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EGACY

Opinion: No throwaway kids - 2 Police shoot dead Norfolk woman - 4 Examining women and incarceration - 6 Talking about stroke & prevention - 14, 15

Yesterday. Today. Tomorrow.

WEDNESDAYS • March 23, 2016

INSIDE

Richmond & Hampton Roads

LEGACYNEWSPAPER.COM • FREE

The financial burden of cancer causes harm to quality of life

In July 2013, Cynthia Gathers made an appointment with a general surgeon to evaluate bumps that looked like pimples on her left cheek and shoulder. The McKenney, Virginia, resident had already been treated unsuccessfully by her primary care doctor and a dermatologist, and she wanted the bumps removed quickly before an August vacation to visit her family. “My surgeon thought the pimples were cysts but sent them off for a biopsy anyway,” said Gathers, an associate minister at a Baptist church who also works for the Department of Social Services of Dinwiddie County, south of Richmond. “A few days later, he called me to tell me that the bumps were actually cancer and that I needed to see an oncologist right away.” Gathers was diagnosed with stage IV non-Hodgkin lymphoma, a form of cancer that starts in immune cells called lymphocytes. For a month, Gathers received radiation treatments on her cheek and behind her ear, but new bumps formed on her chin. Her oncologist suggested she enroll in a clinical trial with treatment delivered intravenously. The therapy put her cancer into remission but left her with extreme neuropathy—numbness, tingling and pain caused by nerve damage. During treatment she could barely walk without a cane and missed work because she was so sick. And while Gathers had health insurance through her employer, her coverage had a $4,000 deductible and copays

Many oncologists and other physicians are complaining about the runaway costs of new prescription drug treatments that are burdening patients and insurers, priced at more than $120,000 a year. for prescription drugs that added up to more than $1,800 a year. Facing a mortgage, utility bills, transportation costs and missed work for which she wasn’t paid, in May 2014, less than a year after her diagnosis, Gathers was $29,000 in debt. “When you are sick in bed, the last thing you are thinking about is how to pay the bills,” said Gathers, who is 52 and lives alone with her cat. Because she wasn’t sure what her health insurance covered and was having trouble keeping up with expenses, debt started piling

up. Later, she learned she had incorrectly assumed responsibility for a $6,000 bone marrow biopsy because the bill was sent mistakenly to her instead of to her insurer. Debt collection agencies began to call. At the end of July 2014, Gathers filed for bankruptcy. “I cried and cried, but then I just felt relief because the harassing phone calls and letters finally stopped,” said Gathers, whounderwent chemotherapy again after a return of her lymphoma in January 2015. “I didn’t want to ruin

my credit, but I had no choice.” Gathers is one of more than 1.6 million Americans diagnosed annually with cancer, many of whom face not only the distress of a diagnosis, but a dizzying array of bills and crippling financial hardship. Almost a third of the more than 14 million U.S. cancer survivors face financial burdens, and physical and mental health tends to be worse for those who do, according to a new study released by the journal Cancer.

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