Cancer patient's response to insurer who said, "No biopsy for you, you're going to die anyway"

Janet says, "Despite what the official statistics say, metastatic (stage IV) lung cancer is NOT an automatic death sentence. Newer therapies and personalized medicine now offer such patients months or even years of quality time to spend enjoying family, friends, hobbies, even travel and work. Yet insurance companies and doomsday doctors still tell many patients there's no point in pursuing further treatment. I'm an engineer, a writer, and a stage IV lung cancer patient, and I received a letter from my insurance company [ed: Blue Cross Blue Shield of Illinois] saying there was no need for me to have another biopsy because I was going to die anyway. This blog post is my response to that letter."

I was lucky to have enough slides from a 2011 biopsy to have the University of Colorado test my tumor for the relatively new ROS1 genetic mutation in my tumor tissue. Because I tested positive for ROS1, I was able to enter a clinical trial for the targeted therapy crizotinib, a drug which inhibits my ROS1-driven cancer. The trial treatment eliminated both nodules and has given me No Evidence of Disease Status for five months. I am once again able to enjoy traveling, writing, and doing things with my family. If I had not had leftover biopsy slides, an EMN biopsy would have been my only opportunity to obtain enough tissue to test for ROS1. Without that ROS1 trial and crizotinib, I might be dead by now.

Doctors who don’t keep current on new treatment options and then decide a biopsy “is not going to affect long-term health outcomes” for metastatic lung cancer patients are insuring those patients will die sooner rather than later.

That’s not the kind of health insurance I want. Do you?

Insuring the Terminal Patient

Notable Replies

  1. See, this is what gets me about people who complain about the affordable care act. They don't want the government to control their health care. As if the government is only out to let people die with their gridlocked and inefficient ways. Yet a for-profit insurance company is supposed to be a better alternative.

  2. Who's got the "death panels," again?

  3. Then we realized that all of our customers are just going to die sooner or later. You wouldn't believe the cost savings we've been able to achieve from that realization

  4. If someone besides me has to make a call on my healthcare, I'd trust a government employee over a corporate employee whose bonus depends on denying my care. Sure government employees can be assholes like anyone, but the moral hazard isn't baked in to a government employee's job.

  5. Profit-driven businesses should never be responsible for getting people medical care. Full stop.

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