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Cancer in America Is Way Down, For the Wealthy Anyway (bloomberg.com)

The good news is that cancer in America was beaten back over the 25 years ending 2016, with death rates plummeting, particularly when it comes to the four most common types of the dreaded affliction. From a report: There's a caveat, however. Those gains have been reaped mostly by the well-off. While racial disparities have begun to narrow, the impact of limited access to treatment for the poorest Americans has increased wealth-based inequality, according to the American Cancer Society's annual update on trends and statistics. "Any time you have a disease as serious as cancer, when you have a substantial reduction in deaths, that's a notable achievement," said Len Lichtenfeld, the interim chief medical officer for the American Cancer Society. "But there are still a lot of areas for improvement."

Health insurance and access to care can be an issue in some poor and rural portions of the country, where there are higher death rates of colon, cervical and lung cancers, according to Cancer Statistics 2019. While poverty was actually associated with lower rates of cancer mortality prior to the 1980s, that trend has since reversed, due in part to changes in diet and smoking as well as screening and treatment rates, the health organization said.

22 of 240 comments (clear)

  1. True for all medical conditions by OffTheLip · · Score: 5, Insightful

    I am shocked that people with money get better services.

    1. Re:True for all medical conditions by Anonymous Coward · · Score: 3, Insightful

      You may have meant it as a joke, but it is shocking that people get better medical care because they are richer. Better "pampering" - not shocking; better actual medicine - shocking.

      But then, the viciousness of US capitalism is shocking in general.

    2. Re:True for all medical conditions by Oswald+McWeany · · Score: 4, Funny

      I am shocked that people with money get better services.

      I'm planning on starting a meth lab in a camper if I get cancer so that I can afford the better services.

      --
      "That's the way to do it" - Punch
    3. Re:True for all medical conditions by jeff4747 · · Score: 4, Informative

      But will you actually get any care? I thought that to keep it affordable, you only get treatment if you meet certain criteria.

      You thought wrong.

      In other words, if you're 90 years old, no heart transplant for you, no matter how healthy you may otherwise be.

      Guess what? No heart transplant for 90 year olds in the US either. The eligibility criteria for getting on the transplant list would exclude an otherwise-healthy 90 year old.

    4. Re:True for all medical conditions by ceoyoyo · · Score: 5, Informative

      You've bought the anti-"socialized" medicine story. Most metrics, from longevity down, suggest that countries with modern health care systems (ranging from mostly public ones like in the UK and Canada, to the mostly private systems in Switzerland and Singapore) provide better care at a cheaper cost than does the US system.

      In public systems care is prioritized by need. You generally have to wait for elective procedures, unless they would resolve a problem related to mobility or employment, but you don't have to wait for emergency or time-sensitive problems (broken bones, fast growing cancer). There's also fairly little medical tourism to the US. If you want to pay, you can find a private clinic in Canada that will do the job, still cheaper than an American one would.

      Interestingly, mostly private systems ALSO seem to be more efficient than the US system, so it's not as simple as a public versus private system.

  2. Equality by fluffernutter · · Score: 3, Insightful

    Good old equality, American style. A person shouldn't be blackmailed with their own life.

    --
    Laws are rules for the court, but merely a bottom bar to hit for life. Think beyond laws in your actions always.
    1. Re:Equality by jeff4747 · · Score: 5, Interesting

      And highly trained medical staff shouldn't be forced into slavery, to take care of every health issue for people who can't or won't pay anything for it.

      If only there was some other entity that would pay those medical staff. You know, like the single-payer system in virtually every other developed country. Then it wouldn't be slavery.

      Honestly, I'm tired of people going on, constantly, about equality in America, as though it's something we're obligated to try to achieve, or even a worthy goal?

      Inequality is inefficient. You don't get the "best and brightest", you get the richest and most-connected. And >90% of the time, those rich people got their wealth from their parents, so they're not actually good at anything.

      For example, Trump. His dad made a crapload of money in NY real estate, because he was good at it. Trump has lost enormous amounts of money in NY real estate because he isn't any good at it. That's why he was on a TV show instead of doing more real estate.

      it's really all about giving people a framework of opportunities to better THEMSELVES, if they wish to make the effort.

      What you fail to understand is the effort to benefit from that framework is not equal. The wealthy give their children many advantages that put them ahead within that framework. Again, this means we get massive inefficiency because the person didn't actually make the effort, mom and dad bought their place. So they don't know what the hell they are doing and go bankrupt running a casino. Twice.

      Between doctors and dentists who willingly volunteer some of their time to provide these services

      The last Doctors without Borders event in the US had a line about 3x longer than they could serve. Many were turned away. Charity will not get this done.

      Also, did ya notice the irony of bemoaning "medical professionals working for free" at the start of your post, and "medical professionals working for free" as your preferred solution?

