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You are here: Home1 / Policy2 / Health Equity

Health Equity

Cancer Nation represents the millions of Americans who live with, through and beyond a cancer diagnosis. But the cancer experience is not the same for everyone. Gains in cancer survival due to advances in treatment and screening are not shared by all who are diagnosed with cancer.

Outcomes vary significantly based on a number of factors, including race/ethnicity, socioeconomic status, health insurance status, and geographic location. According to researchers from the American Cancer Society, a quarter of the approximately 600,000 annual cancer deaths in the United States could be prevented if everyone had access to the same prevention, screening, and treatment.

Cancer Nation works on policy efforts to address health equity and reducing disparities in outcomes. The problem of health equity is complex, as some of the factors that lead to inequity are deeply rooted in social determinants of health and systemic and institutional barriers. Many of the policies that would improve access to care  would contribute to reducing disparities. The Affordable Care Act (ACA), including its expansion of Medicaid, has reduced disparities in access to care and mortality rates, compared to states that chose not to expand Medicaid.

“Historically, racial/ethnic minorities, the poor, and the uninsured are less likely to receive evidence‐based cancer prevention and screening, and they are more likely to be diagnosed with advanced disease. Racial/ethnic minorities, the poor, and the uninsured are less likely to receive effective cancer treatment and have poorer survival after diagnosis. A substantial proportion of insured Americans are underinsured, and their access to high‐quality care is also limited. These underinsured populations are also less likely to receive evidence‐based preventive care and, when diagnosed with cancer, they are less likely to receive optimal care, including cancer surgery, radiation therapy, and systemic therapies, and they have poorer survival after a cancer diagnosis. Although some disparities in cancer care by race are decreasing, disparities by socioeconomic status and state of residence are increasing.”Yabroff, K Robin et al. “Minimizing the burden of cancer in the United States: Goals for a high-performing health care system.” CA: a cancer journal for clinicians vol. 69,3 (2019): 166-183. doi:10.3322/caac.21556
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Senate Votes Down Repeal Plan

July 28, 2017
After a dramatic week in Washington, the Senate voted last night to reject the “skinny repeal” bill that would have destabilized insurance markets and resulted in 15 million fewer people insured as early as next year. The vote was the third repeal bill the Senate rejected this week. It is not clear what’s next, but for today, we can breathe a sigh of relief that millions of Americans will not lose coverage. In talking to cancer survivors, in person [...]
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ACA Update | July 21, 2017: Despite Public Opposition, ACA Repeal Still Alive; Vote Planned Early Next Week

July 21, 2017
Since January, the health care debate has been tumultuous and unpredictable—and this week was no exception. Four Republican senators announced early in the week that they oppose the Better Care Reconciliation Act (BCRA), stopping the bill from moving forward as planned. Thanks to your advocacy efforts here in D.C., the phone calls, emails and letters to your Members of Congress, YOU helped stop this destructive legislation [...]
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What Caught Our Eye: Health Care Repeal News; John McCain’s Diagnosis & Debate Over Cancer “Battle” Words; Drug Pricing; Cancer Screenings

July 21, 2017
What Caught Our Eye (WCOE), July 21, 2017 – In the Spotlight – “These Americans Hated the Health Law. Until the Idea of Repeal Sank In.” Five years ago, the Affordable Care Act had yet to begin its expansion of health insurance to millions of Americans, but Jeff Brahin was already stewing about it. “It’s going to cost a fortune,” he said in an interview at the time. This week, as Republican efforts to repeal the law known as Obamacare [...]
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NCCS Statement on Senate’s Latest Health Care Reform Developments

July 19, 2017
The National Coalition for Cancer Survivorship (NCCS) applauds the failure to pass the harmful Better Care Reconciliation Act (BCRA) in the Senate. BCRA would have been disastrous for millions of older, sick, and low-income Americans. We thank the Senators and governors who made the health care needs of their constituents their top priority. We especially appreciate Senators Susan Collins, Shelley Moore Capito, and Lisa Murkowski [...]
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ACA Update | July 14, 2017: Updated BCRA Released; 30+ Cancer-Related Groups Join in Opposition

July 14, 2017
Yesterday, Senate leadership released an updated draft version of their health care repeal bill, the Better Care Reconciliation Act (BCRA). As Andy Slavitt, former acting director of the Centers for Medicare and Medicaid Services, states, “Trumpcare went from being very bad to unworkably bad.” The bill allows insurers to deny coverage based on pre-existing conditions, and to charge higher rates to sick people. [...]
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NCCS and 33 Cancer-Related Patient Advocacy and Professional Organizations Jointly Oppose Senate’s Revised BCRA

July 13, 2017
Silver Spring, MD – NCCS joined 33 cancer-related patient advocacy and professional organizations in opposition to the Senate’s revised Better Care Reconciliation Act (BCRA). “The Senate’s BCRA, just as the House’s AHCA, is a direct threat to America’s 16 million cancer patients and survivors who rely on timely and uninterrupted access to comprehensive and affordable health care,” said NCCS CEO Shelley Fuld Nasso. [...]
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NCCS Submits Comments to CMS, Stresses Importance of ACA and Outlines Steps to Strengthen Law

July 13, 2017
NCCS submitted comments to the Centers for Medicare and Medicaid Services (CMS) in response to a request for information, in which CMS asked for suggestions to empower patients and promote consumer choice, stabilize insurance markets, and enhance affordability. In our letter, NCCS stressed the importance of the Affordable Care Act, with its pre-existing condition protections, community rating requirements, essential [...]
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Open Letter to Congress: I Am Alive Because of the ACA (Guest Post)

July 11, 2017
By Rob DeLorenzo, Cancer Survivor – I am alive because of The Affordable Care Act (ACA). Having affordable and decent medical insurance allowed me to receive treatment for cancer which saved my life. But now you, our elected representatives in Congress, are voting to repeal the ACA and allow insurers to reinstate the pre-existing conditions exclusion, essentially voting for me and millions of others to lose [...]
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Cancer Nation Statement: Medicaid Work Requirements Will Unfairly Burden Cancer Survivors

June 4, 2026
Cancer Nation strongly supports a health care system free of waste, fraud, and abuse. Health care resources must be directed to delivery…
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Webinar – Understanding Blood-Based Testing in Cancer Care

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Cancer Nation's Webinar Series presents a clear, practical conversation about advances in blood-based testing and how they're shaping…
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Remembering Susie Leigh: A Founder, a Force, and a Friend

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Susan (Susie) Leigh, BSN, RN-Retired — one of the founding members of Cancer Nation, a five-time cancer survivor, and one of the…
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Harmar Brereton, MD

Founder
Northeast Regional Cancer Institute

 

“Perhaps one of the most impactful collaborations in Dr. Brereton’s extraordinary career remains his early work and long friendship with Ellen Stovall. Through him, and in turn through the thousands of lives he has touched, Ellen’s work continues, and her mission lives on.”

—Karen M. Saunders
President, Northeast Regional Cancer Institute