{"title":"Fragmented care and misaligned incentives of stakeholders in breast cancer care for the uninsured in the United States","authors":"Madhushree Zope MD, MS, Richard Sullivan MBBS, PhD, Lily Gutnik MD, MPH","doi":"10.1002/cncr.35878","DOIUrl":null,"url":null,"abstract":"<p>Access to and provision of breast cancer care in the United States for uninsured and underinsured patients is influenced by a complex network of advocates, legislative bodies, health care providers, and patients. The National Breast and Cervical Cancer Early Detection Program of 1990 and Breast and Cervical Cancer Prevention and Treatment Act of 2000 were milestone health policy changes that increased access to breast and cervical cancer screening, diagnosis and treatment for vulnerable populations. Implementation of these policies has been faced with challenges from the administrative, patient and provider perspectives. This commentary sheds light on the landscape of breast cancer care for the uninsured in the United States today, and identifies gaps that may benefit from universal healthcare policy.</p>","PeriodicalId":138,"journal":{"name":"Cancer","volume":"131 9","pages":""},"PeriodicalIF":6.1000,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cncr.35878","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Cancer","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/cncr.35878","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ONCOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Access to and provision of breast cancer care in the United States for uninsured and underinsured patients is influenced by a complex network of advocates, legislative bodies, health care providers, and patients. The National Breast and Cervical Cancer Early Detection Program of 1990 and Breast and Cervical Cancer Prevention and Treatment Act of 2000 were milestone health policy changes that increased access to breast and cervical cancer screening, diagnosis and treatment for vulnerable populations. Implementation of these policies has been faced with challenges from the administrative, patient and provider perspectives. This commentary sheds light on the landscape of breast cancer care for the uninsured in the United States today, and identifies gaps that may benefit from universal healthcare policy.
期刊介绍：
The CANCER site is a full-text, electronic implementation of CANCER, an Interdisciplinary International Journal of the American Cancer Society, and CANCER CYTOPATHOLOGY, a Journal of the American Cancer Society.
CANCER publishes interdisciplinary oncologic information according to, but not limited to, the following disease sites and disciplines: blood/bone marrow; breast disease; endocrine disorders; epidemiology; gastrointestinal tract; genitourinary disease; gynecologic oncology; head and neck disease; hepatobiliary tract; integrated medicine; lung disease; medical oncology; neuro-oncology; pathology radiation oncology; translational research
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