With the shift in healthcare priorities in the
sustainable development goals, non-communicable diseases such as cancer are
becoming a global priority and urgent action against cancer in Southeast Asia
in particular is recommended.
A new
study has shown that the disease has become an overwhelming burden on society
and healthcare systems in Southeast Asian regions.
The
study, Asean Costs in Oncology (ACTION), conducted by the George Institute for
Global Health showed that a cancer diagnosis in Southeast Asia is disastrous
within only 12 months for 75 percent of new patients.
Just a
year after diagnosis 29 percent of the participants of the study died while 48
percent experienced financial catastrophe. Additionally, almost half or 44
percent of those who survived experienced economic hardship as a consequence of
the cancer, with the majority using their life savings for cancer care.
Socioeconomically
disadvantaged patients with advanced cancer stages were common and particularly
vulnerable to adverse economic outcomes and poor survival.
In the
Philippines, cancer is the second leading cause of death following
cardiovascular disease. In particular, women in the country are negatively
affected by cancer with incidences of breast, cervix and ovarian cancer almost
doubling in recent years.
But
despite the increase in cancer incidence in the country, public healthcare
spend to help treat and combat the disease has remained low compared to its
Southeast Asian neighbors.
In 2015,
research was conducted to benchmark Philippine healthcare spend and government
support towards cancer care as compared to Vietnam, which has a similar gross
domestic product (GDP) to the Philippines, and to Thailand, an aspirational
country with double the GDP of the Philippines.
In the
Philippines, overall healthcare spend for cancer is comparable with that of
Vietnam and Thailand at 4.4 percent of GDP in 2013.
Of that
total spend, only 32 percent is contributed by public sector reimbursement or
assistance, 12 percent by private sector assistance (insurance and others) and
the rest of the 57 percent is paid out of pocket by cancer patients.
In
Vietnam, 42 percent is covered by the public sector, 9 percent by the private
sector and 49 percent is out of pocket – 8 percent lower than in the
Philippines. In Thailand, 80 percent of cancer healthcare spend is provided by
the public sector, 9 percent by the private sector and only 11 percent is out
of pocket expense for patients.
Additionally,
the Philippines has a very low percentage of access to innovative cancer
treatments compared to Thailand and Vietnam.
In the
Philippine Costs in Oncology Study (PESO Study), a significant percentage of
cancer patients either suffer financial ruin or die within a year of diagnosis
due to lack of funds, support and access to medication. Financial difficulties
prevented access to treatment, hindered medical intervention and prevented
patients from being able to afford medicines.
These
statistics may not have been as bad if patients had better support and access
to treatments and medications. Funding agencies such as the Philippine Charity
Sweepstakes Office (PCSO) can help cancer patients fund treatments and
medication and for many, PCSO was the only reason they were able to fight the
dreaded disease.
Steps
need to be taken to address and prevent cancer, such as accessible and
affordable screening programs to catch cancer earlier, providing a better
safety net for cancer patients who are wage earners, a significant increase in
reimbursements for cancers, support for cancer patient funding agencies such as
PCSO and cancer post-hospitalization benefits.
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