Staying Fit
Two years after undergoing a double mastectomy and chemotherapy so severe she was hospitalized in intensive care for several weeks, breast cancer survivor Denise Hicks should be following what her doctors call "the plan."
"I should be taking medication, I should be having tests and lab work," says the 51-year-old Californian. "But my choice is to pay virtually every cent I have to do that or be able to pay for my rent, food and gas."
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Hicks has health insurance but already reached her coverage limits. So the CT scan that her oncologist "strongly advised" months ago to check a possible recurrence remains undone. "It would cost me $4,700 out of pocket—money I just can't afford." She's also skipping recommended medications. "One drug would cost me $167 a month and another is $200 a month," she says.
"So what am I doing? Well, I may soon be moving in with my 83-year-old mother, who lives in a trailer. But for now, I pray a lot," Hicks says.
Two million in limbo … and counting
Hick's disquieting predicament is not unique. At least 2 million Americans—roughly one in six cancer survivors—decide to forgo at least some of their recommended follow-up medical care because of the cost, according to recent research.
Like Hicks, who works as an emergency room nurse, "the vast majority of these cancer survivors have health insurance," says Kathryn Weaver of Wake Forest University Baptist Medical Center, who led the study. "But they still [may] have difficulties with high deductibles, copayments and other out-of-pocket costs."
Her findings, published in the medical journal Cancer, come after analyzing annual government surveys of more than 30,000 households from 2003 to 2006.
And those surveys were taken before the recent economic downturn and continued high unemployment.
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