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10,000 Lack Health Insurance When Diagnosed with Cancer

March 26, 2012

American Cancer Society Releases Numbers of Uninsured Cancer Cases By County, Showing Need for Health Insurance Exchange

Albany, NY (March 26, 2012) - According to an American Cancer Society analysis, 10,000 New Yorkers every year who find they have cancer lack public or private insurance at the time of their diagnosis. The analysis includes the approximate number of uninsured new cancer cases per county (see chart below). More than 100,000 New Yorkers were diagnosed with cancer last year. 

A health insurance exchange would provide access to the health coverage those patients need to increase their odds of surviving cancer and avoiding financial ruin. The exchange is the entity that individuals not covered by employer plans and small businesses will use to obtain affordable coverage. Federal law requires the exchange to be operational on 1/1/14.  Gov. Cuomo included the exchange in his Executive Budget and the Assembly did the same in their budget plan. The Senate’s budget proposal did not include the exchange.

“What will Senate leadership say to uninsured cancer patients if they block the only real hope for health insurance coverage for those survivors?” said Blair Horner, Vice President for Advocacy, American Cancer Society of NY & NJ. “For people with chronic illnesses, like cancer, the lack of health insurance can be catastrophic – both physically and financially.”

In May 2011, breast cancer survivor Michele Cona of Johnson City, NY provided testimony at a hearing in Syracuse in support of a health insurance exchange:

“In that moment when I was told I had breast cancer, there was only one thing I knew for certain: I would die. At 55 I would be a statistic, an individual whose life meant nothing because I didn’t make enough money to get the care I needed. I had no insurance and no savings so there was absolutely no way I could pay for surgery, treatments and follow up. As I think about my future as a cancer survivor, and my ability to find and keep affordable and good insurance, I want you to remember that the exchange you are working to develop will give every New York resident equal access to medical care. No one should ever have to go through what I went through, and continue to go through."

In New York, 15 percent of the population does not have health insurance and that number has been growing.  In 2010, the US Census reported that nearly 2.9 million New Yorkers lacked health insurance. For cancer patients, lack of insurance can mean having to choose between paying for life-saving treatments and paying for rent.  Estimates are that 10 percent of cancer patients lack coverage at the time of diagnosis and that one-third of cancer survivors report losing coverage at some point after their diagnosis.

CANCER CASES BYNEW YORK COUNTY
2004 through 2008, average per year*

 
County          Total    Potential uninsured w/cancer
Albany           1708     171
Allegany        277      28
Bronx            5496    555
Broome         1235   123
Cattaraugus   488    49
Cayuga          491    49
Chautauqua   862    86
Chemung       573    57
Chenango      306    30
Clinton          448    45
Columbia       393    39
Cortland        272    27
Delaware       310    31
Dutchess       1491  150
Erie               5851  585
Essex            252    25
Franklin         277    28
Fulton           360    36
Genesee       344    34
Greene          350    35
Hamilton        41    4
Herkimer       399    40
Jefferson       574    57
Kings            10622    1062
Lewis            156    16
Livingston     353    35
Madison       409    41
Monroe         4071    407
Montgomery  330    33
Nassau         8178    818
New York      7924    792
Niagara        1381    138
Oneida        1442    144
Onondaga    2715    271
Ontario        596    60
Orange        1749    175
Orleans       231    23
Oswego       677    68
Otsego        366    37
Putnam       530    53
Queens       10000    1000
Rensselaer   965    96
Richmond    2485    249
Rockland     1583    153
Saratoga     1195    120
Schenectad   889    89
Schoharie     184    18
Schuyler       116    12
Seneca        216    22
St Lawrence  635    64
Steuben       581    58
Suffolk        8395    840
Sullivan        459    46
Tioga           302    30
Tompkins     441    44
Ulster         1060    106
Warren        451    45
Washington  386    39
Wayne         533    53
Westchester 5267    527
Wyoming      263    26
Yates           147    15
 
*Source: New York State Department of Health, State Cancer Registry, 2011, number of cancer cases per year based on 2004-2008.  Calculations by American Cancer Society.

Numbers are estimates and for illustration only.  The percentage of the population uninsured varies among counties, as will the number of uninsured cancer patients.  Thorpe KE, Howard D. “Health Insurance and Spending Among Cancer Patients” Health Affairs 2003; W3; 189-198, estimated that nationwide one in ten cancer patients lack health insurance coverage at the time of diagnosis.

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About the American Cancer Society
The American Cancer Society combines an unyielding passion with nearly a century of experience to save lives and end suffering from cancer. As a global grassroots force of more than three million volunteers, we fight for every birthday threatened by every cancer in every community. We save lives by helping people stay well by preventing cancer or detecting it early; helping people get well by being there for them during and after a cancer diagnosis; by finding cures through investment in groundbreaking discovery; and by fighting back by rallying lawmakers to pass laws to defeat cancer and by rallying communities worldwide to join the fight. As the nation’s largest non-governmental investor in cancer research, contributing more than $3.4 billion, we turn what we know about cancer into what we do. As a result, more than 11 million people in America who have had cancer and countless more who have avoided it will be celebrating birthdays this year. To learn more about us or to get help, call us any time, day or night, at 1-800-227-2345 or visit cancer.org.