High cost of new cancer drugs sparks new care struggle

Seattle, WA, United States (KaiserHealth) – Julie Grabow, an oncologist at the Fred Hutchinson Cancer Center in Seattle, recently prescribed an exciting new therapy for a 60-year-old woman with metastatic breast cancer. Three-and-a-half years into her battle against the disease, the patient had already exhausted three different anti-estrogen therapies, each of which only put a temporary check on the spreading tumors.

The newly prescribed drug, Novartis’ Afinitor, is one of the recently approved targeted therapies that have generated a lot of excitement among cancer patients and oncologists in recent years. Drugs that target just the cancer cells promise the same or better results as toxic chemotherapy, but with far fewer side effects.

There was a catch, though. Like many of the latest cancer drugs, Novartis is charging exorbitant amounts for the treatment – in this case, $10,000 per month. That quickly put an end to that possibility for Grabow’s patient. Her monthly co-payment, even after her insurance company agreed to pay its share of the off-label use the drug (the Food and Drug Administration has only approved Afinitor for kidney and pancreatic cancer, not breast cancer), was $2,900.

“She can’t afford this, even though it’s potentially a less toxic and potentially equally effective regimen,” Grabow said. “Chemo will help her, and it’s a reasonable choice. But that choice is 100 percent driven by economics.”

Over the past year, official Washington and candidates on the campaign trail have locked horns over the best way to curb rising health insurance costs. The public has been bombarded with dueling slogans – Republicans vowing to fight the “death panels” and “rationing” of Obamacare while Democrats promise “guaranteed access” and “affordability” with the Affordable Care Act.

But an economic drama that neither side wants to confront is playing itself out in cancer wards and oncologists’ offices across the country. Unaffordable new drugs, even when they’re covered by insurance, are being rationed by price as patients, doctors and hospital officials struggle with what is likely to be the most pressing problem for the nation’s health care system over the next decade: how to pay for the spectacular rise in the cost of cancer care, especially drugs and diagnostic tests.

About Health Insurance Great Britain - News


High cost of new cancer drugs sparks new care struggle

That's a variation on Great Britain's cost-effectiveness model, which has been roundly condemned by most US politicians and the press. The other path is to turn to a bundled payment for every for every episode of cancer care and let the health care



Alex Salmond's Hugo Young lecture – full text
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This has been endorsed by the great arbiter of accuracy in current UK politics - the Channel 4 fact check - which pointed out that international inward investment is now more successful in Scotland than any other parts of these islands,



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When the United States declared independence from Great Britain, the hospital was already 25 years old. Franklin also served on the hospital's original Board of Managers, as well as being its first secretary and second president.



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I think at least some of the companies anticipate being shills for the legislation and doing the online applications for health insurance under the exchanges and cutting the agents out of the picture since they have to operate on only 15-20% and pay



David Cameron takes aim at Britain's 'health and safety culture'
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This move, which is part of Labour's five point plan for jobs, would benefit thousands of small businesses across the whole of the UK and help to create desperately needed jobs. Getting businesses growing and people into work is vital if we're to




Why Should You Understand Health Insurance In Uk

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Insurers will use Two distinct channels to process your application, moratorium underwriting and full medical underwriting. Moratorium underwriting means that the insurance company will not need any information regarding your state of health, with full medical underwriting you have got to reveal your full medical history, plus they might want to contact your physician. People are looking at national health insurance uk for a variety of explanations, not just because the NHS isn’t providing all we may need at the moment. A major plus of private health cover is the guarantee it includes that after we or somebody we love is ill we or they will be seen immediately and provided the most suitable treatment solution irrespective of its expense, knowing that is invaluable.


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