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Access to Health Care: The Cancer Perspective Daniel E. Smith President, American Cancer Society Can

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American Cancer Society Cancer Action Network (ACS CAN) November 2007. Making Progress ... American Cancer Society's vision: ... American Cancer Society's role: ... – PowerPoint PPT presentation

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Title: Access to Health Care: The Cancer Perspective Daniel E. Smith President, American Cancer Society Can


1
Access to Health CareThe Cancer
PerspectiveDaniel E. SmithPresident,American
Cancer Society Cancer Action Network (ACS
CAN)November 2007
2
Making Progress
3
All Sites Mortality Rates
By Year of
Death All Races, Males and Females
2015 Goal 50 Percent Reduction from Baseline
1991 Baseline 215.1
2004 185.7

(? 13.7 from Baseline)
2015 Projected Rate-135.9
Rate
(Current trend to 2015 - ? 36.8 from Baseline)
(The latest joinpoint trend (2002-2004) shows a
-2.1 APC in age-adjusted rates)
2015 Goal 107.6
Incidence and mortality rates are per 100,000 and
are age-adjusted to the 2000 U.S. standard
population. SEER Cancer Statistics Review
1975-2003.
4
Odds of More Advanced Stage at Diagnosis, Breast
Cancer, NCDB, 1998-2004
Odds ratio is significant at the 95 confidence
level. Note Model adjusted for insurance type,
race/ethnicity, age at diagnosis, income,
proportion without high school degree, US census
region, year of diagnosis, and facility
type. Source Halpern et al, 2007 (manuscript in
preparation)
5
Odds of More Advanced Stage at Diagnosis,
Colorectal Cancer, NCDB, 1998-2004
Odds ratio is significant at the 95 confidence
level. Note Model adjusted for insurance type,
race/ethnicity, age at diagnosis, income,
proportion without high school degree, US census
region, year of diagnosis, and facility
type.. Source Halpern et al, 2007 (manuscript in
preparation)
6
Cancer creates financial burdens
Percent who say each of the following happened to
them/their family member as a result of the
financial cost of dealing with cancer
Used up all or most of savings
Borrowed money from relatives
Contacted by a collection agency
Unable to pay for basic necessities like food,
heat, or housing
Sought the aid of charity or public assistance
Borrowed money/got a loan/another mortgage
Declared bankruptcy
Source USA Today/Kaiser Family
Foundation/Harvard School of Public Health Cancer
Survey (conducted August 1 September 14, 2006)
7
Most Important Diseases or Health
Conditions the Government Should
Address?
Harvard School of Public Health and the Robert
Wood Johnson Foundation, Americans Views of
Public Health, April 2006.
8
Our Charge
  • American Cancer Societys vision
  • By 2015, everyone will have timely access to the
    full range of evidence-based health care
    necessary to optimize health and well-being.
  • American Cancer Societys role
  • We will help frame the debate by bringing
    national attention to access to care as seen
    through the cancer lens.

9
Develop Policy Options Looking at the Health
Care System through the Cancer Lens
  • What is Meaningful Insurance?
  • - Policy Review Group
  • Phase 1 Principles statement and evaluative
    tool (2006)
  • Phase 2 Incentives for prevention in the health
    systems (March 2007)
  • Phase 3 Costs (October 2007)
  • Additional research underway

10
Phase I Principles Statement
How will we evaluate meaningful insurance?
  • The Four As
  • Adequacy
  • Affordability
  • Availability
  • Administrative Simplicity

11
Phase I The Evaluative Tool
  • A detailed list of questions the Society will ask
    about any reform proposal or health care system
  • May be applied to different models of health care
    reform or change
  • Provide the basis for developing practical and
    more specific evaluative criteria in the four
    main areas adequacy, availability,
    affordability, and administrative simplicity
  • Accessible to all volunteers and field staff
  • The Society is not currently offering its own
    plan, but rather will evaluate proposals put
    forth by others and decide whether to support
    them

12
(No Transcript)
13
Frame the Issue and EducateHealth Insurance
Assistance Service (HIAS)
  • Began April 2005 Georgetown University
    partnering with ACS (NGRD and HP)
  • Active in 28 states
  • 17 health insurance specialists (and counting)
  • More than 9,000 cases opened
  • We will use these stories to show problems with
    the current health care system through the cancer
    lens

14
Partnerships and Collaborations One compelling
message
15
(No Transcript)
16
Access to Care Messaging
What good is a health care system if it cant
help those who need it?
What kind of health care system is it if you have
to beg for the opportunity to fight cancer?
Is the choice between losing your life and losing
everything really a choice?
Fighting cancer is tough enough without having to
fight for the help you need.
17
www.acscan.org
18
Access to Care Petition
19
Advocacy Current Work
  • Aggressive advocacy work at the state and federal
    levels to expand access
  • SCHIP
  • NBCCEDP
  • Establish CRC pilot screening treatment program
    for the uninsured and ensure coverage for all
    Americans
  • Fund patient navigators
  • Provide access to cessation and clinical trials
  • Eliminate barriers to prevention in Medicare
  • Preserve existing coverage
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