As cancer survival rates rise, so do the price tags of life-saving treatments. Monthly drugs costs may reach $100, 000, causing many Americans to struggle with the physical and emotional effects of high out-of-pocket medical costs. Even worse, others are completely priced out of the hope for a cure.
According to a 2019 survey conducted by The Mesothelioma Center at , the nation's most trusted mesothelioma resource, 63% of cancer patients and loved ones reported financial struggles following a cancer diagnosis.
Low-income families, Americans who are uninsured or underinsured, and blue-collar workers who face medical bills more than four times their annual salaries cannot afford the rising costs of cancer treatments.
Hospital And Surgery Costs
People often only think up to surgery, but post-operative care is where the higher costs are. Dealing with complications and covering costs of scans, home care and follow-up treatments such as chemotherapy is when it gets really expensive. Missy Miller Medical Outreach Director at The Mesothelioma Center
Although AARP The Magazine shows average total costs of cancer treatment run in the $150, 000 range, it doesn’t paint an accurate picture.
Total out-of-pocket costs depend on a number of factors, including insurance coverage, types of cancer and treatment, frequency of treatment and costs related to the cancer center.
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The average monthly income is $4, 400 before taxes for a full-time wage or salary worker. This is a third of the cost of some chemotherapy and immunotherapy infusions.
The U.S. Bureau of Labor Statistics reported that the median weekly earnings of the nation's 119.2 million full-time wage and salary workers was $1, 100 in the first quarter of 2023. Even with a typical employer-sponsored health insurance plan, a patient with 25% coinsurance would have monthly out-of-pocket costs of $2, 500 for a cancer drug that costs $10, 000 each month. That’s over half of the average American’s monthly income.
Treatment costs are highest among preventable cancers, including lung cancer, colorectal cancer, breast cancer and mesothelioma. Research shows most cancers are preventable. The lifestyle choices we make, the foods we eat, and our physical activity levels impact our cancer risk.
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Nearly 20% of cancer patients and their loved ones surveyed by The Mesothelioma Center at estimated that they spent more than $20, 000 each year in total out-of-pocket costs.
Treatments themselves are not the only factor in cancer costs. Nearly 50% of cancer patients surveyed said travel expenses related to treatment hurt their financial situation.
Forty percent of cancer patients surveyed had difficulties paying medical bills, while 12% lowered the dose of prescription drugs to make them last longer.
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At an average total of $150, 000, cancer treatment costs are more than four times higher than treatment for other common health conditions.
Four of the five most expensive cancer drugs on the U.S. market are types of immunotherapies, according to Memorial Sloan Kettering Cancer Center’s Drug Pricing Lab.
According to the latest U.S. Bureau of Labor Statistics data, several of these drugs cost nearly as much or more per month than the average American makes in a year, which is $52, 800.
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Despite the high price tag and rising promise of immunotherapy, the drugs don’t work for most patients. A 2019 study published in JAMA Network shows only 13% of patients who receive checkpoint inhibitors, such as Yervoy, actually benefit from the much-heralded treatment.
Chemotherapy is one of the most common cancer treatments. Depending on the drug and type of cancer it treats, the average monthly cost of chemo drugs can range from $1, 000 to $12, 000.
If a cancer patient requires four chemo sessions a year, it could cost them up to $48, 000 total, which is beyond the average annual income. Even after premiums and deductibles of health insurance are met, this person could be responsible for more than $10, 000 a year in out-of-pocket costs with coinsurance.
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A study published in the Journal of Oncology Practice shows the large reimbursement variations in Medicare for radiation therapy in cancer care. The study analyzed 55, 288 patients with breast, lung and prostate cancer who were treated with radiotherapy.
The findings show the significant cost differences for radiation are largely unrelated to patient or disease factors and based more on geography and rates of individual providers.
The high costs of cancer treatment are especially difficult to overcome among the poor, those who are uninsured or underinsured, and blue-collar workers who may lose wages as a result of their health issues.
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Cancer death rates are approximately 20% higher among residents of the poorest U.S. counties compared to the most affluent counties. The largest gaps are seen in preventable cancers, including lung, cervical, colorectal and liver cancers.
