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Cancer diagnosis and treatment in working-age adults: Implications for employment, health insurance coverage, and financial hardship in the United States.
- Source :
-
CA: a cancer journal for clinicians [CA Cancer J Clin] 2024 Jul-Aug; Vol. 74 (4), pp. 341-358. Date of Electronic Publication: 2024 Apr 23. - Publication Year :
- 2024
-
Abstract
- The rising costs of cancer care and subsequent medical financial hardship for cancer survivors and families are well documented in the United States. Less attention has been paid to employment disruptions and loss of household income after a cancer diagnosis and during treatment, potentially resulting in lasting financial hardship, particularly for working-age adults not yet age-eligible for Medicare coverage and their families. In this article, the authors use a composite patient case to illustrate the adverse consequences of cancer diagnosis and treatment for employment, health insurance coverage, household income, and other aspects of financial hardship. They summarize existing research and provide nationally representative estimates of multiple aspects of financial hardship and health insurance coverage, benefit design, and employee benefits, such as paid sick leave, among working-age adults with a history of cancer and compare them with estimates among working-age adults without a history of cancer from the most recently available years of the National Health Interview Survey (2019-2021). Then, the authors identify opportunities for addressing employment and health insurance coverage challenges at multiple levels, including federal, state, and local policies; employers; cancer care delivery organizations; and nonprofit organizations. These efforts, when informed by research to identify best practices, can potentially help mitigate the financial hardship associated with cancer.<br /> (© 2024 The Authors. CA: A Cancer Journal for Clinicians published by Wiley Periodicals LLC on behalf of American Cancer Society.)
- Subjects :
- Humans
United States
Adult
Middle Aged
Female
Male
Insurance, Health statistics & numerical data
Insurance, Health economics
Income statistics & numerical data
Cancer Survivors statistics & numerical data
Employment statistics & numerical data
Insurance Coverage statistics & numerical data
Insurance Coverage economics
Neoplasms therapy
Neoplasms economics
Neoplasms diagnosis
Financial Stress
Subjects
Details
- Language :
- English
- ISSN :
- 1542-4863
- Volume :
- 74
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- CA: a cancer journal for clinicians
- Publication Type :
- Academic Journal
- Accession number :
- 38652221
- Full Text :
- https://doi.org/10.3322/caac.21837