Mathbud1
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- Jan 2, 2014
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High cost of care becomes cancer s growing burden USATODAY.com
"A recent American Cancer Society survey found that one-quarter of U.S. cancer patients put off getting a test or treatment because of cost, the group's chief medical officer, Dr. Otis Brawley, writes in his new book "How We Do Harm," which discusses costs and argues for more rational use of health care. One out of 5 survey respondents over 65 said they had used all or much of their savings on cancer care.
The burden hits hard on the middle class — people too well off for programs that cover the poor but unable to afford what cancer care often costs.
Dr. Amy Abernethy, director of the cancer care research program at Duke University, did a study of 250 such patients from around the country. Most were women with breast cancer, including Tyree. All but one had insurance, and two-thirds were covered by Medicare. The vast majority also had prescription drug coverage.
Their out-of-pocket expenses averaged $712 a month for doctor visits, medicines, lost wages and travel to appointments. To pay for cancer drugs, half spent less on food and clothes, and 43 percent borrowed money or used credit. Also, 26 percent did not fill a prescription, 22 percent filled part of one and 20 percent took less than prescribed."
Look at those numbers. You think poor people can afford all of that? Sure not all poor people have cancer but all poor people have the potential to get it. Is that fair?
First, you are basing your argument on the hypothetical that poor people might get cancer and that they might then not be able to find a way to afford treatment. You are taking this hypothetical situation and saying, "look our system is broken."
Second, in doing so you ignore the evidence that we currently have better cancer outcomes. You don't get more people surviving longer because fewer people are getting better treatment. You get that when the same number or more people are getting better treatment. Fewer people getting better treatment and the majority getting worse or no treatment would lead to outliers living longer and the majority living shorter.
Third, you haven't shown at all that government taking over would improve any aspect of the current system.