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Cancer Survival and Health Insurance: Is There a Connection?

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Cancer Survival and Health Insurance: Is There a Connection?
Cancer Survival and Health Insurance: Is There a Connection?

SYNOPSIS

This paper explores the statistical data related to health insurance and cancer survival rates. A description of different health insurance options is covered, as well as disparities that are associated with these choices. It attempts to make the connection between certain demographic groups and their health insurance options and eventual choices and how these individuals fared if ever diagnoses with cancer. Most studies outlines in this paper studied more than one type of cancer so as to provide a clearer picture from many angles.

Introduction

There has long been suspicion that the correlation between health insurance and better health care are undeniable. In reality, not only is the presence of insurance believed to allow the patient to fare better, but the better the insurance, the better the outcome. Generally, insurance is provided either through employer-based programs, government programs (i.e. Medicare, State Children’s Health Insurance Plan, Medicaid, etc.) or private (nongroup) insurance (Ward, Halpern, Schrag, Cokkinides, DeSantis, Bandi, Siegel, Stewart and Jemal, 2008).
Insurance Descriptions
Employer-Based
With employer-based programs, participants are either employees of a company or a family member of an employee of a company. In 2006, 62% of insured individuals obtained insurance through their employers. While employer-based insurance plans offer some advantages, there are some serious disadvantages to these plans. Not all employees choose to participate, whether it is purely by choice or because of inability to pay, which could lead to problems should these employees be diagnosed with cancer. Most tragically, if the insured employees do develop cancer, they may be at risk of losing their employment which of course would lead to losing their health insurance. The Consolidated Omnibus Budget Reconciliation Act, or COBRA, leaves them with an



References: Bradley CJ, Gardiner J, Given CW, Roberts C. Cancer, Medicaid enrollment, and survival disparities. Cancer 2005;103:1712–1718 Chen AY, Schrag NM, Halpern M, et al. Health insurance and stage at diagnosis of laryngeal cancer: does insurance type predict stage at diagnosis? Arch Otolaryngol Head Neck Surg 2007;133:784–790 McDavid, K. (2003). Cancer survival in Kentucky and health insurance coverage. Medical Benefits, 20(21), 2-2. Retrieved from http://ezproxy.umuc.edu/login?url=http://search.ebscohost.com.ezproxy.umuc.edu/login.aspx?direct=true&db=bth&AN=11430432&loginpage=login.asp&site=ehost-live&scope=site Roetzheim, R. G., Chirikos, T. N., Wells, K. J., McCarthy, E. P., Ngo, L. H., Li, D., Drews, R. E., & Iezzoni, L. I. (2008). Managed care and cancer outcomes for medicare beneficiaries with disabilities. American Journal of Managed Care, 14(5), 287-a298. Retrieved from http://ezproxy.umuc.edu/login?url=http://search.ebscohost.com.ezproxy.umuc.edu/login.aspx?direct=true&db=a9h&AN=35893855&loginpage=login.asp&site=ehost-live&scope=site Roetzheim RG, Pal N, Tennant C, et al. Effects of health insurance and race on early detection of cancer. J Natl Cancer Inst 1999;91:1409–1415 Ward, E., Halpern, M., Schrag, N., Cokkinides, V., DeSantis, C., Bandi, P., Siegel, R., Stewart, A., & Jemal, A. (2008). Association of Insurance with Cancer Care Utilization and Outcomes. A Cancer Journal for Clinicians, 58:9-31. doi: 10.3322/CA.2007.0011

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