(Title image: Photo by Alexander Mils on Unsplash)
Since we are now in the Pink Season, otherwise known as Breast Cancer Awareness Month, in the midst of encouraging mammograms and regular clinical exams, it’s also useful to consider a very important barrier to obtaining cancer treatment and services in the United States: cost.
This is particularly distressing because breast cancer research has been very well-funded and treatments are quite effective for most forms of the disease, with great strides also having been made in understanding some of the most aggressive variants.
But according to a 2021 memo from the the American Cancer Society’s Cancer Action Network, 61% of (all) cancer patients describe paying for their treatment to be “somewhat or very difficult”.
It is striking that financial difficulty affects the majority of cancer patients. Obviously, the lower the family income, the greater the hardship, with 80% of patients having to “make financial sacrifices to cover their health care expenses, including 44% who’ve dipped into their savings, 36% who’ve gone into credit card debt to pay medical bills and nearly a quarter who say they did not schedule or cancelled an appointment or procedure because of cost.”
None of this will come as a surprise to you if you’ve ever had to pay for healthcare in the United States. Suffice it to say, we have a problem with affordability here.

(Photo by Woliul Hasan on Unsplash)
I was one of the very lucky ones in this regard, as my husband and I both work for non-profit research institutes with generous benefits. At the time of my diagnosis, we were enrolled in an employer sponsored PPO (Preferred Provider Organization) insurance plan with a per-person, out-of-pocket yearly maximum of $2000. When we initially signed up for the coverage, I thought the increased cost of the PPO was unnecessary as we were all quite healthy. However, after my diagnosis, I was struck by how blessed we were to even have this degree of health coverage as an option.
Clearly, my family is in the minority in our good fortune. We were able to avoid the financial fears and burdensome debt, even bankruptcy, that affect so many other cancer patients. Cancer care is devastatingly expensive, particularly for those with little to no insurance coverage, or insurance coverage with extremely high deductables.
What options do you have if you find yourself delaying care due to finances?
*Start with your cancer center’s social workers. They have experience in helping patients and survivors who are dealing with financial hardship and can point you in the right direction.
* Visit the Cancer Financial Assistance Coalition (CFAC) website, which has a database that you can search according to your cancer type and financial needs to find a list of charitable organizations that can offer support for your situation.
*For medicines that are not covered by insurance, pharmaceutical companies may offer deep discounts on their drugs. Reach out to them directly. They would rather sell you a heavily discounted medication than not make a sale at all.
Even when it seems that your luck has run out, there are still options available to ease your financial burden. Unfortunately, the healthcare system might not change anytime soon, but please know that supportive charities can to lend a hand as you make your way through the cancer maze.