FIGURE 6-5 Average annual out-of-pocket 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 the Medical Expenditure Panel Survey (MEPS), Friedland (2005).

and 2003, the proportion of low-income, chronically ill people with private insurance who spent more than 5 percent of their income on out-of-pocket health care costs grew from 28 percent to 42 percent (Tu, 2004). In 2003, 12.3 million people aged 18–64 with chronic conditions,16 lived in families with problems paying medical bills (Tu, 2004). Among families with medical bill problems, nearly two-thirds report having difficulty paying for other basic necessities—rent, mortgage payments, transportation, or food—as a


For purposes of this study, chronic conditions included asthma, arthritis, diabetes, chronic obstructive pulmonary disease, heart disease, hypertension, cancer, benign prostate enlargement, abnormal uterine bleeding, and depression (Tu, 2004).

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