Washington: A new study now finds that cancer survivors carry a higher burden related to medical debt payments and bills compared with individuals without a cancer history. The greatest hardships are found in younger survivors.
The research, published in CANCER, a peer-reviewed journal of the American Cancer Society, the study also found that among privately insured survivors, those who enrolled in high deductible health plans and did not have health savings accounts were particularly vulnerable to medical financial hardship.
Medical financial hardship can encompass three domains: material (such as problems paying medical bills); psychological (for example, worrying about paying medical bills); and behavioral (which might include forgoing or delaying care because of cost).
Zhiyuan Zheng, PhD, of the American Cancer Society, and his colleagues analysed information from the 2013 to 2016 National Health Interview Survey. The study included nationally representative samples of 10,354 cancer survivors and 124,436 individuals without a cancer history.
Compared with those without a cancer history, cancer survivors were more likely to report any material hardship (ages 18 to 49: 43.4 per cent versus 30.1 per cent; ages 50 to 64: 32.8 per cent versus 27.8 per cent; ages 65 and older: 17.3 per cent versus 14.7 per cent), psychological hardship (ages 18 to 49: 53.5 per cent versus 47.1 per cent, with similar rates for older groups), and behavioral hardship (ages 18 to 49: 30.6 per cent versus 21.8 per cent; ages 50 to 64: 27.2 per cent versus 23.4 per cent, with similar rates for ages 65 and older). Among privately insured survivors, having a high deductible health plan without a health savings account was also associated with greater hardship compared with low-deductible insurance.
Speaking about the study, Dr. Zheng said, “Identifying patients with medical financial hardship will be important for primary care and oncology care providers.” He further added, "Developing and evaluating interventions to minimize medical financial hardship will be important for the research community.