HEALTH

The Battle Against Insurance Delays in Cancer Care

USA, AustinFri Dec 27 2024
Have you ever wondered why insurance companies make it so hard for cancer patients to get the care they need? Many doctors and patients are frustrated because insurance companies often deny or delay treatments and tests. This can be life-threatening for people fighting cancer. Dr. Debra Patt, a cancer specialist in Texas, has seen this problem firsthand. She compares the process to hurdles in a race, making it tough for patients to get the care they need. Texas is trying to fix this by creating rules that make it easier for doctors to get approval for treatments. Last year, Texas made a law to help people with autoimmune diseases skip the approval process. Now, doctors want the same help for cancer patients. But it's not just private insurers causing problems. Medicare, which helps older people, is now denying important breast cancer screenings. This year, Medicare started saying no to ultrasound tests for breast cancer. This is strange because these tests can find cancers that mammograms miss. They're especially important for women with dense breast tissue. Dr. Madhavi Raghu, a cancer doctor in Connecticut, noticed this change. She says it's unfair to tell women they need extra tests and then not pay for them. This can lead to women finding out too late that they have cancer. A woman named Hsu from New York City knows this struggle. She was diagnosed with breast cancer in 2015 and has been fighting it since. She needs lots of tests and treatments, but insurance companies make it hard for her to get them. Images like these are heartbreaking, and it's important to think about why this is happening. Why are insurance companies making it so hard for cancer patients to get the care they desperately need?

questions

    How does the Gold Card Act help cancer patients in Texas, and could similar legislation help elsewhere?
    What are the implications of doctors having to constantly seek prior authorization for treatments that are often approved?
    What if cancer patients could just swear a solemn oath that they're really sick instead of going through prior authorization?

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