States in the Southern, Central and Western regions have the highest poverty rates, according to 2021 statistics from the U.S. Census Bureau.
According to the Commonwealth Fund Biennial Health Insurance Survey, 43% of U.S. adults ages 19-64 were “underinsured” in 2022, meaning their out-of-pocket health care costs, excluding premiums, equaled 10% or more of their yearly income.
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More than 28 million Americans remain underinsured because of high out-of-pocket costs and deductibles. Most uninsured were men ages 19 to 64 with less than a high school education, lower incomes or both.
In 2022, uninsured nonelderly adults were more than twice as likely as their insured counterparts to have had problems paying medical bills in the past 12 months.
Traditional blue-collar jobs represent a small portion of the U.S. labor force today, according to a 2018 report from Demos, a policy research think tank. Only 8% of the working class, or about 8 million workers, holds jobs in the manufacturing sector.
The Cost Of Cancer
Annual mean wages for the top blue-collar jobs was around $50, 000 in 2018, according to Forbes. That’s less than the monthly cost of some cancer drugs.
Mesothelioma is a rare cancer caused almost exclusively by occupational exposure to — 85% to 90% of cases — making it the No. 1 occupational cancer in the world.
The cancer carries a long latency period, often developing decades after workers were initially exposed to . Many mesothelioma patients are diagnosed after retiring from blue-collar jobs and now must pay out-of-pocket treatment costs on fixed incomes.
The High Cost Of Cancer Treatment
The cost of multimodal treatment of mesothelioma (combination of surgery, chemotherapy and radiation therapy) is comparable to that of lung cancer, which averages between $55, 548 and $79, 8181 during the initial six months of care, according to a January 2019 study published in Cancer Medicine.
Production and refining of arsenic, beryllium, cadmium, aluminum and chromium; mining of uranium, copper smelting, iron and steel founding, vineyard workers, roofers, asphalt workers, painters
An increasing number of studies show how unaffordable medical bills can impact a person’s health as much as the biological effects of cancer treatments. Researchers call this “financial toxicity.”
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The high costs of cancer treatments add distress, hardships and burden to a patient and their family. Out-of-pocket costs not only deplete checking and saving accounts but also can dictate treatment decisions.
He underwent an $80, 000 surgery to have his left kidney removed. He didn’t fully recover before needing 60% of his right kidney removed.
Boseke, a truck driver, was unable to work during recovery. He was completely out of income within three weeks and didn’t qualify for FMLA.
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Back to work and slowly chipping away at his debt, Boseke learned in February 2017 that his cancer had returned and spread to various organs.
He started taking a targeted chemotherapy pill that cost $30, 000 per month. He missed out on 20 to 30 hours of overtime pay each week because of the side effects.
In the end, Boseke would go from living in a four-bedroom house to a one-bedroom apartment. He lost a car and had to sell his beloved Harley-Davidson motorcycle. His 401(k) was depleted, and his credit score — which bottomed out at 380 — never fully recovered.
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In 1996, Mike Snyder was diagnosed with chondrosarcoma, a rare cancer that primarily affects the bones. It led to a knee joint replacement and later a full leg amputation.
Out-of-pocket costs were often the primary driver of Snyder’s treatment decisions. He was responsible for 20% out-of-pocket costs through his employer’s insurance, in addition to copays.
Snyder and his wife went through three retirement accounts, and the inheritance from his mother-in-law. They maxed out several credit cards and most of the $30, 000 they had set aside for their children’s graduation present from college.
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His worry now is affording AG-120, the drug he needs to stay alive. The drug retails for $12, 000 per month. Snyder makes about $40, 000 annually in take-home pay.
“How in the hell am I going to afford that?” he asked. “And if my insurance covers it, what will the copay be?”
Copayments for the diagnostics alone ate up more than a month of his Social Security income. He then was told monthly out-of-pocket costs for treatment would total between $750 to $1, 000.
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As the founder of Global Cannabinoid Research Center in Santa Barbra, California, he turned to cannabis oils that he previously used to treat his epilepsy.
“For over a year, I fought and fought to gain remission using various diets and other natural alternatives as the cannabis oils alone aren't the full answer, ” he said. “This left me
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