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How Do Oncology Professionals Feel About Possible ACA Repeal?

How Do Oncology Professionals Feel About Possible ACA Repeal?

  • The National Comprehensive Cancer Network performed a survey during the period of congressional debate over the American Health Care Act (AHCA), which was withdrawn in late March due to the fact that the legislation did not have enough votes to pass. However, on May 4 the House approved legislation to repeal and replace major parts of the Affordable Care Act (ACA).
  • The survey found that 55% of respondents anticipated a negative impact, 11% anticipated a positive impact, and 34% anticipated a neutral or mixed impact.
  • In respondents who anticipated a negative impact, 71% believe fewer patients will have access to health insurance under proposed changes to the ACA.
  • In respondents who anticipated a negative impact from changes to the ACA, 69% believe high deductibles will limit patient access to care.
  • In respondents who anticipated a negative impact from changes to the ACA, 63% believe cancer screening rates will decline due to higher co-pays and deductibles.
  • In respondents who anticipated a negative impact from changes to the ACA, 57% believe patients’ pre-existing conditions could be excluded from coverage.
  • In respondents who anticipated a negative impact from changes to federal healthcare policy, 56% believe federal funding for cancer research will decline.
  • In respondents who anticipated a negative impact from changes to the ACA, 50% believe there will be less support for mental health services.
  • In respondents who anticipated a positive impact from changes to the ACA, 50% believe that with increased competition for insurers operating across state lines, health insurance premiums and co-pays will go down for more patients, leading to improved access to care.
  • In respondents who anticipated a positive impact from changes to federal healthcare policy, 50% believe allowing medications to be imported will create more competition and reduced drug prices.
  • In respondents who anticipated a positive impact from changes to the ACA, 38% believe patient health savings accounts will lead to increased price transparency for medical procedures and medications, causing healthcare costs to drop.
  • Two-thirds of respondents anticipated a negative impact on patients’ ability to afford their cancer care, with 9% anticipating a positive impact and 25% anticipating a neutral impact.
  • Although the ACA currently remains in place, according to the NCCN’s Chief Executive Officer Robert W. Carlson, MD, the “NCCN agrees there are ways to improve the current healthcare system for Americans with cancer, the clinical professionals who care for them, and payers. However, we are concerned for Americans with cancer that affordability, coverage of products and services in cancer treatment, and overall access will be impeded by allowing health insurers to set their own rates, or by providing states the ability to experiment with Medicaid coverage, without appropriate patient protections.”

Comments

If this survey truly represents oncologist opinion on healthcare - it probably does not -then the result is shameful. NCCN should be more responsible than this. I can see the right using this survey as cover for voting out the ACA.
Fred Grannis MD
Long Beach CA

Fred @

As an oncologist I disagree with these finding .I don't think that all participants reviewed the details of the AHCA . also agree this is a small sample to even use it for such an important conclusions.
By the nature of our work we are forced to be pessimistic though it is getting better now.

AMER @

Grossly insufficient survey respondent number. And results could merely reflect a negative and pessimistic outlook from the oncologist which may or may not reflect or predict what the truth would ultimately be.

Sadly, oncologists are likely overall becoming more and more pessimistic about the future of health care in recent years for multitude of reasons.

PATRICK @

Need more participants to have quantifiable data that better reflects the population's opinions of oncology healthcare professionals. Survey and what they want and let's get together to move the care spectrum to an applicable goal with better outcomes.

Priscilla @

The weakness I see in the survey is that it is limited to 76 Professional Oncologists. How many oncologists are there in the United States. As of 2011, it was estimated by ASCO that there were 13,084 oncologists. So this survey at best represents 0.6% of oncologists. Hardly what I would consider as a robust sample size. I'll leave it to statisticians to make the argument for its validity.

If you really want to influence our so-called "leaders" in the US you have to take five minutes out of your day and call your Senators and express your opinions.

We can all sit around and parrot USA, USA, USA, USA, ... Best healthcare in the World....

But certain ways of looking at the problem would strongly suggest this is not true and they we do not get the bang for the buck.

I trust anyone reading this posting understands that 30% of the healthcare dollar (estimated) goes to administering that river of wealth. Much of this "skim" comes at the expense of the true care givers and professionals who are in the trenches every single day.

Eric @

Poor study - not sure if results are reliable based on heterogeneous sampling, no matter what side of the fence you are on.

Thomas @

What is meant by "heterogeneous sampling". In statistics that is a good thing though it increases the variance.

Eric @

It is so welcome to read that physicians are responding to the question. We have to let our lawmakers know the consequences of their actions. Thank you, cancernetwork for asking! And thankd to all theose who responded.

mary @

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