OBR Daily Commentary

forumImage

Women With Breast Cancer Delay Care When Faced With High Deductibles

(New York Times) May 4, 2018 - When people must pay thousands of dollars before their insurance kicks in, studies show, they postpone necessary tests and treatments.

Read Article arrow

William McGivney, PhD (Posted: May 11, 2018)

quotes

Payer cost-sharing requirements for patients are an anathema, abomination and disgrace all rolled into one. The current story reiterates, yet again, the issue of seriously ill patients delaying or forgoing needed treatment because of cost-sharing terms in their insurance plan. Cost-sharing is such a nice, euphemistic way to describe what is the abhorrence of this insurer patient-gouging strategy. Indeed, as I am wont to ask, is there still really health insurance that protects seriously ill patients from catastrophic events? If there is, it is “slip, slip sliding away” as commercial payer revenue keeps rising.
The solution is legislation that would eliminate on the private payer side and public payer side cost-sharing arrangements such as deductibles, co-insurance, and co-pays for those diagnosed with and battling serious life-threatening illnesses. A list of such illnesses should be delineated that deserve such protection to assure patient access to necessary therapies.
I developed the Terminal Illness program that Aetna instituted in 1992. To establish a solid patient-oriented and humane piece of legislation is a relatively easy “to do”. Then, we can see who truly stands in support of patients! We should move forward as we seek to serve and treat seriously ill patients in need!

quotes

Reply

Add Comment 1 Comment(s)

Meet the Editorial Board

Community Oncology
member photo
Dean Gesme, MD

FACP FACPE FASCO President, Minnesota Oncology...

Breast Cancer
member photo
Debu Tripathy, MD

Professor and Chair, Department of Breast Medical Oncol...

Lung Cancer
member photo
H. Jack West, MD

Medical Director, Thoracic Oncology Program, Swedish Ca...

Gastrointestinal Cancers
member photo
Howard S. Hochster, MD

Distinguished Professor of Medicine, Rutgers Robert Woo...

Radiation Oncology
member photo
Howard Sandler, MD, MS, FASTRO

Ronald H. Bloom Chair in Cancer Therapeutics
Pr...

Community Oncology
member photo
Jeff Patton, M.D.

CEO Tennessee Oncology...

Precision Medicine Section Editor
member photo
Jennifer Levin Carter, MD, MPH

Chief Medical Officer and Founder, N-of-One...

Financial Sector
member photo
Michael G. King Jr.

Managing Director and Senior Biotechnology Analyst...

Gastrointestinal Cancers
member photo
Richard Goldberg, MD

Director WVU Cancer Institute Director of Cancer Signa...

Editor-In-Chief
member photo
Robert A. Figlin, MD., FACP

Professor and Director, Division of Hematology Oncology...

Health Policy
member photo
Ted Okon

Executive Director Community Oncology Alliance...

Community Oncology
member photo
Thomas Marsland, MD

Vice President Integrated Community Oncology Network ...

Community Oncology
member photo
William Harwin MD

Florida Cancer Specialists President and Managing Part...

Health Policy
member photo
William McGivney, PhD

National Health Policy Expert...

Payer
member photo
Winston Wong, PharmD

President, W-Squared Group...