FIGURE 6-4 Sources of payment for health services expenditures among people reporting cancer-related health effects, by age, 2001–2002. The “cancer health effects” group does not necessarily include all cancer survivors; cancer survivors who do not experience adverse cancer-related health effects would not be included. Expenditures include both spending for care directly related to cancer and spending for other medical care unrelated to cancer (see Appendix 6A for a description of the Medical Expenditure Panel Survey and the methods used to derive these estimates).

SOURCE: Special tabulations of MEPS (Friedland, 2005).

methods used to derive these estimates). These expenditures are significantly higher than those made by individuals who do not report health effects of cancer ($520 among those ages 25 to 64 and $1,221 for those aged 65 and older) (Figure 6-5).

These expenditures represent a considerable burden, especially for those with low incomes. In 1998, health-related out-of-pocket spending among those with a cancer history represented 9 percent of income for those with an annual family income under $20,000 and about 1 percent for those with an annual family income of $55,000 or more (Center on an Aging Society, 2002).

The experiences of cancer survivors who are poor and privately insured are likely similar to individuals with other chronic illnesses. Between 2001



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