May 20, 2024

The US Spends $200 Billion Each Year on Cancer Care – We Might Not Be Getting Our Money’s Worth

The studys findings revealed no connection in between national cancer care expenditure and cancer death rates among the general population. In other words, more cancer care spending does not always translate into enhanced cancer outcomes.” There is a typical understanding that the U.S. offers the most innovative cancer care in the world,” said lead author Ryan Chow, an M.D./ Ph.D. student at Yale. We were curious whether the significant U.S. financial investment on cancer care is certainly associated with better cancer outcomes.”

The research studys findings revealed no connection between nationwide cancer care expenditure and cancer death rates among the general population. In other words, more cancer care costs does not always equate into improved cancer outcomes. Credit: Michael S. Helfenbein/Yale University
The high expense of cancer treatment in the United States does not lower casualty rates
According to a recent research study by researchers at Yale University and Vassar College, the United States invests twice as much on cancer treatment as normal high-income countries, yet its cancer death rates are only marginally much better than average.
The findings were just recently published in JAMA Health Forum.
” There is a common understanding that the U.S. uses the most advanced cancer care on the planet,” stated lead author Ryan Chow, an M.D./ Ph.D. trainee at Yale. “Our system is touted for developing new treatments and getting them to clients faster than other countries. We were curious whether the considerable U.S. investment on cancer care is certainly associated with much better cancer results.”

The United States had the highest expense rate among the 22 high-income nations examined.
” The U.S. is investing over $200 billion annually on cancer care– approximately $600 per person, in contrast to the average of $300 per person throughout other high-income nations,” stated senior author Cary Gross, teacher of medicine and director of the National Clinician Scholars Program at Yale. “This raises the key question: Are we getting our cashs worth?”
The scientists discovered that nationwide cancer care spending revealed no relationship to population-level cancer mortality rates. “In other words, countries that invest more on cancer care do not necessarily have better cancer outcomes,” stated Chow.
Compared to the United States, 6 nations– Australia, Finland, Iceland, Japan, Korea, and Switzerland– had lower cancer death and lower expense on the condition.
Smoking cigarettes is the leading cause of cancer death, and cigarette smoking rates in the United States have actually typically been lower than in other countries. When the researchers managed for worldwide differences in smoking rates, the scientists found that the United States cancer mortality rates were no different than those of the average high-income country, with 9 countries– Australia, Finland, Iceland, Japan, Korea, Luxembourg, Norway, Spain, and Switzerland– having lower smoking-adjusted cancer mortality than the United States.
” Adjusting for smoking shows the United States in an even less beneficial light because the low cigarette smoking rates in the U.S. had actually been protective versus cancer death,” stated Chow.
More research study is needed to determine particular policy interventions that might meaningfully reform the United States cancer care system, the authors state. They point to lax regulation of cancer drug approvals and drug pricing as two essential aspects contributing to the high cost of U.S. cancer care.
” The pattern of spending more and getting less is well-documented in the U.S. health care system; now we see it in cancer care, too,” stated co-author Elizabeth Bradley, president of Vassar College and teacher of technology, science, and society. “Other countries and systems have much to teach the U.S. if we might be available to change.”
Referral: “Comparison of Cancer-Related Spending and Mortality Rates in the US vs 21 High-Income Countries” by Ryan D. Chow, Ph.D., Elizabeth H. Bradley, Ph.D. and Cary P. Gross, MD, 27 May 2022, JAMA Health Forum.DOI: 10.1001/ jamahealthforum.2022.1229.