Thursday, December 20, 2007
No insurance, No chance?
--Sanjay Gupta, CNN Senior Medical Correspndent

There is more evidence than ever that not having health care insurance can cost you your life. I was pretty struck by a report this morning showing that cancer patients were 1.6 times more likely to die in five years if they did not have insurance.

And, here is something even more striking: A patient with grade 2 cancer has a 90 percent survival rate at five years if the patient is insured. A patient with grade 1cancer (a better stage to have) has an 80 percent survival rate if the patient is not insured. Yes, you read that right. According to new data from the American Cancer Society, being uninsured makes you less likely to survive, even if you start with a lower-grade cancer.

There are more insurance issues raised in the study, and many of them have to do with lack of access to care. For instance, 86 percent of insured women get pap smears, compared to only 68 percent of uninsured women.

And, to make matters worse, if you do develop cancer, it is often difficult to get insurance because you now have a pre-existing condition. In fact, health care proposals released by presidential candidates Rudy Giuliani, John McCain and Fred Thompson have few provisions for people to obtain insurance if they already have a medical condition.

That is all the more ironic, given Mayor Giuliani's history of prostate cancer, Sen. McCain's history of melanoma and Sen. Thompson's history of lymphoma.

The insurance industry is taking steps to try to create plans for people with pre-existing conditions that are not prohibitively expensive, but for many people that relief may not come fast enough. Have you had a hard time getting insurance, even when you wanted to buy it? What did you do about it?
Posted By CNN: 11:54 AM ET
  7 Comments
Sanjay,
I don't think that the problem of why alot of people don't have insurance is anything to do with pre-existing conditions. It has to do with the insurance itself being extremely too high. I mean most people nowadays are barely making ends meet! They are living pay check to pay check. And trying to come up with that extra money for insurance just can't be done! When it comes to food on the table or insurance there's no big suprise what wins out!!

Cynthia, Covington, Ga.
Posted By Blogger Cindy : 12:11 PM ET
I wonder how many of the presidential candidates would be able to get insurance coverage if they applied for it today. Of course, they could afford to pay the high premiums. But what about the working poor, the unemployed, children?

Answers from the candidates are just another bunch of hoo-ey (medical term?). They will tout their health care programs, but in the end nothing will be done.
Posted By Blogger Barbara : 1:33 PM ET
Oh, My Dear Dr. Gupta,

I don't even know where to begin with this one. Reading this blog upsets me, and has made me overly emotional, because of my own personal experiences, current and passed.

It's reminded me of my tooth pain, which I try hard to ignore, because for, now I can do nothing about except overdose on Motrin.

Using my credit card, I saw THREE (3) dentists. Two wanted to charge me the world to correct the problem the problem, but at that point, my card was maxed. So I have to put it off until... Well, until. Thank God for Motrin, which doesn't always do the job.

I'm not one for taking medication, unless in extreme cases such as this toothache. Not even the problems I have with my fibroids, which is a whole other drama unto itself, can make me take painkillers.

Anyway, this topic overwhelms me. so, when I have calmed down and gathered myself, I'll come back with details on my attempts at buying, insurance. For now, let's just say, the insurance busy is a joke.

Nevertheless, THANK YOU for broaching the topic. It really is an extremely important matter.


JPHowell
Posted By Blogger JPHowell : 1:59 PM ET
I have had cancer 2x. First in 1989-90 had uterine cancer, diagnosed by pap smear. Early detection meant I had to have no treatments whatsoever. In 1998, I was diagnosed with hormone induced breast cancer. Had a mastectomy, but again, no treatments were necessary. It was diagnosed with yearly mammogram. I have not had insurance for about 2 years now and just try to find someone to take you as a patient if you have not insurance. I realize that we live in a capitalist society, however, is that any better than a socialist or communist society if you are left to die. Oh, yeah. You get no care either. I have seen this happen too many times. What are we doing to each other as a people? We need some type of health insurance that covers pre-existing conditions, survivors of conditions that could recur, and would have continuous coverage if a major medical problem arose. Too many people are dropped by insurance or employers who face rising insurance premiums. If we can afford a war with strangers, we can afford to take care of our neighbors.
Posted By Blogger Sandra Giseburt : 4:34 PM ET
Hi Sanjay. Yes, I've had trouble getting insurance. I currently have fairly good insurance through my job, but that wasn't always the case. After college I could no longer be covered on my mother's plan and every plan I tried to buy for myself was either way too expensive or rejected me due to pre-existing conditions.

What did I do? I went without--though I did purchase short term medical insurance every three months or so. It didn't cover anything pre-existing, but at least I had coverage if I got in an accident, which luck would have it, I did.

The health insurance situation in this country is deplorable.
Posted By Anonymous Stacy, St. Louis, MO : 5:31 PM ET
Sanjay

To keep health insurance I stayed in a job where the stress was making me ill and put off joint replacement surgery because of attendance requirements. Now I'm on disability, my health insurance runs out in a few months, and I am worried about not only how I will get coverage but my children as well. Disability benefits are not adequate to pay living costs plus insurance costs.

Since the condition that is disabling me is not really about to be fixed I'm not as worried about myself, but my children I do worry about. I just hope that their father can get coverage through his work that we can afford to cover at least them.

Suzanne Williams
Knoxville TN
Posted By Anonymous Anonymous : 10:14 PM ET
if you can afford cable tv every month, you can afford insurance
Posted By Anonymous Anne - Detroit, Mi. : 10:27 PM ET
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