      Finally, Medicaid doesn't cover an enormous swath of uninsured people, thanks to Republicans blocking Medicare expansion from the ACA. Which means they don't get any insurance coverage and thus no medical treatment beyond Emergency Rooms.....which means you are paying a shitload more money in insurance premiums and taxes because the poor can't get preventative care.

      Single-payer is much cheaper than our current system. You would save a hell of a lot of money. Your taxes would go up, but your insurance premiums would disappear. Netting you a lot more in each paycheck. I don't know about you, but I really don't care if the deduction on my paycheck is labeled "Cigna premium" or labeled "Medicare". But some of those people might not suffer enough for your liking.

      Cancer treatment is HUGELY expensive, though - to the point where many insurance policies even put a "cap" on the amount they'll spend for it over your lifetime

      Nope. One of the things the ACA eliminated was lifetime caps.

      You can't just demand America provide the "best care possible" to everybody

      Sure we can. Every other developed nation pulls it off. Are you saying we can't do what the Canadians can?

    2. Re:Equality by ceoyoyo · · Score: 2

      And highly trained medical staff shouldn't be forced into slavery, to take care of every health issue for people who can't or won't pay anything for it.

      Don't worry, the highly trained medical staff are doing okay. I do medical research. I have more training than the vast majority of physicians. They make a LOT more money.

    3. Re:Equality by fluffernutter · · Score: 2

      In fact, I would argue that the goal of a nation should be to have the happiest people with the lowest GDP. Too much constant stress to produce takes people away from the meaningful things in life. Why have a population that works more than it has to?

      --
      Laws are rules for the court, but merely a bottom bar to hit for life. Think beyond laws in your actions always.
  3. Nuclear workers by goombah99 · · Score: 3, Interesting

    One group with low rates of cancers are people who work in the nuclear industry or on navy ships. They don't have shocking better healthcare plans than most middleclass folks so it may not just be wealth buying better health care. One guess is that by the nature of the work they are industrious people self selected to have otherwise healthy lifestyles but even studies trying to control for that still find lower cancer rates. Another possibility of course is that low level nuclear radiation is good for you. Since life evolved in a higher radiation level environment than today, it might not be shocking if multi-cellular animals figured out some way to differentially profit from radiation over their single cell parasites. But that's a stretch too. An even more likely hypothesis is apparently nuclear material environments actually are less toxic than others. That too would not be surprising since Nuclear is all about safety and avoiding accidents so hazards are controlled carefully. A final hypothesis remaining is that it's not that bad for you in low doses compared to the variability in life itself.

    --
    Some drink at the fountain of knowledge. Others just gargle.
    1. Re:Nuclear workers by spitzak · · Score: 3, Insightful

      How about due to increased cancer tests and screening of the workers? Also wondering if cancer gets you reassigned out of that area. The radiation released (unless the is an accident) is lower than natural sources so I don't think it is possible this is a direct result of radiation.

    2. Re:Nuclear workers by Ungrounded+Lightning · · Score: 2

      One group with low rates of cancers are people who work in the nuclear industry or on navy ships. ... Another possibility of course is that low level nuclear radiation is good for you.

      I wouldn't assume that the level of ongoing, background, exposure to radiation is higher for nuclear workers than the general population. Nuclear workers are in an environment where nuclear exposure is carefully monitored and minimized, while the general population is, or has been, wandering around radiation-blind and unmonitored among various threats. Having said that...

      It has been known for decades that small increases in ongoing background ionizing radiation actually reduce cancer rates.

      As I recall this came up in studies looking for a higher cancer rate among residents of higher altitude sites, such as Denver, where the background radiation was slightly higher due to things like more secondary cosmics. The studies, surprisingly, showed a lower, rather than a higher, cancer rate.

      One theory to explain the effect was that the effects of background radiation was detected by the cellular machinery, which responded by increasing the production of (nutritionally expensive) protective molecules, such as free-radical scavengers, overcorrecting, not just for the mutagenic effects of higher radiation levels, but also increasing protection from the (much larger) exposure to the free radicals produced by metabolism.

      This is what you might expect if, for instance, the detector(s) of the free radicals, damage, etc. were more loosely coupled to the nuclear DNA than the protective molecule production/delivery. Like an air conditioned house with the cold air vents at the center and the thermostat near the outer wall, with the center getting colder when the outside temperature gets hotter.

      Raise the ongoing background radiation enough, though, and the limits of the inducible enzyme production are hit. Beyond that the cancer rate does go up as you'd expect.

      Of course it wouldn't do squat for intermittent pulse exposures such as medical X-rays, or for people in whom the mechanism is defective or already maxed-out.

      --
      Bantam Dominique roosters crow a four-note song. Once you've heard it as "Happy BIRTHday" you can't NOT hear it that way
  4. Is this a good thing? by bigtech · · Score: 2

    Growth in cancer doesn't necessarily mean an increase in cancer, it means a decrease in other causes of death. So, a decrease in cancer might indicate increases in other, presumably preventable ways to die. Another way to put it is, that if you remove all the other causes of death you'd still be left with cancer.

