothes, so it’s wise to budget for new clothing, including hats, pyjamas and slippers.

Dietary changes: It’s also good to budget for a consultati­on with a dietitian regarding the best meal plan to follow, especially when experienci­ng chemothera­py, which can cause nausea and a lack of appetite. Then, food expenses might increase depending on the suggested diet.

It’s vital employers provide talks and create awareness to ensure employees are clear on the cover provided through the company. For example, an employee needs to be aware if the company provides group risk cover and whether such cover includes cover for cancer. If not, an employee could always take out cover in their personal capacity.

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