  5. Cancer going away for wealthy soon by monkeyxpress · · Score: 5, Interesting

    I have a friend who works in oncology (he is a surgeon). He basically said that immunotherapy is incredible, and within 5 years he believes that those with enough money will be treated for many types of cancer by customised immunotherapy. They will go in every two weeks and a team will adjust the therapy based on the cancer's response until the cancer is gone. Add to this the work being done on early detection, and cancer could soon become nothing more than a strain on your bank account.

    Everyone else will continue to get cut, burn and poison. Having said that, this is how the economy has always progressed, and in 20 years when patents have run out and the treatments have become more mature, we can all look forward to this sort of thing.

    Certainly an exciting time to be alive.

  6. Deaths, not cancer by Larry+Lightbulb · · Score: 2

    Cancer is being detected and treated at earlier stages, so it's possible to have a similarly misleading title that says Cancer in America is Way Up. What the story is really about is that deaths from cancer is falling, particularly for people who can afford better treatment, which often requires time away from work.

  7. Re:How dare those well-off do better! by GregMmm · · Score: 3, Interesting

    Wow, you have got to be kidding me! Canada? Yup, they have it right. Just like my friends Grandma who was told by the very same Canadian health care system: Yes you have cancer, but according to the Canadian government you're too old to start treatments. Here is a bunch of pain pills. Please go home and die, and that is just what she did.

    Oh it's the evil insurance companies... wait it's the evil doctors making all the money, uh it's the evil.... Government. In Canada the one stop shop for your medical needs. Can't blame anyone else.

    Yes this is a true story. You should see my friend deliver it. You would be a bit bitter too if this is how your Grandma was treated.

  8. Smoking is also down for the wealthy by NeoMorphy · · Score: 2

    Isn't there supposed to be a link between cigarettes and cancer? Stop buying cigarettes and you will be healthier with more money. Win win

  9. Re:How dare those well-off do better! by fat+man's+underwear · · Score: 2

    And where did the government get this guideline from? Doctors. Face it, your friend's Grandma probably was too old to endure cancer treatment. We all die.

  10. Re:How dare those well-off do better! by jellomizer · · Score: 2

    Why do you insist that we only look at the failure implementation of ideas, and not look at successes, especially as the successes are better aligned with the size and wealth of America?
    Look at John Doe, who went bankrupt because he bought a Testla. So if you buy a Testla you will go bankrupt.
    Well John Doe, had other expenses, and didn't make the salary that would allow him to buy a Testla,
    while Jane Doe, has a higher salary and less expenses, so the Testla is a better fit for her, and the saving on gas cost will add to her overall financial health.

    The Venezuela model, had an economy based on high Gas and Oil prices, they were doing rather well while Gas and Oil prices were high, They can insult America as much as they want, because they had oil and the country was wealthy enough to fund social services.
    America has a more diverse economy, We can and have survived complete sectors collapsing. The American Economy can handle a lot of problems and still remain strong. A Universal Health Care system if wisely implemented wouldn't hurt the US and would probably be a net benefit, as we keep keep workers working. Because if someone gets sick, and remains sick because they cannot afford health care, will not be working and in general improving the economy.

    Now we should look at the issues that other countries have and see if they could happen with the US, and see if we can mitigated this problems such as making sure health care systems are competing for your business, and providers are getting paid for performance and make sure they can keep up with demand.

    Universal Medical treatment will cause increase demand, because there are people more willing to seek treatment because before they couldn't afford it, but that needs to be recognized and managed, but not just discredited because it is an issue.

    --
    If something is so important that you feel the need to post it on the internet... It probably isn't that important.
  11. Re:How dare those well-off do better! by whoever57 · · Score: 2

    Just like my friends Grandma who was told by the very same Canadian health care system: Yes you have cancer, but according to the Canadian government you're too old to start treatments.

    That was probably the best option, irrespective of cost. Treatment for cancer may in some cases provide only a very short increase in lifetime (and in some cases, no increase), while destroying quality of life.

    --
    The real "Libtards" are the Libertarians!
  12. Re:Not possible by jeff4747 · · Score: 4, Informative

    we had to pass the bill to see what was in it

    The bill was available and debated for almost a year.

    Obamacare fixed all of this

    The way the ACA would have fixed this particular problem is Medicaid expansion. Which Republicans sued over. And are blocking in every state they can.

    Why do they lie?

    Why do you?

  13. I am an asshole by DaMattster · · Score: 2

    I could care less that cancer rates are down for the wealthy. Who honestly gives a shit when they do so much to prevent the working class from getting good healthcare, jobs, and homes. The fact that cancer rates are down for a mere 1% (if that) of the population is inconsequential.